Keiki (Pediatric) Produce Prescription (KPRx) Program Hawaii

Completed · Not applicable

Conditions studied: Malnutrition, Child, Obesity, Food Selection, Nutrition Poor

In brief

Children living in food-insecure homes, defined as at some time during the last year their household not having enough food, money, or resources to feed the family experience low intake of fresh fruits and vegetables (FV), and a trajectory for increased risk of obesity and chronic diseases in adulthood. In Hawai'i, a higher proportion of Native Hawaiian (NH) and other Pacific Islander (OPI) children live in food-insecure households when compared with the state average (30% and 50%, respectively vs. 18%) and NHOPI adults suffer disproportionately from chronic disease. Produce prescription programs, provide vouchers to individuals to purchase fresh FV, are promising strategies to improve diet quality and reduce chronic disease risk among food insecure populations. The long-term objective of this research is to reduce nutrition-related health disparities via clinical-community based programming. The Keiki (child) Produce Prescription (KPRx) program was developed and implemented by enlisting University and community researchers and health care providers at the Waianae Coast Comprehensive Health Center (WCCHC). The current study builds on the community-academic partnership to achieve the following specific aim, to measure effectiveness of the KPRx on FV intake, gut microbiome composition, and health related biomarkers in 100 parent-child dyads in the context of household food insecurity from a predominantly NHOPI community in Hawai'i. A community based participatory research approach to carry out a randomized controlled trial that measures the effect of the KPRx on child diet and microbiome, and parent/caregiver diet and health-related biomarkers on 100 parent-child dyads in the context of household food insecurity will be conducted. The community-informed research study will provide data to inform local and state healthcare and nutrition assistance programming policies aimed at reducing food insecurity and health disparities among NHOPI and minority populations.

Key facts

Study ID

NCT05442424

Run by

University of Hawaii

People needed

170

Starts

2022-11-01

Expected to finish

2025-01-30

Last updated by the study team

2025-03-30

Who can join

Age: 2 and older, up to 8. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• patient of the Waianae Coast Comprehensive Health Center (WCCHC) Pediatric Clinic
• 2 to 8 years of age
• positive screen for food insecurity using a validated two-question tool,44 and/or has overweight or obese, BMI ≥ 85th percentile, measurement recorded in Electronic Medical Record (EMR) on day of clinic visit when recruitment occurs)
• resides with the parent on the Wai'anae Coast of O'ahu
• English-speaking.

You may not qualify if…

• individuals > 8 years of age
• children who are not WCCHC pediatric patients
• children who do not experience food security
• non-English speaking children
• children living outside of the Wai'anae Coast of O'ahu

Where it is running

• University of Hawaii at Manoa — Honolulu, Hawaii, United States

Full record on ClinicalTrials.gov

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