{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:04:28Z","timestamp":1789409068242,"version":"build-2803163510"},"reference-count":91,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN 185784 and 195904"],"award-info":[{"award-number":["FRN 185784 and 195904"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The British Columbia Farmers\u2019 Market Nutrition Coupon Program (FMNCP) provides lower-income households with coupons to purchase healthy foods at farmers\u2019 markets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This pragmatic randomized controlled trial (RCT) will examine the effectiveness and cost-effectiveness of two higher subsidies for healthy food, compared to the usual FMNCP healthy food subsidy, on the diet quality (primary outcome), food insecurity, and other health-related outcomes of 276 parent\u2013child dyads with lower incomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single-blind, three-arm, parallel-group pragmatic RCT, 276 parent\u2013child dyads in lower-income households will be randomized to receive the usual FMNCP healthy food subsidy ($27\/week) or a subsidy that is two ($54\/week) or three times ($81\/week) higher. Participants will receive 16 weeks of coupons that can be redeemed for up to 20 weeks. Outcomes will be assessed in one parent (18\u201364 years) and child (6\u201317 years) from each household pre-, mid-, and post-intervention. Dietary intake will be collected via two 24-h dietary recalls at each time point to calculate diet quality using the Healthy Eating Food Index-2019. Food insecurity and other health-related outcomes will be assessed using validated self-reported instruments. Mixed effects regression will assess the effects of the interventions, relative to the usual subsidy, on outcomes in parents and children. A full incremental analysis will quantify the cost-effectiveness ratios of the healthy food subsidies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>This dose-response RCT will show how the diet quality, food insecurity, and other health-related outcomes of parents and children vary according to subsidy amount.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      The trial is registered at\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"www.clinicaltrials.gov\">www.clinicaltrials.gov<\/jats:ext-link>\n                      (NCT06992947).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02601060261473062","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T16:59:16Z","timestamp":1789232356000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Does the British Columbia Farmers\u2019 Market Nutrition Coupon Program improve the diet quality and food security of parents and children with lower incomes? Protocol for a dose-response, pragmatic randomized controlled trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9787-9952","authenticated-orcid":false,"given":"Dana Lee","family":"Olstad","sequence":"first","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David JT","family":"Campbell","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"},{"name":"Department of Medicine, Cumming School of Medicine, University of Calgary Foothills Medical Centre\u2014North Tower, Calgary, AB, Canada"},{"name":"Department of Cardiac Sciences, Cumming School of Medicine, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope T","family":"Sajobi","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"O\u2019Hara","sequence":"additional","affiliation":[{"name":"British Columbia Association of Farmers\u2019 Markets"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Leblanc","sequence":"additional","affiliation":[{"name":"British Columbia Association of Farmers\u2019 Markets"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin R","family":"McCormack","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"Radin-Pereira","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Yun","family":"Lee","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L","family":"Aktary","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leia M","family":"Minaker","sequence":"additional","affiliation":[{"name":"University of Waterloo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eldon","family":"Spackman","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2023.01.017"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2023.10.001"},{"key":"e_1_3_3_4_1","unstructured":"ASA24 Canada (2020) ASA24-Canada. 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