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NCT Number: NCT06950775

The Neighborhood & Health Study

The objective of The Neighborhood & Health Study is to use a quasi-experimental mixed-methods approach to assess the impact of living in an agrihood-an agriculturally integrated community. This study follows a longitudinal cohort of residents of a newly developed neighborhood (the Indigo Neighborhood) and a geographically and socio-demographically matched neighborhood (the Elyson Neighborhood), both located in Fort Bend County, Texas, providing a unique opportunity for a natural experiment.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Elyson Neighborhood, Katy, Texas, United States

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About this study

Poor nutrition and inadequate physical activity are prevalent in many communities across the United States. Agriculturally integrated communities called "agrihoods" are a potential responsive agriculture solution that may support healthy living. The aims of the study are to 1) Assess short-term changes in healthy eating, physical activity, cardiometabolic health indicators, and social connectedness as compared to a comparison neighborhood that is not an agriculturally integrated neighborhood; 2) Document time use with features of the Indigo Agrihood and assess consumer preferences for built and nature design features to provide resident-driven data for future developments; 3) Assess the economic benefits of the Indigo Agrihood.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Indigo Neighborhood Participants:

  • 18 years or older
  • Lived in the Indigo Neighborhood as their primary and permanent residence for less than 3 months or intend to move to the Indigo Neighborhood as their primary and permanent residence.
  • Pregnant women will not be excluded from participation and may be coincidentally included

Elyson Neighborhood Participants:

  • 18 years or older
  • Live in the Elyson Neighborhood as their primary and permanent residence (the comparison neighborhood group).
  • Pregnant women will not be excluded from participation and may be coincidentally included

Exclusion criteria

Indigo Neighborhood Participants:

  • None.

Elyson Neighborhood Participants:

  • None.

Treatment and study plan

Residence in Agrihood Neighborhood

Other

We are examining the effects of individuals who move into an agrihood neighborhood.

Primary outcomes

  1. Change in healthy eating

    Time frame: Baseline to 3 & 6 months

    Healthy eating will be measured by the Mediterranean Eating Pattern for Americans - 16 items scale. Score ranges from 0 to 16. Higher scores indicate healthy eating patterns.

  2. Change in physical activity

    Time frame: Baseline to 3 & 6 months

    Physical activity will be measured through calculating moderate to vigorous physical activity (MVPA), light, moderate, and vigorous physical activity (LMVPA), walking, and sedentary behavior using data from an accelerometer worn by participants for 7 days

  3. Change in body mass index (BMI)

    Time frame: Baseline to 6 months

    Height and weight will be measured by research staff and BMI will be calculated.

  4. Change in blood pressure

    Time frame: Baseline to 6 months

    Blood pressure will be measured by research staff using an Omron sphygmomanometer. Measured in units of millimeters of mercury (mmHg).

  5. Change in hemoglobin A1c

    Time frame: Baseline to 6 months

    Hemoglobin A1c will be measured by research staff using a CardioChek Plus machine that measures glucose in their blood. Hemoglobin A1c is measured in milligrams (mg) per deciliter (dL) of blood.

  6. Change in social connectedness

    Time frame: Baseline to 3 & 6 months

    Social connectedness will be measured by the Brief Sense of Community Scale. Scores range from 8 to 40. Higher scores indicate more social connectedness.

Secondary outcomes

  1. Change in total physical activity

    Time frame: Baseline to 3 & 6 months

    Total physical activity (MET-min/wk) will be assessed using the International Physical Activity Questionnaire short form (IPAQ-long)

  2. Change in dermal carotenoids

    Time frame: Baseline to 6 months

    Dermal carotenoids will be measured by research staff using a Veggie Meter machine, which scans a participant's finger to measure carotenoids or how many fruits and vegetables someone eats. Scores from 0 to 800. Higher scores indicate higher levels of carotenoids.

