Methods: The intervention involves bi-weekly meetings with a trained FF coach including nutrition education, goal setting, and fresh produce distribution. Data collection occurs at baseline (0m), and post-intervention (6m) and includes self-reported (e.g., food security) and biometric (e.g., BMI, blood pressure) measures. A novel, non-invasive, instrument (Veggie Meter^TM ) measures skin carotenoid levels, a biomarker for fruit and vegetable consumption. Descriptive statistics are used to summarize baseline findings.

Results: As of March 2024, three partner sites have recruited 22 high-risk pregnant women primarily Black/AA (50%) and Latino (41%) . 41% reported managing comorbidities with hypertension (27%) and type 2 diabetes (23%) leading, and 36% are on medication. 73% of participants have very low food and nutrition security. Diet quality indicates low self-reported fruit (55%) and vegetable (59%) consumption, which is reinforced using the Veggie Meter^TM with 82% of participants scoring ≤300 (score ≥500 ideal). Biometrics data indicates 50% of participants have elevated blood pressure levels, and 67% are obese (BMI>30).

Conclusion: This pilot intervention will add to the FiM evidence-base by studying feasibility and efficacy among minority high-risk pregnant women.