Evaluation of Demonstrations to End Childhood Hunger - CN Food Sec

NCT04316819 | Completed

• 1 other identifier: AG-3198-C-14-0019 (CN FoodSec)
• Study Type: interventional
• Target: 4,750
• Locations: 0 countries
• Sites: N/A

Brief 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.

Conditions

Food Insecurity Among Children

Keywords

Food security; Hunger; School children; Indian Tribal Organization; Home-delivered food box

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (4)

• Very Low Food Insecurity among Children

  30 days

• Food Insecurity among Adults

  30 days

• Household Food Insecurity

  30 days

• Food expenditures

  30 days

Study Arms (2)

Packed Promise Demonstration Benefits

EXPERIMENTAL

Treatment households (n=2,143) 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.

Other: Packed Promise Demonstration Benefits

Control Group

NO INTERVENTION

Control households (n=2,607) did not receive the treatment benefits but still could participate in other available nutrition assistance programs.

Interventions

Packed Promise Demonstration Benefits OTHER

Monthly: Home-delivered food box, nutrition education handout, and $15 monthly voucher for fruits and vegetables

Packed Promise Demonstration Benefits

Eligibility Criteria

• Age: 5 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• 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.

Sponsors & Collaborators

• USDA Food and Nutrition Service: lead
• Mathematica Policy Research, Inc.: collaborator

Related Publications (1)

• Briefel RR, Chojnacki GJ, Gabor V, Forrestal SG, Kleinman R, Cabili C, Gleason PM. A Cluster Randomized Controlled Trial of a Home-Delivered Food Box on Food Security in Chickasaw Nation. J Acad Nutr Diet. 2021 Jan;121(1S):S46-S58. doi: 10.1016/j.jand.2020.07.021.

  PMID: 33342524 DERIVED

Related Links

• Final Report

Study Officials

• Michael P Burke, PhD

  USDA Food and Nutrition Service

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 12, 2019
• First Posted: March 20, 2020
• Study Start: February 1, 2016
• Primary Completion: February 1, 2018
• Study Completion: February 1, 2018
• Last Updated: March 20, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will share