Enhancing Food as Medicine Interventions for Food Insecure Postpartum Women in Central Texas
- Conditions
- Food Insecurity in Post Partum Women
- Interventions
- Other: FBM-VirtualOther: FBM-In personOther: home delivered food boxes
- Registration Number
- NCT06428578
- Brief Summary
The purpose of this study is to compare the short-term and long term impacts of Food is the Best Medicine (FBM)-Virtual on diet quality, food security status, breastfeeding rates, mental health status, rates of home cooking, and rationing coping strategies relative to FBM-In Person among food insecure, postpartum women and to compare implementation outcomes across the FBM-Virtual and FBM-In Person using process data collected from the participants, Community Health Worker (CHW)s, and partner organizations.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 100
- food insecure
- to communicate in English or Spanish.
- not living within the food produce zip code delivery radius
- having any dietary allergies.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description FBM-In person home delivered food boxes - FBM-Virtual FBM-Virtual - home delivered food home delivered food boxes - FBM-In person FBM-In person - FBM-Virtual home delivered food boxes -
- Primary Outcome Measures
Name Time Method Change in quality of diet as assessed by number of times participants ate certain food items in the past month as reported in the questionnaire Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention This data will be reported categorically for 14 different food items as follows:
1. fruit
2. green leafy or lettuce salad
3. fried potatoes
4. other kind of potatoes
5. refired/baked/ cooked beans
6. other vegetables that were not deep-fried
7. salsa made with tomato
8. pizza
9. tomato sauce
10. lean protein
11. plant-based protein
12. brown rice or other cooked whole grains
13. whole grain bread
14. regular soda/popPercentage of participants that face financial challenges as assessed by the Financial Self-Efficacy Scale Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention A single item from the Financial Self Efficacy scale will be used.
Change in level of household food insecurity experienced as assessed by the US Household Food Security questionnaire Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention This is an 6 item questionnaire . Raw score will be reported and score ranges from 0-6. Raw score of 0-1 shows high or marginal food security, raw score of 2- indicates low food security and raw score of 5-6 shows very low food insecurity.
Total duration of breastfeeding time as assessed by the post test questionnaires 3 months follow up Number of participants that initiated breastfeeding as assessed by the pre test questionnaire Baseline Change in financial stress as assessed by the financial stress questionnaire Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention Scores for three questions from the Financial Stress Scale will be used and each will be scored from 0(never) to 6(Always) for a score range of 0-18; 18 being highest level of financial stress.
Change in number of participants who showed signs of depression as assessed by the Edinburgh Postnatal Depression Scale (EPDS) Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention This is a 10 item questionnaire , range of score for each item is 0-3 for a total score range of 0-30, score above 12 is worse outcome
Change in number of cooked meals as assessed by the number of home cooked meals made from scratch during the past week Baseline, immediately after intervention (within 2 weeks of completion of intervention), three months after end of intervention Participant will be asked how often he/she or anyone else in the family prepared breakfast from scratch during the past week, lunch from scratch during the past week or dinner from scratch during the past week. The responses from the 3 items will be summed to determine the number of home cooked meals during past week.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
The University of Texas Health Science Center at Houston
🇺🇸Houston, Texas, United States
Ascension Seton Medical Center
🇺🇸Austin, Texas, United States