About this trial
The Mississippi Community Engagement Alliance (MS CEAL) Team proposes to address the complexities of Mississippi's health issues and social determinants of health through its Fostering Community Solutions (FOCUS) Project, with two objectives: (1) advance the health and wellbeing of Mississippi's populations experiencing differing health outcomes; and (2) enhance the resilience and power within communities to disseminate and implement evidence-based interventions. This study's specific aims include: (1) examine whether the inclusion of a nutrition education program increases fruit and vegetable consumption in a food box distribution program and (2) recruit and train community nutrition liaisons to implement sustainable community strategies to longitudinally support nutrition security. The primary outcome for the first specific aim will be fruit and vegetable consumption. Secondary outcome measures will include changes in perceptions and knowledge related to food consumption and dietary intake. Clinical outcomes will include changes in blood pressure, blood sugar, and cholesterol. For Specific Aim 2, outcomes will include the ability to recruit community nutrition liaisons at each site, the number of trainings, pre/post training assessments, and outreach metrics.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Self-identify as Black/African American, Latinx, or Choctaw
Age between 18-75
Disqualifiers
Cognitive impairment
Pregnant or plans to become pregnant within 12 months
Currently enrolled in a food box delivery program or nutrition education program
Food allergies that will be exacerbated with food box distribution
Trial design
Parallel
Treatments tested in this trial
Food Box + Nutrition Classes
BehavioralThe Nutrition Security Intervention is a 12-month project enrolling 400 adults across four sites. Participants will receive the intervention for 6 months, with a 9-month and 12-month in person follow-up. Individuals receiving this intervention will receive bi-weekly food boxes, containing 15-20 pounds of fresh produce, grains, and legumes. They will also participate in a bi-weekly nutrition class, led by a Registered Dietician.
Food Box Only
BehavioralThe intervention is a 12-month project enrolling 400 adults across four partner sites. Participants will receive the intervention for 6 months, with a 9-month and 12-month in person follow-up. In this intervention, participants will receive a bi-weekly food box only (no nutrition education) during the intervention period. They will have the opportunity to participate in the educational component after the completion of the intervention period.
Treatment groups
Trial outcomes
Primary outcomes
Dietary Consumption
Visually Enhanced Food Behavior Checklist and Community Engagement Alliance (CEAL) Common Survey Questions 13-17. The surveys will be analyzed using a "sum of boxes" approach. Each participant has a potential score of 0-20, with higher scores indicating better dietary habits.
Secondary outcomes
Perceptions and Knowledge
Supplemental Nutrition Assistance Program Education (SNAP-Ed) Around the Table Survey
Dietary Intake
Automated, Self-Administered 24-hour Dietary Assessment Tool
Recruitment
Program registration
Retention
Attendance log
Sponsors and contacts
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University of Mississippi Medical Center
Lead sponsor
Mississippi Food Network
Collaborator
Mississippi State University
Collaborator
Center for Family Life, Inc.
Collaborator
Locust Grove MB Church
Collaborator
Grace Episcopal Church
Collaborator
Choctaw Health Center
Collaborator