Food: A Three-Arm Study Examining Food Insecurity Interventions

Inclusion Criteria:

Focus Groups Inclusion Criteria:

* Breast cancer patient, Stage 1,2, or 3
* Currently undergoing treatment with chemotherapy and/or radiation
* Food insecure: score in the range of "very low" or "low" food security status on the USDA Household Food Security Module (score of 3 or higher)
* Language spoken: English or Spanish
* Age 18 or over

Intervention Inclusion Criteria:

* Enrolled in ICCAN (for the original arms only: pantry only, pantry + delivery, pantry + voucher)
* Within one month (+/- 1 month) of starting chemotherapy or within two weeks (+/- 2 weeks) of starting radiation therapy) (may be prior to or after starting treatment)
* Score in the range of 'very low' or 'low' food security status on the USDA Household Food Security Module (score of 3 or higher)
* Living independently (no patient in an assisted living facility)
* Age 18 or over
* Able to provide informed consent and respond to questionnaires in either English, Spanish or Mandarin (Mandarin for the original arms only: pantry only, pantry + delivery, pantry + voucher)
* Breast or gynecologic cancer diagnosis, Stage 1, 2, or 3 (for the updated arms only: 1) Food Voucher Program (Voucher); 2) Home Grocery Delivery Program (Delivery); and 3) Medically-tailored, Hospital-based Food Pantry (Pantry)

Clinician is eligible if he/she:

* Has an MD or DO degree
* Is the treating physician providing care to a patient enrolled to the study

Secondary Aim 6 Needs Assessment eligibility criteria:

* Current or past breast cancer diagnosis
* Living independently (no patient in an assisted living facility)
* Age 18 or over
* Able to provide informed consent and respond to questionnaires in either English, or Spanish

Exclusion Criteria:

Focus Groups Exclusion Criteria:

* Has a household member who has already participated (or agreed to participate)

Intervention Exclusion Criteria:

* Significant psychiatric disturbance verified by medical record sufficient to preclude completion of the assessment measures, interview or informed consent (i.e. acute psychiatric symptoms which require individual treatment)
* Presence of cognitive impairment disorder (i.e. delirium or dementia) sufficient to preclude meaningful informed consent and/or data collection
* Can not speak English, Spanish or Mandarin (Mandarin for the original arms only: pantry only, pantry + delivery, pantry + voucher)
* Has physical limitations that would prevent participation (e.g. blindness)
* Patient's household is currently receiving or applying for SNAP benefits (formerly known as Food Stamps) (for the original arms only: pantry only, pantry + delivery,pantry + voucher)

Secondary Aim 6 Needs Assessment Exclusion criteria:

* Significant psychiatric disturbance verified by medical record enough to preclude completion of the assessment measures, interview or informed consent (i.e. acute psychiatric symptoms which require individual treatment)
* Presence of cognitive impairment disorder (i.e. delirium or dementia) enough to preclude meaningful informed consent and/or data collection
* Cannot speak English or Spanish
* Has physical limitations that would prevent participation (e.g. blindness)
* Patient or family member has participated in other MSK IHCD trials related to social determinants of health