N/A
N=40
Addressing the Nutritional Needs of Cancer Survivors With Nutrition Insecurity
Hematopoietic and Lymphatic System Neoplasm · Malignant Solid Neoplasm
Bottom Line
View on ClinicalTrials.gov: NCT06602999 ↗Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Jun 2026
Primary outcome: Primary: Median Score on the Feasibility of Intervention Measure (FIM) Survey — 5 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Nutritional Intervention (Other); Instacart Voucher (Other); Telephone-Based Intervention (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of California, San Francisco
- Primary completion
- Apr 2025
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Median Score on the Feasibility of Intervention Measure (FIM) Survey |
5 | — |
| PRIMARY Median Score on the Acceptability of Intervention Measure (AIM) Survey |
5 | — |
| PRIMARY Median Score on the Appropriateness of Intervention Measure (IAM) Survey |
4.5 | — |
| SECONDARY Change in Median Score on the Red Meat Category of the Dietary Screener Questionnaire (DSQ) Over Time |
-0.03 | — |
| SECONDARY Change in Median Score on the Processed Meat Category of the Dietary Screener Questionnaire (DSQ) Over Time |
— | — |
| SECONDARY Change in Median Score on the Whole Grains Category of the Dietary Screener Questionnaire (DSQ) Over Time |
0.04 | — |
| SECONDARY Change in Median Score on the Sugar-Sweetened Beverages Category of the Dietary Screener Questionnaire (DSQ) Over Time |
-0.07 | — |
| SECONDARY Change in Median Score on the Frut and Vegetable Category of the Dietary Screener Questionnaire (DSQ) Over Time |
0.4 | — |
| SECONDARY Change in Mean Score on Participant Reported United States Department of Agriculture Food Insecurity Questionnaire |
-1.11 | — |
| SECONDARY Proportion of Participants Who Participated in Navigation Calls |
0.00; 0.10; 0.30; 0.60 | — |
| SECONDARY Proportion of Participants Using Instacart Vouchers |
1.00 | — |
Summary
This clinical trial studies whether the use of a grocery delivery service (Instacart) and nutrition navigation improves food insecurity in cancer survivors. The American Cancer Society recommends a normal body mass index, regular physical activity, and a healthy diet for cancer patients. Following these guidelines may help prevent deaths among cancer patients, but few cancer patients follow them. One reason for not following the guidelines could be due to the lack of consistent access to sufficient quantities of affordable, nutritious food for an active, healthy life (food insecurity). Instacart provides users access to foods that fall under the nutrition plan for cancer survivors that can be purchased and delivered to the user's home from many different grocery stores. Nutrition navigation provides support to cancer survivors via weekly check ins to help with following nutrition guidelines and assist with ordering groceries on the Instacart platform. Using a grocery delivery service, such as Instacart, and nutrition navigation may help improve food insecurity in cancer survivors.
Eligibility Criteria
Inclusion Criteria
- Age > 18 years
- Diagnosis of a malignant cancer (except non-melanoma skin cancer).
- Not on active treatment at the time of screening and not expected to receive active anticancer therapy (e.g., surgery, radiation, chemotherapy, immunotherapy, targeted therapies) during the study period. Hormonal therapies are allowed for patients with breast or prostate cancer
- At least 6 weeks since a major surgery and fully recovered.
- Have access to the internet and able to send and receive text messages.
- Able to speak/read English.
- Based on the United States Department of Agriculture (USDA) United States (U.S.) Household Food Security Survey, identify as experiencing food insecurity and/or belong to a population that the National Institutes of Health (NIH) has identified as being at risk for health disparities:
- Identify as a racial or ethnic minoritized group, as defined by the NIH (American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Pacific Islander, Latino or Hispanic)
- Identify with a sexual or gender minoritized group.
- Annual household income < 200% of the federal poverty definition and/or education < bachelor's degree.
- Live in a rural and/or a persistent poverty area (based on zip code).
Exclusion Criteria
- Contraindication to any study-related procedure or assessment.
- Planned major surgery or cancer-directed therapy during the study period.
- Living outside of the US or Canada during screening and/or the study period (outside the geographic areas that Instacart covers).
Data sourced from ClinicalTrials.gov (NCT06602999). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.