Nurturing Care Family Navigator for Food Insecurity
(NCFN Trial)

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Female

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: University of Nevada, Las Vegas

No Placebo Group

Trial Summary

What is the purpose of this trial?

The goal of this pilot randomized controlled trial is to determine whether a 6-month behavioral health intervention with a Nurturing Care Family Navigator (NCFN) improves levels of food security among postpartum low-income Medicaid or uninsured women identified as having very low or low food security in the past 12 months. We hypothesize that a behavioral health intervention applying a multisectoral nurturing care navigation approach facilitating access to health, nutrition, early learning, responsive care, and security and safety resources is likely to decrease levels of maternal-child food insecurity. The main question it aims to answer is: * Does the behavioral health intervention with a Nurturing Care Family Navigator (NCFN) improves levels of food security? Outcome 1: Improve levels of food security * Does the behavioral health intervention with a Nurturing Care Family Navigator (NCFN) increase knowledge to navigate barriers across the four pillars of food insecurity? Outcome 2: Increase knowledge across the four pillars of food insecurity * Does the behavioral health intervention with a Nurturing Care Family Navigator (NCFN) increase self-efficacy to secure and sustain enrollment with community nurturing care services? Outcome 3: Increase self-efficacy to secure and sustain enrollment with community nurturing care services Researchers will compare levels of food security among those receiving a navigation behavioral health intervention (consisted of 1:1 tailored navigation session and an educational workbook) compared to those receiving an educational workbook with messages across the four pillars of food insecurity (standard of care). Participants will: * Engage in intense weekly navigation 1:1 tailored session for 3 months * Engage in follow up monthly navigation 1:1 tailored session for 3 months * Participate in evaluation calls with a research assistant at enrollment, 3, 6, 12 months

Research Team

Eligibility Criteria

This trial is for postpartum low-income Medicaid or uninsured women who have experienced very low or low food security in the past year. It's designed to help them access resources and improve their family's nutrition and overall well-being.

Inclusion Criteria

I can speak and read English or Spanish.

Individuals postpartum low-income, Medicaid publicly funded or uninsured

Established patient at the UNLV Pediatric (at least one well-child visit)

See 3 more

Exclusion Criteria

Intent to transfer care to an institution other than UNLV Pediatric

My newborn has a condition like Down syndrome, cleft lip/palate, heart or neurological issues.

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intense Navigation

Participants engage in intense weekly navigation 1:1 tailored sessions for 3 months

12 weeks

12 visits (in-person)

Follow-up Navigation

Participants engage in follow-up monthly navigation 1:1 tailored sessions for 3 months

12 weeks

3 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 months

Evaluation calls at 3, 6, and 12 months

Treatment Details

Interventions

Nurturing Care Family Navigator (Behavioural Intervention)

Trial OverviewThe study tests a behavioral health intervention with a Nurturing Care Family Navigator (NCFN) against standard care, which includes an educational workbook. The goal is to see if personalized support improves food security, knowledge about overcoming barriers to nutrition, and confidence in using community services.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: Experimental: Navigation GroupExperimental Treatment1 Intervention

Participants who are randomized into the NCFN program will be assigned to a navigator. The NCFN will deliver the behavioral health navigation intervention consisted an educational workbook (standard of care) plus a total of 15 sessions tailored to the participant needs. The NCFN will offer support and referral to community resources (e.g., food, transportation, housing, healthcare-related). The navigator will provide intense weekly educational support and linkage to resources during the initial three months of the program and additional monthly follow up sessions during the last three months of the program.

Group II: Control: Non-Navigation CohortActive Control1 Intervention

Participants in the control group will receive an educational workbook with messages across the four pillars of food insecurity (standard of care). Non-navigation will be provided.