# Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities

> **NIH NIH R37** · STATE UNIVERSITY OF NEW YORK AT BUFFALO · 2020 · $51,593

## Abstract

Abstract
This administrative supplement will support the development of Rosaura Romero's research and professional
skills and provide her with mentoring for graduate school. We are not proposing any changes to the scope or
human subjects of the parent grant and the abstract remains as follows: Lower-income and minority groups
face significant health disparities with respect to obesity, cancer, heart disease and other diet-related chronic
conditions. Poor diets, low in fruits and vegetables (F&V) and high in saturated fat, sodium and sugar,
contribute to many of the health problems faced by vulnerable groups. While socioeconomic status and other
individual level factors (i.e., food preferences, time and skills to prepare healthy food, etc.) can lead to reduced
F&V consumption, these must be viewed in an environmental context. Compared with higher-income
neighborhoods, lower-income and minority neighborhoods are less likely to have stores that sell a variety of
F&V and other healthy foods. When stores are available, produce may not be affordable, high quality or
culturally appropriate. Farmers' markets and mobile produce markets (MM) have become increasingly popular
strategies to alleviate food access concerns in underserved communities. However, it is unclear if these
programs have the necessary components to have an appreciable impact on diet. Our research team recently
completed one of the first randomized controlled trials of a MM program called the Veggie Van (VV). VV
delivered boxes of fresh, locally grown produce and food-focused education to communities with significant
barriers to F&V consumption including availability, affordability, quality and knowledge. In this small cluster-
randomized trial in 12 communities (N=201), we saw impressive changes in F&V intake with intervention
participants eating almost 1 more cups per day of F&Vs than the control group. Intervention participants also
reported increases in perceived access to healthy foods and VV customers attributed many dietary changes to
the MM program. While these results are very promising, we believe it is important to test the effectiveness of
the VV program when implemented by different organizations in multiple communities. If shown to be effective,
we can create a research-tested intervention toolkit which can be disseminated to communities across the
country. For this research, we identified 8 organizations nationwide that are well-qualified to implement the VV
model. Organizations will identify appropriate sites for MM deliveries (32 total) and we will randomize them to
either an implementation or planning condition. With the help of our team's technical assistance and provided
funding, partner organizations will engage community members in the process and initiate a MM program. We
will use a Type 1 Hybrid Effectiveness-Implementation to measure effectiveness (diet, BMI, dermal
carotenoids) and implementation (customer reach and sales, process measures, qualitative interview...

## Key facts

- **NIH application ID:** 10064485
- **Project number:** 3R37CA215232-03S1
- **Recipient organization:** STATE UNIVERSITY OF NEW YORK AT BUFFALO
- **Principal Investigator:** Lucia A Leone
- **Activity code:** R37 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $51,593
- **Award type:** 3
- **Project period:** 2017-12-14 → 2022-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10064485

## Citation

> US National Institutes of Health, RePORTER application 10064485, Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities (3R37CA215232-03S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10064485. Licensed CC0.

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