  3. Change in lipids

    Time frame: Baseline to 6 months

    Lipids will be measured by research staff using a CardioChek Plus machine that measures lipids in blood. Triglycerides will be measured in milligrams (mg) of triglycerides per deciliter (dL) of blood. LDL/HDL cholesterol will be measured in milligrams of LDL/HDL cholesterol per deciliter (dL) of blood. Total Cholesterol is measured in milligrams (mg) of cholesterol per deciliter (dL) of blood.

  4. Change in total HEI score

    Time frame: Baseline to 3 & 6 months

    Total Healthy Eating Index (HEI) score will be calculated from a single 24-hour recall collected via the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Score ranges from 0 to 100. Higher scores indicate better diet.

  5. Change in fruit intake

    Time frame: Baseline to 3 & 6 months

    Total fruit intake (cups/day) will be measured using a LS7 item.

  6. Change in vegetable intake

    Time frame: Baseline to 3 & 6 months

    Total vegetable intake (cups/day) will be measured using a LS7 item.

  7. Change in consumption of whole grains

    Time frame: Baseline to 3 & 6 months

    Whole grain consumption (servings/day) will be assessed using an LS7 item.

  8. Change in fiber intake

    Time frame: Baseline to 3 & 6 months

    Fiber intake (g/day) will be assessed using the NHANES Dietary Screener Questionnaire (DSQ).

  9. Met recommendation for fish consumption (y/n)

    Time frame: Baseline to 3 & 6 months

    Whether or not a participant met the recommendation for fish consumption will be assessed using an LS7 item.

  10. Change in frequency of consuming ultra-processed foods

    Time frame: Baseline to 3 & 6 months

    Frequency of ultra-processed foods consumption (times/month) will be assessed using a 9-item questionnaire adapted from the DSQ and the Beverage and Snack Questionnaire (BSQ2).

  11. Change in red and processed meat consumption

    Time frame: Baseline to 3 & 6 months

    Total red and processed meat consumption (g/week) will be estimated using the DSQ.

  12. Change in alcohol consumption

    Time frame: Baseline to 3 & 6 months

    Alcohol consumption (drinks/day) will be assessed using a 2-item questionnaire adapted from the Alcohol Use Disorders Screening Test (AUDIT).

  13. Change in American Heart Association's Life's Simple 7 (LS7) cardiovascular health score

    Time frame: Baseline to 3 & 6 months

    American Heart Association's Life's Simple 7 (LS7) score is a composite of cardiovascular disease (CVD) risk factors (physical activity, eating habits, smoking status, cholesterol, glucose, body mass index (BMI), and blood pressure). Score ranges from 0 to 14. Higher scores indicate better health.

  14. Change in World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendation adherence score

    Time frame: Baseline to 3 & 6 months

    WCRF/AICR recommendation adherence score is a composite of seven items listed above: BMI, physical activity, fiber intake, fruit and vegetable consumption, processed food consumption, red meat consumption, and alcohol consumption. Scores range from 0 to 7. Higher scores indicate greater adherence to the recommendations.

  15. Change in American Heart Association's Life's Essential 8 (LE8) cardiovascular health score

    Time frame: Baseline to 3 & 6 months

    American Heart Association's Life's Essential 8 (LE8) score is a composite of cardiovascular disease (CVD) risk factors (physical activity, eating habits, smoking status, sleep, cholesterol, glucose, body mass index (BMI), and blood pressure). Score ranges from 0 to 100. Higher scores indicate better health.

  16. Change in community food environment

    Time frame: Baseline to 3 & 6 months

    The community food environment, including store access and shopping behaviors, will be assessed by two items from the Perceived Nutrition Environment Measures Survey. Scores range from 2 to 10. Higher scores indicate a more diverse community food environment

  17. Change in perceived stress

    Time frame: Baseline to 3 & 6 months

    Perceived stress will be assessed by the Perceived Stress Scale. Scores range from 0 to 40. Higher scores indicate more perceived stress.

  18. Change in gardening and fruit and vegetable procurement

    Time frame: Baseline to 3 & 6 months

    Types of gardening and where fruits and vegetables are obtained will be assessed using multiple choice questions.

  19. Change in sense of community

    Time frame: Baseline to 3 & 6 months

    Sense of community will be assessed using the Collective Efficacy scale. Scores range from 5 to 25. Higher scores indicate greater sense of community.

