{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:51:06Z","timestamp":1791636666617,"version":"4.3.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"abstract":"\n Background<\/jats:title>\n Consuming fruits and vegetables daily is linked to improved health in individuals with hypertension. Voucher incentives have been shown to improve healthy food purchasing. The objective of this study was to compare the effects of an online versus in\u2010store voucher intervention on food purchasing and health outcomes in hypertensive individuals.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this randomized pilot trial, 98 participants with uncontrolled hypertension received a $100 monthly food voucher to either an online grocery platform or an in\u2010store local grocery. Both groups received educational materials. The primary outcome was change in self\u2010reported fruit and vegetable consumption. Secondary outcomes were voucher use, engagement with educational materials, and changes in blood pressure, weight, and body mass index. Generalized estimating equations for repeated measures were used to assess changes in food\u2010group consumption over 5\u2009months.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age of participants was 57\u2009years, and 65% were women. No difference was detected between arms for self\u2010reported fruit and vegetable consumption. There was an overall 20% (\n interquartile range,<\/jats:styled-content>\n \u221217% to 93%) increase in fruit and vegetable consumption within both arms. Voucher use was significantly higher in the in\u2010store arm (>90%) than the online arm (<64%). Engagement with educational materials was greater in the in\u2010store arm. No significant changes in weight,\n body mass index<\/jats:styled-content>\n , or\n blood pressure<\/jats:styled-content>\n were observed.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n No difference was detected between in\u2010store and online vouchers for fruit and vegetable consumption. Higher engagement and voucher use were observed in the in\u2010store arm than the online arm. Future interventions should be conducted in larger populations and address technological barriers to enhance program effectiveness and assess long\u2010term health impacts.<\/jats:p>\n <\/jats:sec>\n \n Registration<\/jats:title>\n \n URL:\n https:\/\/clinicaltrials.gov\/<\/jats:ext-link>\n ; Unique identifier: NCT06214806.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.125.044984","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:53:02Z","timestamp":1791633182000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pilot Randomized Trial of 2 Food Purchasing Interventions in Individuals With Hypertension in New Orleans: An American Heart Association Food Is Medicine Initiative"],"prefix":"10.1161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5576-3257","authenticated-orcid":false,"given":"Manasi","family":"Tannu","sequence":"first","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]},{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5694-5308","authenticated-orcid":false,"given":"Rebecca","family":"Young","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Brucker","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4614-5451","authenticated-orcid":false,"given":"Bridget","family":"Simon\u2010Friedt","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuriy","family":"Bisyuk","sequence":"additional","affiliation":[{"name":"University Medical Center New Orleans LCMC Health","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8308-0690","authenticated-orcid":false,"given":"Sylvester","family":"Tumusiime","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3257-520X","authenticated-orcid":false,"given":"Lindsey","family":"Rudov","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Stein","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meagan","family":"Alley","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darcy","family":"Hannagan","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Young","sequence":"additional","affiliation":[{"name":"University Medical Center New Orleans LCMC Health","place":["New Orleans, USA"]},{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"McGary","sequence":"additional","affiliation":[{"name":"University Medical Center New Orleans LCMC Health","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5496-7107","authenticated-orcid":false,"given":"Sarah","family":"Palmer","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Cohen","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5004-8868","authenticated-orcid":false,"given":"Neha","family":"Pagidipati","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]},{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3387-9616","authenticated-orcid":false,"given":"Adrian","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine","place":["Durham, USA"]},{"name":"Duke University School of Medicine","place":["Durham, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0059-1990","authenticated-orcid":false,"given":"Thomas W.","family":"Carton","sequence":"additional","affiliation":[{"name":"Louisiana Public Health Institute","place":["New Orleans, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(19)30041-8"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.122.009520"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.120.048996"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.18396"},{"key":"e_1_3_1_6_2","unstructured":"American Heart Association . Food is Medicine. Accessed 12\/11\/2024 2024. https:\/\/fimi.wpengine.com\/science\/."},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00394-023-03145-5"},{"key":"e_1_3_1_8_2","unstructured":"US Department of Agriculture . SNAP healthy incentive programs encourage people participating in SNAP to purchase healthy foods by providing a coupon discount gift card bonus food item or extra funds. https:\/\/www.fns.usda.gov\/snap\/healthy\u2010incentives#:~:text=SNAP%20healthy%20incentive%20programs%20encourage nutrition%20security%20for%20more%20Americans 2024."},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu14234980"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.09.036"},{"key":"e_1_3_1_11_2","unstructured":"Healthcare Cost and Utilization Project (HCUP) . Version 2024.1. Agency for Healthcare Research and Quality. 2024. Accessed June 18 2024. https:\/\/www.hcup\u2010us.ahrq.gov\/. Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS)."},{"key":"e_1_3_1_12_2","unstructured":"National Health and Nutrition Examination Survey (NHANES) Dietary Screener Questionnaire . US Department of Health and Human Services. 2019. Accessed June 18 2024. https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/73.1.13"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.125.044984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:53:04Z","timestamp":1791633184000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.125.044984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":12,"alternative-id":["10.1161\/JAHA.125.044984"],"URL":"https:\/\/doi.org\/10.1161\/jaha.125.044984","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"assertion":[{"value":"2025-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e044984"}}