Skip to content

Evaluation of Demonstrations to End Childhood Hunger - CN Food Sec

Evaluation of Demonstrations to End Childhood Hunger - CN Food Security

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04316819
Acronym
EDECHCNFOODSEC
Enrollment
4750
Registered
2020-03-20
Start date
2016-02-29
Completion date
2018-02-28
Last updated
2020-03-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Food Insecurity Among Children

Keywords

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

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.

Detailed description

Objective: To reduce childhood food insecurity and hunger, increase families' consumption of nutritious foods, increase the diversity of foods in the home, and ultimately improve diet quality and well-being among children. Target Population: 40 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 school meals or attended a school that participated in the community eligibility provision were eligible to participate in the project. Intervention 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.

Interventions

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

Sponsors

Mathematica Policy Research, Inc.
CollaboratorOTHER
USDA Food and Nutrition Service
Lead SponsorFED

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
Yes

Inclusion criteria

* 40 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.

Design outcomes

Primary

MeasureTime frameDescription
Food Insecurity among Children30 daysMeasured 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.

Secondary

MeasureTime frameDescription
Very Low Food Insecurity among Children30 daysMeasured 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.
Food Insecurity among Adults30 daysMeasured 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.
Household Food Insecurity30 daysMeasured 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.
Food expenditures30 daysTotal amount of Supplemental Nutrition Assistance Program (SNAP) and out-of-pocket food purchases in dollars.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026