  20. Change in nature exposure

    Time frame: Baseline to 3 & 6 months

    Nature exposure will be assessed by modified questions from the People and Nature Survey for England for American audiences. Multiple choice questions assess how much time is spent in nature and what type of natural spaces individuals visit. An additional multiple-choice item from the Nature of Americans survey will be used to identify how much time is spent in nature recreationally and for work in a typical week in hours.

  21. Change in positive and negative affect

    Time frame: Baseline to 3 & 6 months

    Positive and negative affect will be assessed by the Positive and Negative Affect Scale. Scores range from 10 to 50 for each positive and negative affect. Higher scores indicate more positive or negative affect.

  22. Change in (community) social cohesion

    Time frame: Baseline to 3 & 6 months

    Community social cohesion will be assessed by the social cohesion sub-scale of the Mujahid et al. Neighborhood Environment Scale (NES). Scores range from 1 to 5. Higher scores indicate greater social cohesion.

  23. Change in transportation used to utilized food resources

    Time frame: Baseline to 3 & 6 months

    Transportation used to obtain food will be assessed by a single categorical item.

  24. Change in distance to utilized food resources

    Time frame: Baseline to 3 & 6 months

    Distance to utilized food resources will be measured in miles.

  25. Change in number of utilized food resources

    Time frame: Baseline to 3 & 6 months

    Number of utilized food resources will be measured by a multiple choice item.

  26. Change in transportation used to utilized physical activity resources

    Time frame: Baseline to 3 & 6 months

    Transportation used to access the physical activity resources will be assessed by a single categorical item.

  27. Change in distance to utilized physical activity resources

    Time frame: Baseline to 3 & 6 months

    Distance to utilized physical activity resources will be measured in miles.

  28. Change in number of utilized physical activity resources

    Time frame: Baseline to 3 & 6 months

    Number of utilized physical activity resources will be measured by a multiple choice item.

  29. Change in loneliness

    Time frame: Baseline to 3 & 6 months

    Loneliness and social isolation will be assessed by the UCLA Loneliness Scale. Scores range from 20 to 80. Higher scores indicate more loneliness and social isolation.

  30. Change in functional health

    Time frame: Baseline to 3 & 6 months

    Functional health will be assessed by the Quality Metric's MOS Short Form - 36 Version 2. 10 items will be used with scores range from 0 to 20. Higher scores indicate higher functional health.

  31. Change in fruit intake

    Time frame: Baseline to 3 & 6 months

    Total fruit intake (cups/day) will be measured using a 24-hour recall.

  32. Change in vegetable intake

    Time frame: Baseline to 3 & 6 months

    Total vegetable intake (cups/day) will be measured using a 24-hour recall.

  33. Change in consumption of whole grains

    Time frame: Baseline to 3 & 6 months

    Whole grain consumption (servings/day) will be assessed using a 24-hour recall.

  34. Change in fiber intake

    Time frame: Baseline to 3 & 6 months

    Fiber intake (g/day) will be assessed using a 24-hour recall.

  35. Change in red and processed meat consumption

    Time frame: Baseline to 3 & 6 months

    Total red and processed meat consumption (g/week) will be estimated using a 24-hour recall.

  36. Change in alcohol consumption

    Time frame: Baseline to 3 & 6 months

    Alcohol consumption (drinks/day) will be assessed using a 24-hour recall.

  37. Change in frequency of consuming ultra-processed foods

    Time frame: Baseline to 3 & 6 months

    Frequency of ultra-processed foods consumption (times/month) will be assessed using a 24-hour recall.

Study contacts

Contact information is provided by the study sponsor or research team.

Deyaun L Jafari, Ph.D.

CONTACT

[email protected]

972-952-9215

Sponsors and collaborators

Lead sponsor

Texas A&M University

Other

Registry information

Official study title

A Naturalistic Study of Residents of an Agriculturally Integrated Community

Acronym: N&HS

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 30, 2025
Registry last updated
Dec 9, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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