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A Multilevel Intervention in the Hunger Relief Network to Improve Diet Among Adults Experiencing Food Insecurity (SuperShelf)

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ClinicalTrials.gov Identifier: NCT03421106
Recruitment Status : Terminated (Data collection was halted prematurely due to COVID-19.)
First Posted : February 5, 2018
Last Update Posted : January 15, 2021
Sponsor:
Information provided by (Responsible Party):
University of Minnesota

Brief Summary:
The investigator proposes an evaluation of a randomized, sustainable intervention in 8 intervention and 8 control pantries. We will enroll 272 clients at baseline and follow them for 1 year to assess changes in overall diet quality (the primary outcome).

Condition or disease Intervention/treatment Phase
Food Selection Behavioral: Intervention Food Pantries Other: Control Food Pantries Not Applicable

Detailed Description:
Evaluate the health impact of an intervention targeting the hunger relief network and the clients with food insecurity it serves. The long-term goal of this work is to reduce nutrition-related health disparities by intervening on a system that serves individuals at high risk for chronic disease. In 2014, an estimated 14% of U.S. households experienced food insecurity (i.e., they lacked access to enough food for an active, healthy life for all household members). Large numbers of low-income, racial/ethnic minority, and immigrant families who experience food insecurity rely on a hunger relief network that includes food banks and food pantries. Pantry clients have demonstrated poor nutritional outcomes, high chronic disease rates, and dissatisfaction with the quality and cultural-appropriateness of food offered. Unlike other food assistance programs, there are currently no standards on the nutritional quality of pantry offerings, but recent work by our study team demonstrated the need to improve the healthfulness of hunger relief network inventory. We proposed an evaluation of a randomized, sustainable intervention in 8 intervention and 8 control pantries. We will enroll 272 clients at baseline and follow them for 1 year to assess changes in overall diet quality (the primary outcome). Working with our food bank partners, the intervention at the pantry level targets the supply of nutritious foods. At the client level, the intervention targets healthy food demand. Measured outcomes include overall diet quality (the primary outcome), as assessed by the Healthy Eating Index-2015 (HEI), the nutritional quality of foods selected at the food shelf visit, and cardiovascular disease health (assessed by the American Heart Association's Life's Simple 7 scores). The study will also evaluate the impact of a multilevel intervention on the nutritional quality of pantry offerings. The study also aims to improve implementation of practices that promote a nutrition-focused hunger relief network, as assessed by survey and key informant interviews. As an exploratory aim, the study will evaluate the cultural appropriateness of pantry foods and services, given the burden of poor food access on minority, immigrant, and refugee families.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 504 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Multilevel Intervention in the Hunger Relief Network to Improve Diet Among Adults Experiencing Food Insecurity
Actual Study Start Date : February 5, 2018
Actual Primary Completion Date : September 1, 2019
Actual Study Completion Date : November 16, 2020

Arm Intervention/treatment
Experimental: Intervention Food Pantries
Food pantries will transform to offer healthier and more appealing food ; the effect on clients will be measured.
Behavioral: Intervention Food Pantries
Food pantries will receive consulting services to transform their food offerings and environment in order to influence client health behaviors.

Active Comparator: Control Food Pantries
Food pantries will make no changes during the evaluation period; the effect on clients will be measured.
Other: Control Food Pantries
Normal food pantry use




Primary Outcome Measures :
  1. Overall diet quality of clients [ Time Frame: Baseline, 1 year ]
    Assessed by Healthy Eating Index-2015 scores (scale 0-100), with 100 representing the highest possible score.


Secondary Outcome Measures :
  1. Nutritional quality of food selected by clients at the food pantry [ Time Frame: Baseline, 1 year ]
    Assessed by Healthy Eating Index-2015 scores (scale 0-100), with 100 representing the highest possible score.

  2. Cardiovascular health [ Time Frame: Baseline, 1 year ]
    American Heart Association's Life's Simple 7 (LS7) scores (scale 0 -7), with 7 representing the highest possible score



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Ages Eligible for Study:   18 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

-≥18 years old

  • Mentally capable of consent and participation
  • Speak English, Spanish, or Somali
  • Have access to a phone

Exclusion Criteria:

  • Not capable of consent or participation
  • Speak only languages other than English, Spanish or Somali
  • Not a food pantry user

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03421106


Locations
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United States, Minnesota
University of Minnesota
Minneapolis, Minnesota, United States, 55414
Sponsors and Collaborators
University of Minnesota
Investigators
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Principal Investigator: Caitlin E Caspi, ScD University of Connecticut
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Responsible Party: University of Minnesota
ClinicalTrials.gov Identifier: NCT03421106    
Other Study ID Numbers: STUDY00002781
First Posted: February 5, 2018    Key Record Dates
Last Update Posted: January 15, 2021
Last Verified: January 2021

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University of Minnesota:
Food insecurity
Food pantries