Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

A clinical-community partnership to understand health impacts of a food insecurity intervention

Award Number: R01NR021522
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/04/2024
PERIOD OF PERFORMANCE END DATE: 06/30/2029

Group Awards By:

View Award Description

A clinical-community partnership to understand health impacts of a food insecurity intervention - Project Summary Food insecurity exacts a devastating toll on U.S. families and reflects a long history of structural injustices. Experiences of food insecurity are associated with higher rates of chronic disease, greater health care costs and higher acute health care utilization compared to food secure populations. To address food insecurity and reduce health disparities, there has been a rapid increase in health care-based delivery of food insecurity interventions. However, evidence demonstrating impacts of food interventions to improve health outcomes remains mixed. Most existing food interventions act downstream, solely at the individual level, and focus on delivering food as treatment rather than prevention. There is an urgent need to identify more holistic, patient- centered food insecurity interventions, and understand their effectiveness in improving health across diverse populations. This proposal leverages a strong clinical-community partnership that was formed under a Massachusetts Medicaid (MassHealth) 1115 waiver demonstration to encourage clinical-community collaboration to identify and address food insecurity as part of value-based care. Under the MassHealth demonstration, community based organizations (CBOs) design the food insecurity interventions, which are implemented in partnership with health care organizations. There is growing interest in not only understanding impacts of state-incentivized food interventions on health, but how to sustain the program and refine program implementation to achieve the greatest benefit for the largest number of participants. Given the natural experiment in food intervention delivery unfolding across Massachusetts, we propose a hybrid implementation and effectiveness evaluation of a multi-component nutrition program developed as a clinical-community partnership. Aim 1: Quantify the effects of a multi-component food insecurity intervention on clinical outcomes among Medicaid enrollees with diabetes, hypertension and depression receiving care at a large federally qualified health center. Using a quasi-experimental difference-in-difference design we will compare health outcomes between participants and two separate propensity weighted comparators. Aim 2: Evaluate the impacts of a multi-component food insecurity intervention on (a) cost and (b) health care utilization among adult and children Medicaid enrollees receiving care at a federally qualified health center. Using administrative claims data, we will compare changes in total cost of care and acute health care utilization (ED visits, inpatient hospitalization days) between participants and propensity weighted comparators. Aim 3: Using the I-PARIHS implementation framework, identify determinants of implementing a food insecurity intervention for scaling and sustainment.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $554,012 )
2026	2026	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Nursing Research	000	3	6/26/2026	NON-COMPETING CONTINUATION	$554,012
														Subtotal = $554,012

Issue Date FY: 2025 ( Subtotal = $556,541 )
2025	2025	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Nursing Research	001	2	7/1/2025	NON-COMPETING CONTINUATION	$556,541
2025	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Nursing Research	000	1	2/14/2025	NEW	$0
														Subtotal = $556,541

Issue Date FY: 2024 ( Subtotal = $572,796 )
2024	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Nursing Research	000	1	9/4/2024	NEW	$572,796
														Subtotal = $572,796

Grand Total All Awards = $1,683,349

Top

All Categories

About

Search

Reports

Data Submission

Award Information

A clinical-community partnership to understand health impacts of a food insecurity intervention

Award Number: R01NR021522

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/04/2024

PERIOD OF PERFORMANCE END DATE: 06/30/2029

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer