Improving access to healthier foods in urban restaurants
Official title: Systems Science Approaches to Improve Access to Healthier Foods: The FRESH Trial
Run by Johns Hopkins Bloomberg School of Public Health · NCT05869149 · Data updated 2026-11-12
This study is testing a new program called FRESH to see if working with local restaurants can help people in low-income urban neighborhoods eat healthier foods and improve their overall health.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 756 (estimated) |
| Sponsor | Johns Hopkins Bloomberg School of Public Health Academic / other |
| Locations | 1 site (Baltimore, Maryland) |
| Status | Recruiting |
| Started | June 1, 2023 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2027 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT05869149 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18-75 who regularly visit restaurants in the specified neighborhoods and live in households of at least two persons.
✕Probably not a fit
Patients who are pregnant or plan to move out of the Baltimore or District of Columbia metropolitan area within the next 18 months may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to enhance dietary quality in predominantly minority, low-income urban neighborhoods by collaborating with independently owned restaurants. It tests a novel intervention called FRESH, which focuses on engaging restaurants to promote healthier food options. The study will assess the impact of this intervention on dietary quality and health indicators within African American and Latin communities. Additionally, a system dynamics model will be developed to help stakeholders simulate and implement FRESH strategies in their own neighborhoods, potentially leading to cost savings and improved community health outcomes.
Why it matters
Potential benefit: If successful, this initiative could significantly improve dietary quality and contribute to cancer prevention in underserved communities.
How similar studies have gone: Other studies have shown success in similar community-based interventions aimed at improving dietary quality, indicating that this approach has potential.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult (18-75 years) * Regular restaurant customer (e.g., visits the specified restaurant at least 1x/week) * Live in a household of at least 2 persons (criterion intended to provide a more stable sample, and to reduce loss to follow-up) * Current resident of study neighborhood Exclusion Criteria: * Anticipate moving out of Baltimore or District of Columbia metropolitan area in the next 18 months * Pregnant (due to changes in diet, weight and body composition)
Where it's running
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Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland, United States Recruiting
Study contacts
- Principal investigator: Joel Gittlesohn, PhD — Johns Hopkins Bloomberg School of Public Health
- Study coordinator: Joel Gittlesohn, PhD
- Email: jgittel1@jhu.edu
- Phone: (410)955-3927
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.