Clinical trial NCT04253743: Evaluation of Demonstrations to End Childhood Hunger - NV
Official title: Evaluation of Demonstrations to End Childhood Hunger - Nevada
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Food Insecurity Among Children
Keywords: Food security
Hunger
Young children
Supplemental Nutrition Assistance Program (SNAP)
Food expenditures
Lead sponsor: USDA Food and Nutrition Service
Sponsor class: FED
Collaborators: name: Mathematica Policy Research, Inc.
First posted: 2020-02-05
Enrollment: 7246
Sex: ALL
Maximum age (years): 4
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Food Insecurity among Children
timeFrame: 30 days
Secondary outcomes:
measure: Very Low Food Insecurity among Children
timeFrame: 30 days
measure: Food Insecurity among Adults
timeFrame: 30 days
measure: Household Food Insecurity
timeFrame: 30 days
measure: Food Expenditures
timeFrame: 30 days
Other outcomes:
Locations:
Study officials:
affiliation: USDA Food and Nutrition Service
name: Michael P Burke, PhD
role: STUDY_DIRECTOR
References:
citation: Gleason PM, Kleinman R, Chojnacki GJ, Briefel RR, Forrestal SG. Measuring the Effects of a Demonstration to Reduce Childhood Food Insecurity: A Randomized Controlled Trial of the Nevada Healthy, Hunger Free Kids Project. J Acad Nutr Diet. 2021 Jan;121(1S):S22-S33. doi: 10.1016/j.jand.2020.03.002.