Diet, Healthy Clinical Trial
Official title:
Maximizing the Impact of Nutrition Education to Meet the Dietary Quality and Food Security Needs of Children and Parents
Food insecurity and low diet quality are persistent problems linked with chronic disease and poor health among limited-resource children and adults using Supplemental Nutrition Assistance Program (SNAP). We have shown nutrition education via adult-focused, direct SNAP-Education (SNAP-Ed) improved household food security by 25% but not adult dietary quality among SNAP-eligible households using a randomized, controlled, longitudinal SNAP-Ed intervention in Indiana. Households experiencing food insecurity often reserve food considered "healthful" for children, so child dietary quality improvement may precede that observed among adults when household food security improves. This study will determine the effect of adult-focused direct SNAP-Ed on child dietary quality and household food security using a longitudinal randomized, controlled SNAP-Ed intervention. Assessment will include repeated 24-hour dietary recalls to determine usual intake, the U.S. Household Food Security Survey Module, and behavior data from before and after the 10-week "intervention period," and 1 year later, after which the control group will receive the intervention. Low-income participants (n=275) from Indiana will be recruited following SNAP-Ed protocol. Results of the study will inform the creation of supplementary on-demand SNAP-Ed educational material focused on improving healthful dietary intake for children and adults in situations of food insecurity in households with children. Education on modeling healthy attitudes and behaviors, planning and preparing family meals, and dietary shortfalls as informed by the results and previous evidence will be included and evaluated. The study aligns with the goals of USDA to increase food security and this RFP to improve healthful behaviors, food quality and nutrition.
Status | Recruiting |
Enrollment | 300 |
Est. completion date | December 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 5 Years and older |
Eligibility | Inclusion Criteria: - households in Indiana - households with children - English speaking - eligible to receive SNAP (=18 years and household income at or below 130% of the poverty guideline) - willing to allow a child 5-18 years to participate - willing to participate in the study and wait 1 year to receive SNAP-Ed Exclusion Criteria: - not have received SNAP-Ed lessons in the past year - not pregnant or lactating (due to inherent dietary changes) |
Country | Name | City | State |
---|---|---|---|
United States | Heather Eicher-Miller | West Lafayette | Indiana |
Lead Sponsor | Collaborator |
---|---|
Purdue University | Wake Forest University Health Sciences |
United States,
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* Note: There are 86 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in food security from baseline to 12 months | Determined based on the 18-item US Household Food Security Survey Module | food security of the previous 12 months at baseline and 12 months later | |
Primary | Change in dietary quality from baseline to 12 months | Determined based on the Healthy Index Score, where 100 indicates complete alignment with the Dietary Guidelines for Americans and 0 is the minimum score, as calculated from two 24-hour dietary recalls | Two 24-hour dietary recalls on two non-consecutive days at baseline and 12 months later | |
Primary | Change in usual dietary intake of food groups and nutrients | Determined based on two, 24-hour dietary recalls asking about intake of all foods and beverages consumed | Two 24-hour dietary recalls on two non-consecutive days at baseline and 12 months later |
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