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Diet, HealthyNCT07221045

A Food As Medicine Approach to Address Food Insecurity in Rural North Carolina

A study testing PhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina in people with Diet, Healthy and Health Behavior, run by North Carolina State University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Increasing fruit and vegetable (FV) intake, and reducing saturated fat, salt, and added sugar are central lifestyle recommendations in the Dietary Guidelines for Americans to prevent chronic disease. Read more about this study

Who is it for?
Ages 8 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Diet, Healthy, Health Behavior, Blood Pressure
What is being tested?
PhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited States
Study dates
18 Apr 2025to 31 May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Fluent in English or Spanish (speaking, reading, writing)
  • An adult (18 years of age or older) who's a parent or caregiver of a child ages 8 to 14 years old or a child ages 8 to 14 years old
  • Served at participating clinic in a county where the program is being implemented (Goldsboro Pediatrics, Bertie County Rural Health Association, and Roanoke Chowan Community Health in Bertie, Halifax, Lenoir, Northampton, or Wayne Counties)
  • Living in a county where the program is being implemented (Bertie, Halifax, Lenoir, Northampton, or Wayne Counties)
  • Free living to the extent they are able to receive and use a box of fresh produce and participate in direct nutrition education classes
  • Willing and able to provide written consent and participate in all study activities.

Who cannot join

  • Adults not at risk of food insecurity
  • Adults, who are not parents nor caregivers of a child 8 to 14 years
  • Adults who do not want to or could not fully participate (e.g., an adult family member with advanced kidney disease with severe dietary restrictions).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Basheerah Enahora, PhD contact

9195159125

benahor@ncsu.edu

United States1 site, 1 recruiting
  • North Carolina State University

    Raleigh, North Carolina, 27695

    Basheerah Enahora, PhD, 9195159125, benahor@ncsu.edu

    Basheerah Enahora, PhD

    Recruiting

Other trials in United States

About this study

Official title: PhytoRx Families: A Pilot Test Study to Address Food Security and Fruit and Vegetable Intake in Rural North Carolina

Increasing fruit and vegetable (FV) intake, and reducing saturated fat, salt, and added sugar are central lifestyle recommendations in the Dietary Guidelines for Americans to prevent chronic disease. Yet, while diet is modifiable, numerous barriers exist for lower-resourced families to engage in healthy dietary behaviors. In particular, rural families face structural and systemic disparities, such as inadequate access to affordable healthy food. Thus, this project. Thus, this study, PhytoRx Families, an innovative produce prescription (Prx) program, addresses health disparities in rural North Carolina (NC). This project will pilot test and explore the impact of PhytoRx Families (PhtyoRxF) on nutrition-related, health-related, and healthcare utilization outcomes.

Read the detailed description

Increasing fruit and vegetable (FV) intake, and reducing saturated fat, salt, and added sugar are central lifestyle recommendations in the Dietary Guidelines for Americans to prevent chronic disease. Yet, while diet is modifiable, numerous barriers exist for lower-resourced families to engage in healthy dietary behaviors. In particular, rural families face structural and systemic inequities, such as inadequate access to affordable healthy food. Thus, this project, PhytoRx Families, an innovative produce prescription (Prx) program, will address health disparities in rural North Carolina (NC). This project will pilot test and explore the impact of PhytoRx Families (PhtyoRxF) on nutrition-related outcomes. This study will define impact on FV intake using the ASA24 dietary recall (primary outcome) among n=30 adults and school-aged children (adult-child dyads; children 8-14 year olds, 2nd-9th grade). The study will also explore the impact of PhytoRxF on cardiovascular health-related outcomes (blood pressure, glycated hemoglobin (HbA1C), height, weight (BMI calculated)). Finally the study will examine the change in healthcare utilization among PhytoRxF participants.

Being tested
PhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina
Medical subject headings
Health Behavior, Patient Acceptance of Health Care

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PhytoRx Families: A Pilot Test to Address Food Security in Rural North CarolinaOther

    Also called PhytoRx Families Pilot Test

    This project will pilot test and explore the impact of PhytoRx Families (PhtyoRxF) on nutrition-related, health-related, and healthcare utilization outcomes among n=30 adults and school-aged children (adult-child dyads; children 8-14 year olds, 2nd-9th grade).

