Evaluation of Medicaid Food & Nutrition Support Program for Pregnant Women

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-17

Study Completion Date

2024-08-01

Brief Summary

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With funding from the Episcopal Health Foundation, the researchers will conduct a secondary data analysis to evaluate the impact of Driscoll Health Plan's Nurture program for pregnant members using claims data.

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Detailed Description

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This record describes a quality improvement program (called "Nurture") piloted by Driscoll Health Plan, which included nutrition education and food purchase support offered to a subset of pregnant women aged 30 years and above and covered by the Medicaid Managed Care Organization (MCO) plan in their "STAR" and "CHIP" programs during October 2022 and July 2023.

Factor Health lab at Dell Medical School at the University of Texas at Austin will do a secondary data analysis to evaluate the impact of DHP's program.

Driscoll Health Plan (DHP) is a non-profit, community-based health insurance plan that provides coverage to South Texas and the Rio Grande Valley communities. Their insurance products include STAR Medicaid, STAR Kids, CHIP, and CHIP Perinatal.

With input from Factor Health lab at Dell Medical School, DHP introduced the Nurture program for its members as a quality improvement initiative, designed to expand members' access to nutrition education and food purchase support to improve health and pregnancy outcomes.

Nurture included up to 8 packages mailed every four weeks until the member reaches the end of pregnancy. Each package included USD $40 in the form of gift cards to a large-chain grocery store, a healthy eating information sheet selected from Brighter Bites (https://brighterbites.org/), a set of three recipes, and nutrition-related Frequently Asked Questions during pregnancy (in four out of the eight packages). Members also received two 30-minute nutritional consultations over the phone.

Members had the flexibility to opt out of the program at any time and discontinue receiving packages. Consultations were optional. If they opted out, they continued to receive the DHP benefits as part of their regular coverage.

Conditions

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Pregnancy Related Financial Gift Nutrition, Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

From the eligible population, DHP randomly selected a subset of approximately 500 women during the pilot period, from which approximately 200 were in the program, the "exposed group." The women who were covered during the same period but were not selected were not exposed to the program and will compose the "comparison group."

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Nurture + regular benefits (exposed group)

1. Monthly packages sent every four weeks until end of pregnancy with maximum of eight packages. Each package includes:

US $40 grocery store gift card A healthy eating information sheet selected from Brighter Bites project. (https://brighterbites.org/).

A set of three recipes. Nutrition-related Frequently Asked Questions (in four of eight packages).
2. Two 30-minute telephonic nutritional consultations. Designed by a Registered Dietitian Nutritionist (RDN) who trained a bilingual nutrition specialist to deliver the consultations. Topics revolved around healthy eating during pregnancy, such as food choices, portion sizes, budget-friendly shopping, food safety, and food preparation. No nutrition therapy advice to manage diseases was provided.
3. Regular benefits Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.

Group Type EXPERIMENTAL

Nurture program

Intervention Type BEHAVIORAL

1. Nurture Monthly Packages: Sent every four weeks until the member reaches the end of pregnancy (delivery or other reasons, e.g., miscarriage), with a maximum of eight packages. Each package includes:

* A US$40 gift card (2 x $20 each) to a grocery store.
* A healthy eating information sheet selected from Brighter Bites project (https://brighterbites.org/).
* A set of three recipes.
* Nutrition-related Frequently Asked Questions (included in four out of the eight packages).
2. Two 30-Minute Nutritional Consultations over the phone: Designed by a Registered Dietitian Nutritionist (RDN) who trained a bilingual nutrition specialist to deliver the consultations. Topics revolved around healthy eating during pregnancy, such as food choices, portion sizes, budget-friendly shopping, food safety, and food preparation. No nutrition therapy advice to manage diseases was provided.

Regular benefits

Intervention Type OTHER

Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.

Regular benefits (comparison group)

Regular benefits

Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.

Group Type ACTIVE_COMPARATOR

Regular benefits

Intervention Type OTHER

Includes regular healthcare services offered as part of the health plan coverage with Medicaid/CHIP.

Interventions

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Nurture program

1. Nurture Monthly Packages: Sent every four weeks until the member reaches the end of pregnancy (delivery or other reasons, e.g., miscarriage), with a maximum of eight packages. Each package includes:

* A US$40 gift card (2 x $20 each) to a grocery store.
* A healthy eating information sheet selected from Brighter Bites project (https://brighterbites.org/).
* A set of three recipes.
* Nutrition-related Frequently Asked Questions (included in four out of the eight packages).
2. Two 30-Minute Nutritional Consultations over the phone: Designed by a Registered Dietitian Nutritionist (RDN) who trained a bilingual nutrition specialist to deliver the consultations. Topics revolved around healthy eating during pregnancy, such as food choices, portion sizes, budget-friendly shopping, food safety, and food preparation. No nutrition therapy advice to manage diseases was provided.

Intervention Type BEHAVIORAL