Evaluation of Demonstrations to End Childhood Hunger - NV

Study Overview
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Brief Summary
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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 Nevada. SNAP households were randomly assigned to receive either: (1) $40 extra in SNAP benefits per eligible child (<5 years) per month; (2) $40 extra in SNAP benefits per eligible child per month plus case management and nutrition education; or (3) only regular monthly SNAP benefit. The first two groups were the treatment arms and the third was the control group.

Detailed Description
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Objectives: To (1) reduce food insecurity among children; (2) increase enrollment in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and other nutrition assistance programs; and (3) improve nutrition and healthy shopping habits through nutrition education. Target Population: Supplemental Nutrition Assistance Program (SNAP) households with children under age 5 and incomes below 75 percent of the Federal Poverty Level living in Clark County, Las Vegas, Nevada. Intervention: SNAP households were randomly assigned to receive either: (1) $40 extra in SNAP benefits per eligible child (<5 years) per month; (2) $40 extra in SNAP benefits per eligible child per month plus case management and nutrition education; or (3) only regular monthly SNAP benefit. The first two groups were the treatment arms and the third was the control group. The two treatment groups were ultimately combined because of the low uptake of case management and nutrition education.

Official Title
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Evaluation of Demonstrations to End Childhood Hunger - Nevada

Conditions
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Food Insecurity Among Children

Intervention / Treatment
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* Other: Nevada Healthy, Hunger-Free Kids Demonstration Benefits


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Supplemental Nutrition Assistance Program (SNAP) households with children under age 5 and incomes below 75 percent of the Federal Poverty Level living in Clark County, Las Vegas, Nevada.

Ages Eligible for Study
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Maximum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nevada Healthy, Hunger-Free Kids Demonstration Benefits<br>SNAP households were randomly assigned to receive either: (1) $40 extra in SNAP benefits per eligible child (<5 years) per month (n=1,919); (2) $40 extra in SNAP benefits per eligible child per month plus case management and nutrition education (n=1,919); or (3) only regular monthly SNAP benefit (n=7,467). The first two groups were the treatment arms and the third was the control group. | Other: Nevada Healthy, Hunger-Free Kids Demonstration Benefits<br>* SNAP households with children under age 5 incomes below 75% of the federal poverty level living in Clark County, Nevada received $40 in extra SNAP benefits per eligible child, and access to case management and nutrition education.<br>|
| No Intervention: Control Group<br>The control group received regularly allotted SNAP benefits. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 | 
| 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 | 
| Food Expenditures | Total amount of Supplemental Nutrition Assistance Program (SNAP) and out-of-pocket food purchases in dollars | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Food security, Hunger, Young children, Supplemental Nutrition Assistance Program (SNAP), Food expenditures