Nutrition Interventions for Food Insecurity

(NOURISH Trial)

NL
Overseen ByNICHE Lab Team
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Tufts University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores various nutrition programs to help individuals with limited food access make healthier eating choices. The goal is to determine which methods—such as meal kits, cooking classes, ready-to-eat meals, or motivational texts—are most effective in improving food security and managing diabetes risk. Those who might benefit include individuals with a body mass index (BMI) of 25 or higher and regular access to a device for receiving texts. Participants will gain insights into managing their diet and health through innovative support and resources. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could enhance dietary health for many.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Earlier studies have shown that cooking and nutrition classes help people improve their access to food and learn to make healthier meals. These classes have been popular and have not caused any safety issues. They teach cooking skills that reduce food waste and improve meal choices.

Research has shown that medically tailored groceries, which are meal kits designed for specific health needs, are safe and effective. Participants in these studies experienced better access to food and improved health without major problems.

Motivational text messages used in health programs have not been studied extensively for safety, but they are generally considered low-risk. These messages aim to encourage healthier habits and resemble regular text messages.

Nutritious prepared meals, made with fresh ingredients and no preservatives, have been tested for safety in studies. They are intended to support health and have been safely used in other food programs.

Overall, these approaches aim to improve nutrition and access to food. Past research has shown positive results with no major safety concerns.12345

Why are researchers excited about this trial?

Researchers are excited about these nutrition interventions because they take a multi-faceted approach to tackle food insecurity, combining education, convenience, and motivation. Unlike traditional food assistance programs, these strategies offer culinary nutrition classes that empower participants with cooking skills, provide medically tailored groceries and meal kits for convenience, and deliver motivational text messages to encourage healthy eating habits. This holistic approach aims to not only provide immediate food relief but also foster long-term dietary changes and self-sufficiency. By integrating education and support into food assistance, these interventions could potentially lead to more sustainable improvements in nutrition and health outcomes.

What evidence suggests that this trial's treatments could be effective?

Research has shown that cooking classes, one of the interventions in this trial, can enhance cooking skills, improve diet quality, and increase confidence in trying new ingredients. Meal kits designed for medical needs, another intervention, may help reduce food insecurity and improve health management, particularly for individuals with long-term illnesses. Consuming nutritious prepared meals, also part of this trial, has been linked to better diet quality, though the specifics remain less clear. Motivational text messages, another intervention being tested, are believed to encourage healthier eating by providing regular reminders and support. These methods aim to promote healthy eating habits, manage diabetes risk, and reduce food insecurity.13678

Who Is on the Research Team?

KH

Kelseanna Hollis-Hansen, PhD, MPH

Principal Investigator

Tufts University

Are You a Good Fit for This Trial?

This trial is for adults who use food banks or pantries and may have type 2 diabetes, obesity, or trouble getting enough healthy food. Participants should be interested in improving their diet and managing their health.

Inclusion Criteria

I am 18 years old or older.
Willing and able to consent
Body mass index (BMI) of 25 or greater
See 2 more

Exclusion Criteria

Presence of a condition or dietary restriction precluding eating study meals or weight loss (e.g., condition requiring liquid diet, pregnancy)
Another member of the household participating
Planning to move within the next 12 months
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive one of several nutrition programs including nutritious prepared meals, medically tailored groceries, culinary medicine, and motivational text messages

6 months
4 visits (in-person)

Follow-up

Participants are monitored for diet, food security, body weight change, and HbA1c levels post-intervention

3 months
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Culinary Nutrition Classes
  • Medically Tailored Groceries (Meal Kits)
  • Motivational Text Messages
  • Nutritious Prepared Meals

Trial Overview

The study compares four nutrition support programs: ready-to-eat meals, meal kits with ingredients, cooking classes focused on healthy eating, and motivational text messages. The goal is to see which helps people eat healthier and manage diabetes risk best.

How Is the Trial Designed?

16

Treatment groups

Experimental Treatment

Active Control

Group I: Condition 9: Pantry, No-prep meals, Culinary classes, and SMSExperimental Treatment3 Interventions
Group II: Condition 8: Pantry and MTGExperimental Treatment1 Intervention
Group III: Condition 7: Pantry, MTG, and SMSExperimental Treatment2 Interventions
Group IV: Condition 6: Pantry, MTG, and Culinary classesExperimental Treatment2 Interventions
Group V: Condition 5: Pantry, MTG, Culinary classes, and SMSExperimental Treatment3 Interventions
Group VI: Condition 4: Pantry, MTG, and No-prep mealsExperimental Treatment2 Interventions
Group VII: Condition 3: Pantry, MTG, No-prep meals, and SMSExperimental Treatment3 Interventions
Group VIII: Condition 2: Pantry, MTG, No-prep meals, and Culinary classesExperimental Treatment3 Interventions
Group IX: Condition 1: Pantry, MTG, No-prep meals, Culinary classes, and SMSExperimental Treatment4 Interventions
Group X: Condition 15: Pantry and SMSExperimental Treatment1 Intervention
Group XI: Condition 14: Pantry and Culinary classesExperimental Treatment1 Intervention
Group XII: Condition 13: Pantry, Culinary classes, and SMSExperimental Treatment2 Interventions
Group XIII: Condition 12: Pantry and No-prep mealsExperimental Treatment1 Intervention
Group XIV: Condition 11: Pantry, No-prep meals, and SMSExperimental Treatment2 Interventions
Group XV: Condition 10: Pantry, No-prep meals, and Culinary classesExperimental Treatment2 Interventions
Group XVI: Condition 16: Pantry onlyActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Tufts University

Lead Sponsor

Trials
271
Recruited
595,000+

University of Texas Southwestern Medical Center

Collaborator

Trials
1,102
Recruited
1,077,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials
2,513
Recruited
4,366,000+

Citations

Delivering Food Resources and Kitchen Skills (FoRKS) to ...

Moreover, several non-randomized trials of hands-on cooking classes have shown improved food management skills, diet quality, self-efficacy, and ...

Association Between Food and Nutrition Security Among ...

Thirty-seven percent of students in the sample were at-risk for food insecurity and 28% experienced nutrition insecurity. Risk of food insecurity was ...

Cooking with the Community: Addressing Food Insecurity ...

Significant increase in confidence in cooking, both in following recipes and in cooking with new foods, was seen over the course of 4 cooking ...

Key Considerations for Nutrition Education Programs and ...

The objective of this evidence review is to examine the existing evidence regarding nutrition education strategies and approaches targeting individuals,.

Alleviating Food Insecurity Using Nutrition Education Programs

The South Carolina 2022 Statewide report showed that through EFNEP, 92% of adults and families improved their food resource management skills, ...

Identifying the recipe for success - Poverty Solutions

The project: Evidence suggests that teaching cooking skills can help people better manage food insecurity by teaching them how to better reduce food waste, ...

Charting the Essentials - Food Security and Nutrition Assistance

The 13.7 percent of food-insecure households (18.3 million households) includes 5.4 percent (7.2 million) that experienced very low food ...

Teaching Kitchen course helps improve college students' ...

Discussions include food safety, calculating nutrient needs, mindful eating and reading nutrition labels. The Teaching Kitchen laboratory brings ...