Implementation Mapping for Food Insecurity

Overseen By Jennifer Fisher, PhD

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Temple University

Disqualifiers: Charter, private schools, under 11, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

1000 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Implementation Mapping for addressing food insecurity?

Implementation Mapping is a method used to develop strategies for implementing health interventions effectively. It has been applied successfully in various contexts, such as improving HIV medication adherence and care coordination in health centers, suggesting its potential to enhance the implementation of interventions addressing food insecurity. ^{1 2 3 4 5}

How does the treatment in the Implementation Mapping for Food Insecurity trial differ from other treatments for food insecurity?

This treatment is unique because it uses participatory geographic information systems (PGIS) to gather detailed local knowledge, which helps address deficiencies in national food security data. This approach allows for more nuanced and timely assessments compared to traditional methods, which often rely on generalized data. ^{6 7 8 9 10}

What is the purpose of this trial?

The purpose of this study is to assess the impact of an implementation strategy on participation in Universal School Meals (USM).

Eligibility Criteria

This trial is for students enrolled in SDP middle/high schools that offer free meals and have a team willing to participate in data collection. Schools must be open to random assignment to treatment or control groups and have valid BMI, meal participation, and food insecurity data.

Inclusion Criteria

Students currently enrolled in a SDP middle/high school

A middle or high school within the School District of Philadelphia (SDP) that provides free breakfast and lunch to students

School has a team of teachers, administration, and food service staff who are willing to complete interviews and surveys for data collection

Exclusion Criteria

I am under 11 years old.

Charter schools and private schools

Students not enrolled in school full time

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation Strategy Development

Schools in the intervention condition receive coaching and logistical support to develop and tailor an implementation strategy across 1 academic year.

1 academic year

Implementation

The developed implementation strategy is gradually implemented in the following academic years.

2 years

Follow-up

Participants are monitored for changes in diet quality, food security, and weight status.

1 year

Treatment Details

Interventions

• Implementation Mapping

Trial Overview The study aims to evaluate the effectiveness of an implementation strategy on student involvement in Universal School Meals programs. It involves comparing schools using this strategy with those on a waitlist through interviews and surveys.

Participant Groups

Group I: Implementation Strategy - Intervention Condition Experimental Treatment 1 Intervention

Schools in the intervention condition will be assigned to receive coaching and logistical support to develop and tailor an implementation strategy across 1 academic year. This strategy will then be implemented gradually and in the following academic years (2- year pilot).

Group II: Waitlist Control Active Control 1 Intervention

Schools in the waitlist control will wait 1 academic year before developing and testing an implementation strategy (1-year pilot)

Who Is Running the Clinical Trial?

Temple University

Lead Sponsor

Trials

321

Recruited

89,100+

The School District of Philadelphia

Collaborator

Trials

5

Recruited

3,400+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials

3,987

Recruited

47,860,000+

References

1. United States pubmed.ncbi.nlm.nih.gov

Building Implementation Science in Nutrition. [2023]

2. Switzerland pubmed.ncbi.nlm.nih.gov

Implementation Mapping: Using Intervention Mapping to Develop Implementation Strategies. [2020]

3. Switzerland pubmed.ncbi.nlm.nih.gov

Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention. [2023]

4. Switzerland pubmed.ncbi.nlm.nih.gov

Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center. [2022]

5. Switzerland pubmed.ncbi.nlm.nih.gov

A Modified Implementation Mapping Methodology for Evaluating and Learning From Existing Implementation. [2022]

6. England pubmed.ncbi.nlm.nih.gov

Participatory mapping to address neighborhood level data deficiencies for food security assessment in Southeastern Virginia, USA. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Investigating food insecurity measurement globally to inform practice locally: a rapid evidence review. [2021]

8. Switzerland pubmed.ncbi.nlm.nih.gov

A scoping review of the social dimensions in food insecurity and poverty assessments. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

What are we assessing when we measure food security? A compendium and review of current metrics. [2023]

10. United States pubmed.ncbi.nlm.nih.gov

Knowledge and barriers related to food insecurity screening in healthcare settings. [2022]