Feasibility of Delivering a Digital Health Intervention to Improve Food Access and Dietary Quality Among Adults With Hypertension
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 67
- 试验地点
- 1
- 主要终点
- Feasibility as assessed by survey
研究概览
简要总结
A total of 65 participants with hypertension and low access to high quality food will be enrolled to test the feasibility of using commercially available grocery delivery services, simultaneous to a robust behavioral intervention, to improve adherence to the Dietary Approaches to Stop Hypertension (DASH) eating pattern. The behavioral intervention will include skills training, nutrient goal setting, self-monitoring via dietary tracking, personalized text message feedback, and adaptive health coaching. Participants will also receive a membership to Instacart+ and weekly grocery list recommendations from a health coach. The primary outcome will be indicators of feasibility, including acceptability, demand, implementation and practicality and adaption. Change in DASH adherence and blood pressure will also be evaluated. The intervention period for participants will be 4 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult 18 years of age or older
- •Has hypertension, defined as a systolic BP of 130-159 mmHg and/or diastolic BP of 80-99 mmHg, whether or not taking hypertension medication.
- •Resides in a census tract defined as low access by the United States Department of Agriculture (USDA)
- •Resides in a zip code serviced by the grocery delivery app
- •BMI 18.5 kg/m2+
- •Has a smartphone with a data plan
- •Willing to receive daily text messages
- •Can participate in online videoconference visits
- •Can read and write in English
排除标准
- •Participating in another related research study
- •Cardiovascular disease event in the last 6 months
- •Active cancer
- •Recent hospitalization due to psychiatric condition or event
- •Pregnancy or planned during the study period
- •BMI 37 kg/m2 or higher
- •Documented dementia
- •On kidney dialysis
- •Instructed to eat a low potassium diet
- •Planned or recent bariatric surgery
研究组 & 干预措施
Assess the feasibility of Access Nourish in a 4-month study among adults with hypertension li
All participants will be prospectively assigned to receive a behavioral intervention that includes skills training, nutrient goal setting, self-monitoring via dietary tracking, personalized text message feedback, and adaptive health coaching. Participants will also receive a membership to Instacart+ and weekly grocery list recommendations from a health coach. All intervention will be delivered remotely using smartphone technology.
干预措施: Access Nourish (Behavioral)
结局指标
主要结局
Feasibility as assessed by survey
时间窗: 4 months
Feasibility will be measured by a 23-item questionnaire used to assess participants' perceptions of the feasibility, usability, acceptability, practicality, and satisfaction with the intervention. Each item is rated on a 5-point Likert scale, with higher scores indicating greater feasibility and acceptability. The survey evaluates key components of the program, including grocery lists, grocery delivery, health coaching, and app-based tracking.
次要结局
- Change in DASH Score as assessed by the Automated Self-Administered 24-hour (ASA24)(Baseline and 4 months)
- Change in Systolic Blood Pressure(Baseline and 4 months)
- Change in Diastolic Blood Pressure(Baseline and 4 months)