Cardiovascular Risk Reduction for Adults With Food Insecurity Using Structured Incentives
Cardiovascular Risk Reduction for Adults With Food Insecurity Using Structured Incentives (CVD-FIT)
State University of New York at Buffalo
200 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
The overarching aim of this proposal is to test the efficacy and cost-effectiveness of CVD-FIT, a novel, multi-component intervention that includes three components: 1) monthly income supplementation; 2) weekly structured incentive for the purchase of healthy food options; and 3) evidence-based telephone delivered CVD risk reduction education and skills training in African Americans with food insecurity.
Eligibility
Inclusion Criteria4
- self-report as African American/non-Hispanic Black
- screen positive for food insecurity over the past 12-months using a food insecurity risk tool developed through completion of the research team's current NIH funded R01 (R01MD013826)
- at risk for CVD defined as age ≥40 years and having a clinical diagnosis of diabetes, or hypertension, or hyperlipidemia, or being overweight/obese (defined as a BMI>25), or being a current smoker
- able to communicate in English.
Exclusion Criteria5
- Mental confusion on interview suggesting significant dementia
- Participation in other cardiovascular disease clinical trials
- Alcohol or drug abuse/dependency based on screening using CAGE questionnaire
- Active psychosis or acute mental disorder based on self-report
- Life expectancy <12 months.
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Interventions
The structured incentive will include monthly supplemental income plus weekly reimbursement for the purchase of healthy food options. Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.
Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.
Locations(1)
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NCT06818669