Medically tailored groceries to support pregnant people facing food insecurity
Official title: The Role of Medically Tailored Groceries in Mitigating Food Insecurity and Improving Pregnancy Outcomes Through Clinic-Community Partnerships
Run by Case Western Reserve University · NCT06965530 · Data updated 2026-11-12
This project will test whether home-delivered medically tailored groceries, with or without extra food education, help Medicaid-eligible pregnant people in Cuyahoga County improve nutrition and birth outcomes.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 55 Years |
| Sex | Women only |
| Enrollment | 360 (estimated) |
| Sponsor | Case Western Reserve University Academic / other |
| Locations | 2 sites (Cleveland, Ohio and 1 other locations) |
| Status | Recruiting |
| Started | November 12, 2025 |
| Main results expected | November 1, 2028 |
| Study ends | May 31, 2029 |
| Registry record updated | April 20, 2026 |
| Trial ID | NCT06965530 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Medicaid-eligible, English-speaking pregnant people aged 18 or older with a singleton pregnancy between 10 and 22 weeks who are established patients at University Hospitals or MetroHealth and live in Cuyahoga County, Ohio.
✕Probably not a fit
People under 18, those without Medicaid coverage, non-English speakers, those living outside Cuyahoga County, people with multiple gestations, or those not established at the participating clinics are ineligible and unlikely to benefit from these interventions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized interventional study compares three approaches: clinic-based medically tailored groceries (picked up at clinic/pantry), home-delivered medically tailored groceries, and home-delivered groceries plus supplemental education and support. Eligible Medicaid-insured pregnant people (18+, singleton pregnancy between 10 and 22 weeks) who are established patients at University Hospitals or MetroHealth in Cuyahoga County will be enrolled and followed for behavioral, food-literacy, and birth outcome measures. The interventions provide fresh and shelf-stable foods selected by nutrition professionals, with the HD-MTG arms removing transportation barriers and the HD-MTG_PLUS arm adding targeted education to improve food preparation and use. Results will compare uptake, dietary behaviors, and maternal and neonatal outcomes across the three arms.
Why it matters
Potential benefit: If successful, this approach could reduce food insecurity, improve maternal nutrition, and lower rates of preterm birth and other adverse birth outcomes among low-income pregnant people.
How similar studies have gone: Clinic-based medically tailored grocery programs have shown benefits in adults with chronic conditions (improved medication adherence, increased fruit and vegetable intake, and lower HbA1c), while home-delivery models have promising early results but limited evidence specifically in pregnant populations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years of age and older * Pregnant patients \>10 weeks and \<22 weeks gestation at randomization (must be consented by 18 weeks) * Eligible for Medicaid * Singleton pregnancy, confirmed by ultrasound * An established patient of the UH or Metro pregnancy clinic * English speaking * Lives in Cuyahoga County, Ohio Exclusion Criteria: * Under 18 years old
Where it's running
-
MetroHealth Medical Center
Cleveland, Ohio, United States Recruiting -
University Hospitals Rainbow Ahuja Women and Children's Center
Cleveland, Ohio, United States Recruiting
Study contacts
- Principal investigator: Elaine A Borawski, PhD — Case Western Reserve University
- Study coordinator: Samantha Bentley, MPH
- Email: sxb1213@case.edu
- Phone: 216-368-1024
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.