Impact of Enhanced Food Pantry Services on Food Security among Adults with Diabetes Using a Crossover Study Design
Hilary K Seligman, Ronli Levi, Ronit Ridberg, Morgan Smith, Nancy Hills, Elaine Waxman, Hilary K Seligman, Ronli Levi, Ronit Ridberg, Morgan Smith, Nancy Hills, Elaine Waxman
Abstract
Food banks and pantries provide food to millions of food-insecure households each year. However, there has been limited research to understand the extent to which they improve food security. This is a secondary, prespecified analysis of a randomized controlled trial (ClinicalTrials.gov ID: NCT02569060). We examined whether an enhanced food bank intervention impacted the food security status of adults with diabetes. Using a crossover design, participants (n = 568) were randomly assigned to receive the intervention (usual pantry services plus twice-monthly diabetes-specific food boxes, diabetes self-management education, health care referrals, and glucose monitoring) or 6 mo of usual services. Results demonstrate a statistically significant improvement in food insecurity among participants following the intervention phase compared with the control phase (mean: 0.49-point decrease; 95% CI: 0.21, 0.77; P = 0.0006). This finding adds to evidence that the charitable food system plays an important role in mitigating short-term food insecurity for adults with diabetes.
Keywords: charitable food system; diabetes management; food pantry intervention; food security; low-income populations.
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.
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Source: PubMed