Participating to Boost Meal Participation for Food Insecurity

Recruiting · 18 - 65 · All Sexes · Stanford, CA

This study is evaluating whether a strategy to increase participation in school meals can reduce food insecurity and improve child health.

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About the trial for Food Insecurity

Treatment Groups

This trial involves 2 different treatments. Participating To Boost Meal Participation is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Participating to Boost Meal Participation
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.


This trial is for patients born any sex between 18 and 65 years old. There is one eligibility criterion to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Elementary schools in California's San Joaquin Valley
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Odds of Eligibility
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Baseline and 9-months after the start of the study.
Screening: ~3 weeks
Treatment: Varies
Reporting: Baseline and 9-months after the start of the study.
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Baseline and 9-months after the start of the study..
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Participating to Boost Meal Participation will improve 2 primary outcomes and 1 secondary outcome in patients with Food Insecurity. Measurement will happen over the course of Baseline and 9-months after the start of the study..

Change in household food insecurity
Surveys will be conducted to assess changes in household food insecurity using the 18-item US Household Food Security Survey Module
Change in school meal participation
School meal participation data will be collected from participating school food service via directors via surveys. Data is also publicly available through California Department of Education Nutrition Services and will be obtained but this data is usually not available in real-time.
Change in parents' satisfaction
Surveys will be conducted to assess parents' satisfaction of school meals

Who is running the study

Principal Investigator
A. I. P.
Prof. Anisha I Patel, Associate Professor
Stanford University

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes food insecurity?

Food insecurity is not common among young Latino and African American women living in urban inner-city neighborhoods, but food insecurity is an important social determinant of health.

Anonymous Patient Answer

Can food insecurity be cured?

Food insecurity cannot be cured because, in most cases, there is no good way to prevent it in the first place. However, because food insecurity does not cause most of the other health problems and diseases that are tied to it, such as obesity and diabetes, many may be able to lose weight and keep it off by consuming nutritious and unprocessed foods from their local supermarkets. Food insecurity also cannot be cured because, though it is hard for people to afford healthier foods, food stamps and nutritional education and counselling can make a significant difference in the quality of life for this population.

Anonymous Patient Answer

What are the signs of food insecurity?

The National Family Food Insecurity Survey will be an important resource for researchers to examine the factors related to poor nutrition among low-income families. As research on this topic goes on, a clearer picture may be developed.

Anonymous Patient Answer

What is food insecurity?

Contrary to popular belief, the greatest percentage of Americans food insecure are those reporting that they need to work for financial resources to make ends meet.

Anonymous Patient Answer

What are common treatments for food insecurity?

Few treatments for food insecurity are available in the United States. It is a public health problem and many people with food insecurity have psychiatric and substance abuse disorders. There is a need for better treatment for both food insecurity and for co-occurring psychiatric and substance abuse disorders.

Anonymous Patient Answer

How many people get food insecurity a year in the United States?

The USDA's Food Security Atlas revealed that 5.8% of households in the United States experienced food insecurity annually—a rate slightly less than the national estimate. Household food insecurity has increased substantially across all demographic groups between 2013 and 2017, especially among persons ages 5 and older and persons who are Black or Hispanic. Food insecurity is common and will continue to grow as the United States grapples with an increasingly aging population and rising incomes from the baby boomer generation.

Anonymous Patient Answer

How serious can food insecurity be?

Food availability and food insecurity at the household level are associated with health outcomes for children. Findings suggest that more attention to food policies that protect the health of children from food insecurity is needed. Food insecurity poses a significant threat to child health with serious public policy implications.

Anonymous Patient Answer

Who should consider clinical trials for food insecurity?

Clinical trial enrollment may be particularly appropriate for those at risk for food insecurity. Food insecurity rates may be high among U.S. adults with depressive symptoms. Additional research is warranted to better understand the unique dynamics of food insecurity associated with depression and its relationship to clinical trial enrollment.

Anonymous Patient Answer

Has participating to boost meal participation proven to be more effective than a placebo?

A small and short-term study showed that participation to the meal-plus-boosted intervention led to a higher meal participation than participating to the placebo condition for all participants. However, the results of this study must be read with caution as its study design is a single intervention-control-study.

Anonymous Patient Answer

What is the latest research for food insecurity?

It is clear that there is a lot of evidence for how food insecurity results in worse health than not. There is a need to look beyond the effects of poverty to learn about the effect of food insecurity on health in those without severe poverty. There is no clear scientific evidence of its impact on disease or mortality. It appears that food insecurity is not being measured and reported as it should be. Food insecurity is both a complex and a taboo topic. The fact that the research exists but is not as readily accessible and not part of global discourse may in turn reinforce that reality. It is likely that it is under-reported, as little about the issue is being investigated and published. This is a significant gap that must be filled.

Anonymous Patient Answer

How does participating to boost meal participation work?

Through this study we identify a number of social determinants and contextual factors that affect participation to boost meal participation among women living in precarious situations.

Anonymous Patient Answer

What does participating to boost meal participation usually treat?

It is reasonable to consider boosting menu participation in the context of an inclusive primary care clinic in an impoverished community, especially with an associated decrease in food insecurity and an increase in food access, and to use the opportunity to address the unique and difficult-to-reach needs of patients and their families.

Anonymous Patient Answer
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