MTM2MTG Pilot Ancillary Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Medically Tailored Groceries.
- Who it may be relevant to
- Registry conditions: Diet, Healthy, HbA1c, Blood Pressure. Basic parameters: from 20 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Medically Tailored Groceries for Cardiovascular Health
Overview
The investigators will conduct an ancillary study of participants in a completed RCT of medically tailored meals to determine whether transitioning these participants to a medically tailored groceries (MTG) program is a feasible approach to sustain health effects.
Detailed description
This ancillary study is a single arm, pre-post design among adults with co-existing type 2 diabetes and elevated to high blood pressure who do not currently qualify for medically tailored meals (MTMs) but received them as part of their participation in an 8-month RCT on MTMs and cardiometabolic outcomes. The purpose of the ancillary study is to determine whether transitioning participants from a MTM to a MTG program (i.e., a hybrid MTM to MTG intervention) is a feasible approach to improve outcomes and sustain health effects. Participants will receive one box of medically tailored groceries each week for a period of 4 months, with each box supporting preparation of approximately 10 meals per week. No additional baseline visit will be required, as measurements collected at the 8-month visit in the parent clinical trial will serve as baseline values for the ancillary study. All participants will have their HbA1c and blood pressure measured and complete questionnaires about their diet quality, health and lifestyle behaviors, and program engagement and implementation at 4 months post receiving their first MTG box.
Interventions
- Behavioral Medically Tailored Groceries
God's Love We Deliver's current MTG program (Health Harvest), which consists of weekly home-delivered MTG boxes, recipes and educational materials/webinars developed by Registered Dietitian Nutritionist for a 4-month period. The participants in the ancillary study will receive 1 MTG box/week which provides food sufficient for approximately 10 meals/week and includes fresh fruits, vegetables, whole grains, and proteins for a period of 4 months.
Primary outcome measures
- Change in Diet Quality [Time frame: Baseline, 4 months]
- Change in HbA1c [Time frame: Baseline, 4 months]
- Change in systolic blood pressure [Time frame: Baseline, 4 months]
Secondary outcome measures (11)
- Change in diastolic blood pressure [Time frame: Baseline, 4 months]
- Acceptability of Implementation [Time frame: 4 monthd]
- Feasibility of Implementation [Time frame: 4 months]
- Appropriateness of Implementation [Time frame: 4 months]
- Satisfaction with Intervention [Time frame: 4 months]
- Food Insecurity [Time frame: Baseline, 4 months]
- Nutrition Insecurity [Time frame: Baseline, 4 months]
- Sleep Duration [Time frame: Baseline, 4 months]
- Pittsburgh Sleep Quality Index [Time frame: Baseline, 4 months]
- Self-rated health [Time frame: Baseline, 4 months]
- General Health Status [Time frame: Baseline, 4 months]
Eligibility criteria
Inclusion criteria
- Type 2 diabetes diagnosis (physician diagnosed or HbA1c greater than or equal to 6.5% or diabetes medication use)
- Hypertension diagnosis (systolic blood pressure greater than or equal to 130 mmHg and/or diastolic blood pressure greater than or equal to 80 mmHg or physician diagnosis or hypertension medication use) or elevated blood pressure (defined as systolic blood pressure greater than or equal to 120 mmHg)
- Participation in parent trial investigating the impact of an 8-month medically-tailored meals (MTMs) intervention on cardiometabolic outcomes among adults with type 2 diabetes and elevated to high blood pressure who do not currently qualify for MTMs.
Exclusion criteria
- Cancer diagnosis
- Undergoing cancer treatment
- Non-English or non-Spanish speaking
- Not cognitively able to complete study requirements
- Severe psychiatric disorders
- Inability to provide informed consent
- Health conditions that could prevent safe participation or impact study outcomes (e.g., substance use disorder, dialysis, neurodegenerative conditions)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
United States · 1 center
- Columbia University Mailman School of Public Health — New York
Identifiers
NCT: NCT07620808 · AAAV0681 - Ancillary Study