Evaluation of Demonstrations to End Childhood Hunger - CN Food Sec

Food Insecurity Among Children Clinical Trial

— EDECHCNFOODSEC  

Official title:

Evaluation of Demonstrations to End Childhood Hunger - CN Food Security

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04316819
• Other study ID #: AG-3198-C-14-0019 (CN FoodSec)
• Status: Completed
• Phase: N/A
• Start date: February 2016
• Est. completion date: February 2018

Study information

• Verified date: March 2020
• Source: USDA Food and Nutrition Service
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The 2010 Child Nutrition Reauthorization provided funding to test innovative strategies to end childhood hunger and food insecurity. Demonstration projects were funded in Chickasaw Nation, Kentucky, Navajo Nation, Nevada, and Virginia. This study focuses on Chickasaw Nation.

School districts were matched, and then one was randomly assigned to either a treatment (n=20) or control group (n=20). Treatment households received one food box per eligible child, per month, delivered to the household, which contained (1) shelf-stable foods, including 6 protein-rich items, 2 dairy items, 4 grain foods, 4 cans of fruit, and 12 cans of vegetables; (2) a nutrition education handout (e.g., a recipe); and (3) a $15 Fresh Check for frozen or fresh fruits and vegetables that participants could redeem at any of 38 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-authorized stores or farmers' markets in the study counties. Control households did not receive the treatment benefits but still could participate in other available nutrition assistance programs.

Description:

Objective: To reduce childhood food insecurity and hunger, increase families' consumption of nutritious foods, increase the diversity of foods in the home, and ultimately improve diet quality and well-being among children.

Target Population: 40 school districts (115 schools) in 12 counties within the Chickasaw Nation territory in Oklahoma. Within these districts, households with school-age children (both Native American and non-Native American) who were eligible for free school meals or attended a school that participated in the community eligibility provision were eligible to participate in the project.

Intervention School districts were matched, and then one was randomly assigned to either a treatment (n=20) or control group (n=20). Treatment households received one food box per eligible child, per month, delivered to the household, which contained (1) shelf-stable foods, including 6 protein-rich items, 2 dairy items, 4 grain foods, 4 cans of fruit, and 12 cans of vegetables; (2) a nutrition education handout (e.g., a recipe); and (3) a $15 Fresh Check for frozen or fresh fruits and vegetables that participants could redeem at any of 38 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-authorized stores or farmers' markets in the study counties. Control households did not receive the treatment benefits but still could participate in other available nutrition assistance programs.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4750
• Est. completion date: February 2018
• Est. primary completion date: February 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 5 Years to 18 Years

Eligibility

Inclusion Criteria:

• 40 school districts (115 schools) in 12 counties within the Chickasaw Nation territory in Oklahoma.

• Within these districts, households with school-age children (both Native American and non-Native American) who were eligible for free National School Lunch Program meals or attended a school that participated in the community eligibility provision were eligible to participate in the project.

Related Conditions & MeSH terms

• Food Insecurity Among Children

Intervention

Other:
• Packed Promise Demonstration Benefits
Monthly: Home-delivered food box, nutrition education handout, and $15 monthly voucher for fruits and vegetables

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
USDA Food and Nutrition Service	Mathematica

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Food Insecurity among Children	Measured by the United States Department of Agriculture's Household Food Security Survey Module (HFSSM).; Affirming 2 or more out of the 8 child-level items in the HFSSM. Higher scores generally indicates worsening food insecurity.	30 days
Secondary	Very Low Food Insecurity among Children	Measured by the United States Department of Agriculture's Household Food Security Survey Module (HFSSM).; Affirming 5 or more out of the 8 child-level items in the HFSSM. Higher scores generally indicates worsening food insecurity.	30 days
Secondary	Food Insecurity among Adults	Measured by the United States Department of Agriculture's Household Food Security Survey Module (HFSSM).; Affirming 3 or more out of the 10 adult-level items in the HFSSM. Higher scores generally indicates worsening food insecurity.	30 days
Secondary	Household Food Insecurity	Measured by the United States Department of Agriculture's Household Food Security Survey Module (HFSSM).; Affirming 3 or more out of the 18 items in the HFSSM. Higher scores generally indicates worsening food insecurity.	30 days
Secondary	Food expenditures	Total amount of Supplemental Nutrition Assistance Program (SNAP) and out-of-pocket food purchases in dollars.	30 days

External Links

•   Final Report