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Evaluation of Demonstrations to End Childhood Hunger - NV (EDECHNV)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04253743
Recruitment Status : Completed
First Posted : February 5, 2020
Last Update Posted : February 5, 2020
Sponsor:
Collaborator:
Mathematica
Information provided by (Responsible Party):
USDA Food and Nutrition Service

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.


Condition or disease Intervention/treatment Phase
Food Insecurity Among Children Other: Nevada Healthy, Hunger-Free Kids Demonstration Benefits Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 7246 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Evaluation of Demonstrations to End Childhood Hunger - Nevada
Actual Study Start Date : June 2016
Actual Primary Completion Date : May 2017
Actual Study Completion Date : May 2017

Arm Intervention/treatment
Experimental: Nevada Healthy, Hunger-Free Kids Demonstration Benefits
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
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.

No Intervention: Control Group
The control group received regularly allotted SNAP benefits.



Primary Outcome Measures :
  1. Food Insecurity among Children [ Time Frame: 30 days ]

    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.



Secondary Outcome Measures :
  1. Very Low Food Insecurity among Children [ Time Frame: 30 days ]

    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.


  2. Food Insecurity among Adults [ Time Frame: 30 days ]

    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.


  3. Household Food Insecurity [ Time Frame: 30 days ]

    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.


  4. Food Expenditures [ Time Frame: 30 days ]
    Total amount of Supplemental Nutrition Assistance Program (SNAP) and out-of-pocket food purchases in dollars



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Ages Eligible for Study:   up to 4 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
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.

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): NCT04253743


Sponsors and Collaborators
USDA Food and Nutrition Service
Mathematica
Investigators
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Study Director: Michael P Burke, PhD USDA Food and Nutrition Service
Additional Information:
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Responsible Party: USDA Food and Nutrition Service
ClinicalTrials.gov Identifier: NCT04253743    
Other Study ID Numbers: AG-3198-C-14-0019 (Nevada)
First Posted: February 5, 2020    Key Record Dates
Last Update Posted: February 5, 2020
Last Verified: January 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Public-use data files are available by request by contacting Michael Burke (michael.burke@usda.gov) or the Office of Policy Support within the USDA Food and Nutrition Service.
Time Frame: April 2019

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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 USDA Food and Nutrition Service:
Food security
Hunger
Young children
Supplemental Nutrition Assistance Program (SNAP)
Food expenditures