Addressing Food Insecurity in the Health Care Setting to Promote Health Equity

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

Food insecurity (FI) disproportionately affects those who have been historically marginalized and significantly contributes to poor health outcomes. In children, FI is associated with lower psychosocial functioning and academic achievement. It also contributes to the development of adverse health outcomes such as obesity, type 2 diabetes mellitus (T2DM), cardiovascular disease (CVD), and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD). Improving the diet quality of children (e.g., decreasing fat intake, increasing fruits and vegetables (FV) and fiber intake) has been associated with lower fasting serum glucose, insulin, LDL cholesterol, non-HDL cholesterol, and reduced risk of CVD later in life. Increasing awareness and access to programs that promote food equity by providing affordable healthy produce is a promising way to improve health outcomes and empower patients and communities to achieve better health and well-being. The goal of this proposal is to refine and optimize implementation strategies that connect families to community-based food security nutrition support programs through health care systems or medical clinics. The investigators will develop a multi-disciplinary, cross-sector collaboration to optimize current processes and workflows that integrate food security nutrition support programs into the healthcare system. The investigators will also work to develop a closed-loop communication system between the healthcare and healthy food access systems to support greater patient autonomy and self-efficacy to obtain, prepare, and consume healthy foods.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 5
Healthy Volunteers: t
View:

• child attending Type 1 or Type 2 Diabetes clinics, Cardiology clinic, MASLD clinic, general GI clinic at RCHSD

• child age between 5-18 years old

• parent or caregiver who indicates that they are experiencing food insecurity and receives Medicaid or SNAP benefits

• family not moving out of the San Diego area within the time frame of the study

Locations
United States
California
UC San Diego
ACTIVE_NOT_RECRUITING
La Jolla
Rady Children's Hospital San Diego
RECRUITING
San Diego
Contact Information
Primary
Kay Rhee, MD, MS, MA
k1rhee@health.ucsd.edu
858-534-6827
Time Frame
Start Date: 2025-08-18
Estimated Completion Date: 2028-03-31
Participants
Target number of participants: 600
Treatments
Experimental: Clinic 1: Type 2 Diabetes Clinic
Families with children who attend the Type 2 Diabetes Clinic and indicate that they are experiencing food insecurity on the 2-item screener will be eligible for participation in this group.
Experimental: Clinic 2: Obesity Clinic
Families with children who attend the Obesity Clinic in Endocrinology and indicate that they are experiencing food insecurity on the 2-item screener will be eligible for participation in this group.
Experimental: Clinic 3: Preventive Cardiology Clinic
Families with children who attend the Preventive Cardiology Clinic for hypertension and/or high cholesterol and indicate that they are experiencing food insecurity on the 2-item screener will be eligible for participation in this group.
Experimental: Clinic 4: Gastroenterology Clinic
Families with children who attend the Gastroenterology Clinic for malnutrition or MASLD and indicate that they are experiencing food insecurity on the 2-item screener will be eligible for participation in this group.
Related Therapeutic Areas
Sponsors
Collaborators: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Rady Children's Hospital, San Diego
Leads: University of California, San Diego

This content was sourced from clinicaltrials.gov