Evaluation of Medicaid Grocery Gift Cards & Nutrition Education Program for Pregnant Women on Maternal and Infant Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 224
- 试验地点
- 1
- 主要终点
- Composite outcome 2: Adverse health events at birth and newborn-related
研究概览
简要总结
With funding from the Episcopal Health Foundation, the researchers will conduct a secondary data analysis to evaluate the impact of Driscoll Health Plan's Nurture program for pregnant members using claims data.
详细描述
This record describes a quality improvement program (called "Nurture") piloted by Driscoll Health Plan, which included nutrition education and food purchase support offered to a subset of pregnant women aged 30 years and above and covered by the Medicaid Managed Care Organization (MCO) plan in their "STAR" and "CHIP" programs during October 2022 and July 2023.
Factor Health lab at Dell Medical School at the University of Texas at Austin will do a secondary data analysis to evaluate the impact of DHP's program.
Driscoll Health Plan (DHP) is a non-profit, community-based health insurance plan that provides coverage to South Texas and the Rio Grande Valley communities. Their insurance products include STAR Medicaid, STAR Kids, CHIP, and CHIP Perinatal.
With input from Factor Health lab at Dell Medical School, DHP introduced the Nurture program for its members as a quality improvement initiative, designed to expand members' access to nutrition education and food purchase support to improve health and pregnancy outcomes.
Nurture included up to 8 packages mailed every four weeks until the member reaches the end of pregnancy. Each package included USD $40 in the form of gift cards to a large-chain grocery store, a healthy eating information sheet selected from Brighter Bites (https://brighterbites.org/), a set of three recipes, and nutrition-related Frequently Asked Questions during pregnancy (in four out of the eight packages). Members also received two 30-minute nutritional consultations over the phone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Member of Driscoll Health Plan
- •Aged 30 or older
排除标准
- •Not a member of Driscoll Health Plan
- •Not pregnant
- •Younger than 30 years of age
研究组 & 干预措施
Nurture + regular benefits (exposed group)
- Monthly packages sent every four weeks until end of pregnancy with maximum of eight packages. Each package includes:
US $40 grocery store gift card A healthy eating information sheet selected from Brighter Bites project. (https://brighterbites.org/).
A set of three recipes. Nutrition-related Frequently Asked Questions (in four of eight packages). 2. Two 30-minute telephonic nutritional consultations. Designed by a Registered Dietitian Nutritionist (RDN) who trained a bilingual nutrition specialist to deliver the consultations. Topics revolved around healthy eating during pregnancy, such as food choices, portion sizes, budget-friendly shopping, food safety, and food preparation. No nutrition therapy advice to manage diseases was provided. 3. Regular benefits Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.
干预措施: Nurture program (Behavioral)
Nurture + regular benefits (exposed group)
- Monthly packages sent every four weeks until end of pregnancy with maximum of eight packages. Each package includes:
US $40 grocery store gift card A healthy eating information sheet selected from Brighter Bites project. (https://brighterbites.org/).
A set of three recipes. Nutrition-related Frequently Asked Questions (in four of eight packages). 2. Two 30-minute telephonic nutritional consultations. Designed by a Registered Dietitian Nutritionist (RDN) who trained a bilingual nutrition specialist to deliver the consultations. Topics revolved around healthy eating during pregnancy, such as food choices, portion sizes, budget-friendly shopping, food safety, and food preparation. No nutrition therapy advice to manage diseases was provided. 3. Regular benefits Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.
干预措施: Regular benefits (Other)
Regular benefits (comparison group)
Regular benefits
Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.
干预措施: Regular benefits (Other)
结局指标
主要结局
Composite outcome 2: Adverse health events at birth and newborn-related
时间窗: At pregnancy delivery
Composite includes health claims (paid or non-paid) with codes related to: * Pre-term birth (\<37 weeks) * Neonatal Intensive Care Unit (NICU) * Small for gestational age * Large for gestational age * Stillbirths
Composite outcome 1: Adverse health events during pregnancy
时间窗: At pregnancy delivery
Composite includes health claims (paid or non-paid) with codes related to: * Gestational Diabetes Mellitus * Excessive weight gain during pregnancy * Pregnancy-associated hypertension
次要结局
未报告次要终点
研究者
Maninder Kahlon
Associate Professor
University of Texas at Austin