About this trial
The goal of this clinical trial is to understand if monthly food support increases food security in food insecure households. The main questions it aims to answer are:
* Does monthly food support increase household food security? * Does monthly food support reduce stress, increase dietary diversity, and improve self-reported wellness in recipients?
Researchers will compare households receiving monthly food support to households that do not receive study-related food support. Participants will complete questionnaires regarding food insecurity, stress, wellness, and dietary diversity at baseline and after 3 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Live in a Yukon-Kuskokwim Delta community served by the Yukon Kuskokwim Health Corporation
Self-reported need for food support.
Disqualifiers
Existing food support through Neqkiuryaraq
Under 18 years of age
Planning to move outside of YK Delta within 4 months
Trial design
Parallel
Treatments tested in this trial
Food support
Other interventionA monthly box of food shipped to a household that preferentially contains traditional protein such as moose meat or salmon. Additional food items included to compliment the protein for preparing meals, such as rice or canned vegetables. The monthly value of the food box contents will be $100, $200, or $250 depending on household size (\<5 people, 5-10 people, and \>10 people). Food support will be provided for 3 months prior to assessing outcomes. Households will continue to receive food support in both arms (intervention and wait list) after the study ends.
Treatment groups
Trial outcomes
Primary outcomes
Food security
Household Hunger Scale, US Agency for International Development. Participant reported 30-day look back at household food security using 9 frequency-of-occurrence questions (rarely, sometimes, or often). Responses tabulated into household hunger score (little/no, moderate, severe hunger).
Secondary outcomes
Dietary diversity
Dietary Diversity Questionnaire developed by the Food and Agriculture Organization. 24-hour recall of foods consumed by the participant to inform yes/no responses to 17 categories of foods (e.g., vitamin A rich fruits, organ meats).
Perceived Stress
Perceived Stress Scale. Participant assessed frequency of occurrence of 10 stress-related items during previous month. Composite score yields 3 categories: low, moderate, and high perceived stress.
Yup'ik Wellness
Yup'ik Wellness Survey, a 24-item questionnaire spanning domains of physical health, positive social behaviors, traditional foods, spiritual practices, natural environment. Participant reports frequency of each activity (never/almost never, sometimes, often) and importance (not at all important, somewhat important, very important).
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Alaska Native Tribal Health Consortium
Lead sponsor
National Institutes of Health (NIH)
Collaborator
Bethel Community Services Foundation
Collaborator
Yukon Kuskokwim Health Corporation
Collaborator