Abstract
BACKGROUND: Online ordering in food pantries may support food security among adults with low socioeconomic status. PURPOSE: Determine the impact of a transition from in-person ordering to online ordering on the food security status of food pantry clients. METHODS: For this quasi-experimental study, we recruited participants from Met Council's Kosher Food Network in New York City, including one pantry in Staten Island (intervention) and three pantries in the Bronx, Queens, and Brooklyn (comparison). The final sample included 114 and 90 adults in the intervention and comparison groups, respectively, at baseline (April-July 2023); and 77 and 58 adults in those groups during follow-up (October-December 2023). Using a six-item survey, we assessed food security status, where scores range from zero to six points and higher points indicate lower food security. Secondary outcomes included nutrition security status, fruit and vegetable intake, and pantry wait time. We used a difference-in-differences approach to assess differences in outcomes between conditions, including testing for differences by age (18-64 vs. ≥65 years). RESULTS: Food security scores decreased in the intervention and comparison groups over time, with no difference in the decrease between groups (P = .87). Yet, among younger adults in the intervention group, wait time decreased during follow-up, and increased in the comparison group (difference-in-differences = -12.1 minutes (95% CI: -21.9, -2.4); P = .02). We did not observe similar differences among older adults (P = .83), nor significant changes in other outcomes. CONCLUSIONS: The transition to online ordering did not influence food security status among food pantry clients but may help to save time, especially among younger adults. CLINICAL TRIALS REGISTRATION: NCT05752721.