Nourishing Tomorrow: Medically Tailored Groceries During Pregnancy

This study, "Nourishing Tomorrow," is looking at how providing healthy, personalized groceries can help pregnant individuals who may not have enough food. We are comparing three ways to deliver these groceries: picking them up at a clinic (Clinic-Based Medically Tailored Groceries), having them delivered to your home (Home Delivered Medically Tailored Groceries), or home delivery with extra nutrition education (Home Delivered Medically Tailored Groceries plus Education). We want to see if these groceries can reduce food insecurity (not having reliable access to enough affordable, nutritious food) and improve birth outcomes like gestational age (how far along the pregnancy is at birth). We are looking for pregnant individuals between 18 and 55 years old, who are at least 10 weeks pregnant but less than 22 weeks, have a single baby, are English-speaking, live in Cuyahoga County, Ohio, and are eligible for Medicaid. The study aims to enroll 360 participants. The current status of the study is unclear.

Study design
This is an interventional study, meaning participants will receive a specific intervention. It plans to enroll 360 participants.
What's involved
Patients have the opportunity to pick up medically tailored groceries every other week, or receive home delivered groceries every two weeks during pregnancy and up to 3 months post-delivery. Some participants will also receive additional nutrition and culinary education and support.
Compensation
Not stated in the trial record.
Follow-up
Food insecurity will be measured up to 6 months post-delivery, and baby gestational age will be measured at birth.

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NCT06965530

Nourishing Tomorrow: Role of Medically Tailored Groceries in Addressing Food Insecurity During Pregnancy

Recruiting
NAAges 18–55InterventionalPrevention
Case Western Reserve University
~360 participants
Updated 2026-04-20 on ClinicalTrials.gov
What's tested:Clinic-Based Medically Tailored Groceries (CB-MTG)Home Delivered Medically Tailored Groceries (HD-MTG)Home Delivered Medically Tailored Groceries plus Education (HD-MTG_PLUS)

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Food Insecurity
Measured over Change from baseline to delivery (assessed up to 40 weeks of pregnancy)
+5 more outcomes measured
Pregnancy Related
Prematurity
Birth Outcome, Adverse
2 sites across 1 states
Ohio2
  • Elaine A Borawski, PhD · PRINCIPAL_INVESTIGATOR · Case Western Reserve University

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Eligibility criteria

Inclusion

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

Under 18 years old
  • Food InsecurityChange from baseline to delivery (assessed up to 40 weeks of pregnancy)

    6 item, United States Department of Agriculture (USDA) measure; dichotomous outcome

  • Food InsecurityChange from baseline to 6-months post delivery

    6 item, USDA measure; dichotomous outcome

  • Baby Gestational AgeAt birth

    Measured in weeks and classified as preterm (\<37 weeks) vs. term (37+ weeks)

  • Baby BirthweightAt birth

    Measured in grams and classified as normal (\> or = 2500g), low birth weight (\<2500g), very low birthweight (\<1500g), extremely low birth weight (\<1000g)

  • Days Hospitalized (Baby)From date of birth until the date of discharge from the hospital, assessed up to 100 months

    Number of days baby was hospitalized following birth

  • Neonatal Intensive Care Unit (NICU)/Special Care Nursery (SCN) UtilizationFrom admission date to the NICU/SCN until the date of discharge from NICU/SCN, assessed up to 100 months

    Number of days baby was admitted to NICU or SCN