Nutrition Interventions for Food Insecurity
(NOURISH Trial)
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.12345Why 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?
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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants receive one of several nutrition programs including nutritious prepared meals, medically tailored groceries, culinary medicine, and motivational text messages
Follow-up
Participants are monitored for diet, food security, body weight change, and HbA1c levels post-intervention
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
Pantry provisions, no-prep meals, culinary nutrition classes and text messages
Pantry provisions and meal kits
Pantry provisions, meal kits, and text messages
Pantry provisions, meal kits, and culinary nutrition classes
Pantry provisions, meal kits, culinary nutrition classes, and text messages
Pantry provisions, meal kits, and no-prep meals
Pantry provisions, meal kits, no-prep meals, and text messages
Pantry provisions, meal kits, no-prep meals, and culinary nutrition classes
Pantry provisions, meal kits, no-prep meals, culinary nutrition classes, and text messages
Pantry provisions and text messages
Pantry provisions and culinary nutrition classes
Pantry provisions, culinary nutrition classes, and text messages
Pantry provisions and no-prep meals
Pantry provisions, no-prep meals, and text messages
Pantry provisions, no-prep meals, and culinary nutrition classes
Pantry provisions
Find a Clinic Near You
Who Is Running the Clinical Trial?
Tufts University
Lead Sponsor
University of Texas Southwestern Medical Center
Collaborator
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
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 ...
4.
feedingamerica.org
feedingamerica.org/sites/default/files/2023-07/Nutrition-Education-Evidence-Review-_f-1.pdfKey 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,.
5.
lgpress.clemson.edu
lgpress.clemson.edu/publication/alleviating-food-insecurity-using-nutrition-education-programs/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, ...
7.
ers.usda.gov
ers.usda.gov/data-products/ag-and-food-statistics-charting-the-essentials/food-security-and-nutrition-assistanceCharting 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 ...
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