Nutrition Security
Conditions
Keywords
Nutrition Security, Health Literacy, Health Promotion, Community Engaged Research
Brief summary
The Mississippi Community Engagement Alliance (MS CEAL) Team proposes to address the complexities of Mississippi's health issues and social determinants of health through its Fostering Community Solutions (FOCUS) Project, with two objectives: (1) advance the health and wellbeing of Mississippi's populations experiencing differing health outcomes; and (2) enhance the resilience and power within communities to disseminate and implement evidence-based interventions. This study's specific aims include: (1) examine whether the inclusion of a nutrition education program increases fruit and vegetable consumption in a food box distribution program and (2) recruit and train community nutrition liaisons to implement sustainable community strategies to longitudinally support nutrition security. The primary outcome for the first specific aim will be fruit and vegetable consumption. Secondary outcome measures will include changes in perceptions and knowledge related to food consumption and dietary intake. Clinical outcomes will include changes in blood pressure, blood sugar, and cholesterol. For Specific Aim 2, outcomes will include the ability to recruit community nutrition liaisons at each site, the number of trainings, pre/post training assessments, and outreach metrics.
Interventions
BEHAVIORALFood Box + Nutrition Classes
The Nutrition Security Intervention is a 12-month project enrolling 400 adults across four sites. Participants will receive the intervention for 6 months, with a 9-month and 12-month in person follow-up. Individuals receiving this intervention will receive bi-weekly food boxes, containing 15-20 pounds of fresh produce, grains, and legumes. They will also participate in a bi-weekly nutrition class, led by a Registered Dietician.
BEHAVIORALFood Box Only
The intervention is a 12-month project enrolling 400 adults across four partner sites. Participants will receive the intervention for 6 months, with a 9-month and 12-month in person follow-up. In this intervention, participants will receive a bi-weekly food box only (no nutrition education) during the intervention period. They will have the opportunity to participate in the educational component after the completion of the intervention period.
Sponsors
Mississippi Food Network
Mississippi State University
Center for Family Life, Inc.
Locust Grove MB Church
Grace Episcopal Church
Choctaw Health Center
University of Mississippi Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
In this study, individuals at each site will be randomly assigned to either the intervention group, which will receive the food boxes and nutrition education, or the control group, which will receive food boxes. Participants assigned to the control group will be offered the nutrition education program after data collection is complete. The project will employ simple randomization at a one-to-one basis as participants are randomized using random number generator. By measuring key process and clinical indicators before and after the intervention, the study team will assess the impact of the program on participants' nutritional status and overall health.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Self-identify as Black/African American, Latinx, or Choctaw * Age between 18-75
Exclusion criteria
* Cognitive impairment * Pregnant or plans to become pregnant within 12 months * Currently enrolled in a food box delivery program or nutrition education program * Food allergies that will be exacerbated with food box distribution
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dietary Consumption | Baseline until 6-months following the completion of the intervention | Visually Enhanced Food Behavior Checklist and Community Engagement Alliance (CEAL) Common Survey Questions 13-17. The surveys will be analyzed using a sum of boxes approach. Each participant has a potential score of 0-20, with higher scores indicating better dietary habits. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dietary Intake | Baseline until 6 months following the completion of the intervention | Automated, Self-Administered 24-hour Dietary Assessment Tool |
| Recruitment | Baseline until end of recruitment period | Program registration |
| Retention | Baseline until completion of intervention | Attendance log |
| Perceptions and Knowledge | Baseline until 6 months following the completion of the intervention | Supplemental Nutrition Assistance Program Education (SNAP-Ed) Around the Table Survey |
| Blood Pressure | Baseline until 6 months following the completion of the intervention | Systolic and diastolic blood pressure, measured by study personnel using ambulatory blood pressure monitor and following AMA Cardiovascular Disease Prevention Guidelines |
| Blood Sugar | Baseline until 6 months following completion of the intervention | Blood glucose levels, measured by study personnel using finger stick method |
| Cholesterol | Baseline until 6 months following completion of the intervention | Lipid levels, measured by study personnel using a mobile cholesterol monitor |
| Delivery of Intervention | Baseline until 6-months after the completion of the intervention | Supplemental Nutrition Assistance Program Education (SNAP-Ed) Pre/Post Survey |
Countries
United States
Contacts
Primary ContactMary M Saulters
Outcome results
None listed