Food Security Clinical Trial
Official title:
Disparities in Medicaid and SNAP Participation: The Effects of Work Requirements and the COVID-19 Pandemic
More than a dozen states have proposed or plan to implement work requirements in Medicaid, and similar requirements already exist nationally in the Supplemental Nutritional Assistance Program (SNAP), yet evidence on the effects of these policies is limited. In cooperation with the state of Virginia, the investigators plan to conduct a randomized controlled trial studying the impacts of work requirements in public programs on insurance coverage, SNAP participation, employment, and health, with a particular focus on changes in racial/ethnic and geographic disparities in these outcomes. The COVID-19 epidemic and concurrent economic downturn creates additional urgency around these issues, and the investigators will use a combination of national administrative data and a new population survey to assess disparities in employment, health care, and food insecurity during this crisis.
Status | Not yet recruiting |
Enrollment | 12500 |
Est. completion date | December 2024 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 49 Years |
Eligibility | Inclusion Criteria: - Eligible for Virginia's SNAP program as an "able-bodied adult without dependents" (ABAWD) and thus subject to work requirements (this eligibility is age restricted to 18-49) Exclusion Criteria: - Categorical exemption from work requirements for any reason (e.g., has a disability, has dependents, resides in a geographic area where work requirements have been waived due to elevated employment) |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Harvard Medical School (HMS and HSDM) | Abdul Latif Jameel Poverty Action Lab, National Institute on Minority Health and Health Disparities (NIMHD) |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | SNAP enrollment | Collected administratively (DSS records) | Up to 24 months after randomization | |
Primary | Employment status | Collected administratively (VEC records) | Up to 24 months after randomization | |
Primary | UI covered earnings | Collected administratively (VEC records) | Up to 24 months after randomization | |
Primary | Non-UI covered earnings | Collected administratively (federal tax records) | Up to 24 months after randomization | |
Secondary | Number of jobs held | Collected administratively (DSS records) | Up to 24 months after randomization | |
Secondary | Medicaid participation | Collected administratively (DSS records) | Up to 24 months after randomization | |
Secondary | Hospitalizations | Collected administratively (Virginia Health Information) | Up to 24 months after randomization | |
Secondary | Credit scores | Collected administratively (credit bureaus) | Up to 24 months after randomization | |
Secondary | Evictions | Collected administratively (court records) | Up to 24 months after randomization | |
Secondary | Crime (records of charges, convictions) | Collected administratively (court records) | Up to 24 months after randomization | |
Secondary | Food insecurity | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Self-reported health | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Depression score | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Non-work community engagement activities | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Forced moves, housing instability | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Reasons for exiting SNAP | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Barriers to employment | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Hours worked per week | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Difficulty paying medical bills | Collected by survey | Survey to be administered approximately 1 year after randomization begins | |
Secondary | Uninsurance | Collected by survey | Survey to be administered approximately 1 year after randomization begins |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03436589 -
The Indiana SNAP-Ed Long-term Study
|
N/A | |
Completed |
NCT02789215 -
Proposed Meal Changes for CACFP: Impact on Child Food Intake and Costs
|
N/A | |
Active, not recruiting |
NCT05601804 -
TARGETing Healthy Weight Loss in the Context of Food Insecurity
|
||
Recruiting |
NCT04045184 -
Food Assistance, Diabetes, and HIV
|
||
Recruiting |
NCT06146621 -
Targeting Access and Knowledge of Earned Income Tax Credit (EITC) Utilization and Policies
|
N/A | |
Withdrawn |
NCT05502757 -
Fruit & Vegetable Provision Study
|
N/A | |
Completed |
NCT03930472 -
#WYMarketsMatter: Testing Two Farmers Market Voucher Strategies to Increase Food Security
|
Phase 2 | |
Completed |
NCT05593510 -
Food Pantry Client and Staff Preferences for Nutritious no Prep Ready-to-eat Meals
|
N/A | |
Recruiting |
NCT05429892 -
FRESH Delivers: An Innovative Approach to Reducing Tobacco Use Among Rural/Black African American Smokers
|
N/A | |
Recruiting |
NCT05517577 -
An Integrated Community-based Intervention Package in Improving Maternal and Neonatal Health Outcomes
|
N/A | |
Completed |
NCT03400605 -
Parkdale Infant Nutrition Security Targeted Evaluation Project: Infant Feeding
|
||
Completed |
NCT03566095 -
Voices for Food: Food Policy Councils, Food Security and Healthy Food Choices
|
N/A | |
Completed |
NCT05752721 -
Impact of Online Ordering on Low-Income Adults' Food Security in Online Food Pantry Settings
|
N/A | |
Completed |
NCT02526147 -
WFP Cash, Food, and Voucher Study in Ecuador
|
N/A | |
Completed |
NCT06374303 -
Novel Intervention to Improve Food Insecurity Among Individuals With Opioid Use Disorder: A Randomized Clinical Trial
|
N/A | |
Completed |
NCT03810300 -
Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh
|
N/A |