Study groups in NCT07221045
Study groupRoleWhat they receive
Pilot test participantsExperimentalParticipants will be referred by healthcare providers during office visits at local clinics. Providers will refer school-aged children (8-14 year olds) or adults, who are also a caregiver for a school-aged child, who screen positive for food insecurity and will submit patient referrals to the Project Coordinator utilizing a HIPAA-compliant KiteWorks platform.
Receives: Other: PhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fruit and vegetable intake

    Measured by ASA24 dietary recall

    Measured: Baseline and end of study at 16 weeks

Secondary outcomes (11)
  1. Skin carotenoids

    Objective measure of fruit and vegetable intake measured by skin carotenoids, derived from a validated reflection spectroscopy device, Veggie Meter®

    Measured: Baseline and end of study at 16 weeks

  2. Diet quality

    Measured by ASA24 dietary recall

    Measured: Baseline and end of study at 16 weeks

  3. Food security status

    USDA 6-Item Food Security Survey. Score range is 0 to 6. Responses of "often" or "sometimes" on questions HH3 and HH4, and "yes" on AD1, AD2, and AD3 are coded as affirmative (yes). Responses of "almost every month" and "some months but not every month" on AD1a are coded as affirmative (yes). The sum of affirmative responses to the six questions in the module is the household's raw score on the scale. Food security status is assigned as follows: Raw score 0-1-High or marginal food security; Raw score 2-4-Low food security; Raw score 5-6-Very low food security

    Measured: Baseline and end of study at 16 weeks

  4. Nutrition security status

    4-Item Household Nutrition Security Screener (Gretchen Swanson/Center for Nutrition \& Health Impact), Score range is 0 (if the participant selects "Always") to 4 (if the participant selects "Never"), with higher scores indicating a greater degree of Household Nutrition Security

    Measured: Baseline and end of study at 16 weeks

  5. Blood pressure

    Measured by automated monitor; Omron HEM-907XL, Vernon Hills

    Measured: Baseline and end of study at 16 weeks

  6. Hemoglobin A1C

    Measured by point-of-care (PoC) testing via A1C+ Now Analyzer, PTS Diagnostics

    Measured: Baseline and end of study at 16 weeks

  7. Body Mass Index

    Weight in kilograms and height in meters (collected at baseline only) will be assessed by electronic scale with stadiometer, SECA 874dr scale. BMI will be calculated by dividing weight (kg) by height (m) squared

    Measured: Baseline and end of study at 16 weeks

  8. Self-efficacy for Healthy Eating

    Self-efficacy for Eating Behaviors Scale. Score range from 1 (participant responds strongly disagree) to 5 (participant responds strongly agree), with higher scores indicating higher self efficacy for choosing healthy foods

    Measured: Baseline and end of study at 16 weeks

  9. Food-related Parenting Practices

    Comprehensive Home Environment Survey (CHES). Measurement of social and physical home environment to assess food-related parenting practices. Scale from 1 (participant responds "Never") to 5 (participant responds "Always"), with higher scores indicating positive food-related parenting practices (ie eating meals together as a family, modeling healthy behaviors, cooking at home, involving children in the meal planning/cooking process).

    Measured: Baseline and end of study at 16 weeks

  10. Barriers and Facilitators to Fruit and Vegetable Consumption

    Adapted instruments from the Family Life, Activity, Sun, Health, and Eating (FLASHE) Parent Module and the Singleton et al 2018 study to assess barriers and facilitators to fruit and vegetable consumption. Score range from 1 (participant responds "Strongly Disagree") to 5 (participant responds "Strongly Agree"), with higher scores representing more barriers to eating fruits and vegetables.

    Measured: Baseline to end of study at 16 weeks

  11. Body Mass Index-For-Age Percentile

    Weight in kilograms and height in meters (collected at baseline only) will be assessed by electronic scale with stadiometer, SECA 874dr scale. BMI will be calculated by dividing weight (kg) by height (m) squared, then plotted on a growth chart.

    Measured: Baseline and end of study at 16 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2025
  2. Study start18 Apr 2025
  3. Primary completion31 May 2026 (estimated)
  4. Study completion31 May 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07221045
Sponsor's protocol ID
27407
Status last verified
Oct 2025
First submitted
20 Oct 2025
Last updated
27 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be reported in aggregate for publication in academic journals (means and standard deviations). No identifying information will be reported in any publications arising from this research. No direct personal identifiers will be used in any published research.

Publications

  • Norris K, Jilcott Pitts S, Reis H, Haynes-Maslow L. A Systematic Literature Review of Nutrition Interventions Implemented to Address Food Insecurity as a Social Determinant of Health. Nutrients. 2023 Aug 5;15(15):3464. doi: 10.3390/nu15153464.

    PubMed 37571400
  • Kerr D, Barua S, Glantz N, Conneely C, Kujan M, Bevier W, Larez A, Sabharwal A. Farming for life: impact of medical prescriptions for fresh vegetables on cardiometabolic health for adults with or at risk of type 2 diabetes in a predominantly Mexican-American population. BMJ Nutr Prev Health. 2020 Oct 5;3(2):239-246. doi: 10.1136/bmjnph-2020-000133. eCollection 2020 Dec.

