Feasibility of an ADAPTive Intervention to Improve Food Security and Maternal-Child Health

Food insecurity affects up to 30% of pregnancies and leads to worse health in pregnant people and their children, including an increased risk of gestational diabetes, pre-term birth, and future cardiometabolic chronic conditions (e.g., type 2 diabetes and obesity). Interventions are being utilized to address food insecurity in clinical care settings, but patients differ in the support needed to reduce food insecurity and health systems have limited resources to invest in these interventions. Rather than a single intervention, adaptively allocating interventions could be a more effective, equitable, and efficient approach to improve food security; the objectives of this pilot study are to determine the feasibility of recruiting, retaining, and adaptively providing food insecurity interventions to pregnant patients in anticipation of a large, definitive trial in the future.

NCT Number	NCT06942598
Lead Sponsor	Wake Forest University Health Sciences Collaborators: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Conditions	Food Insecurity, Pregnancy
Enrollment	60 participants
Start Date	2025-06-17
Primary Completion	2026-11 (estimated)
Study Completion	2027-02 (estimated)
Updated on ClinicalTrials.gov	2026-03-03