    PubMed 33521534
  • Heasley C, Clayton B, Muileboom J, Schwanke A, Rathnayake S, Richter A, Little M. "I was eating more fruits and veggies than I have in years": a mixed methods evaluation of a fresh food prescription intervention. Arch Public Health. 2021 Jul 23;79:135. doi: 10.1186/s13690-021-00657-6. eCollection 2021.

    PubMed 34301335
  • Fischer L, Bodrick N, Mackey ER, McClenny A, Dazelle W, McCarron K, Mork T, Farmer N, Haemer M, Essel K. Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children. Nutrients. 2022 May 10;14(10):2006. doi: 10.3390/nu14102006.

    PubMed 35631144
  • Harkin N, Johnston E, Mathews T, Guo Y, Schwartzbard A, Berger J, Gianos E. Physicians' Dietary Knowledge, Attitudes, and Counseling Practices: The Experience of a Single Health Care Center at Changing the Landscape for Dietary Education. Am J Lifestyle Med. 2018 Nov 23;13(3):292-300. doi: 10.1177/1559827618809934. eCollection 2019 May-Jun.

    PubMed 31105493
  • Rahman V. Time to Revamp Nutrition Education for Physicians. Perm J. 2019;23:19-052. doi: 10.7812/TPP/19.052. Epub 2019 Aug 19.

    PubMed 31496507
  • Wolfson JA, Ramsing R, Richardson CR, Palmer A. Barriers to healthy food access: Associations with household income and cooking behavior. Prev Med Rep. 2019 Jan 31;13:298-305. doi: 10.1016/j.pmedr.2019.01.023. eCollection 2019 Mar.

    PubMed 30792944
  • Reicks M, Kocher M, Reeder J. Impact of Cooking and Home Food Preparation Interventions Among Adults: A Systematic Review (2011-2016). J Nutr Educ Behav. 2018 Feb;50(2):148-172.e1. doi: 10.1016/j.jneb.2017.08.004. Epub 2017 Sep 25.

    PubMed 28958671
  • Levi R, Schwartz M, Campbell E, Martin K, Seligman H. Nutrition standards for the charitable food system: challenges and opportunities. BMC Public Health. 2022 Mar 14;22(1):495. doi: 10.1186/s12889-022-12906-6.

    PubMed 35287656
  • Lutfiyya MN, Chang LF, Lipsky MS. A cross-sectional study of US rural adults' consumption of fruits and vegetables: do they consume at least five servings daily? BMC Public Health. 2012 Jun 1;12:280. doi: 10.1186/1471-2458-12-280.

    PubMed 22490063
  • Laraia BA. Food insecurity and chronic disease. Adv Nutr. 2013 Mar 1;4(2):203-12. doi: 10.3945/an.112.003277.

    PubMed 23493536
  • Backonja U, Park S, Kurre A, Yudelman H, Heindel S, Schultz M, Whitman G, Turner AM, Marchak NT, Bekemeier B. Supporting rural public health practice to address local-level social determinants of health across Northwest states: Development of an interactive visualization dashboard. J Biomed Inform. 2022 May;129:104051. doi: 10.1016/j.jbi.2022.104051. Epub 2022 Mar 19.

    PubMed 35318149
  • Byker Shanks C, Andress L, Hardison-Moody A, Jilcott Pitts S, Patton-Lopez M, Prewitt TE, Dupuis V, Wong K, Kirk-Epstein M, Engelhard E, Hake M, Osborne I, Hoff C, Haynes-Maslow L. Food Insecurity in the Rural United States: An Examination of Struggles and Coping Mechanisms to Feed a Family among Households with a Low-Income. Nutrients. 2022 Dec 9;14(24):5250. doi: 10.3390/nu14245250.

    PubMed 36558409
  • Schipper HS, de Ferranti S. Cardiovascular Risk Assessment and Management for Pediatricians. Pediatrics. 2022 Dec 1;150(6):e2022057957. doi: 10.1542/peds.2022-057957.

    PubMed 36321395
  • Harrington RA, Califf RM, Balamurugan A, Brown N, Benjamin RM, Braund WE, Hipp J, Konig M, Sanchez E, Joynt Maddox KE. Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association. Circulation. 2020 Mar 10;141(10):e615-e644. doi: 10.1161/CIR.0000000000000753. Epub 2020 Feb 10.

    PubMed 32078375

Questions about this trial

What is this clinical trial studying?

A study testing PhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina in people with Diet, Healthy and Health Behavior, run by North Carolina State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Basheerah Enahora, PhD (9195159125, benahor@ncsu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fruit and vegetable intake (time frame: Baseline and end of study at 16 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07221045, which also lists 21 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2025.

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