Food as Medicine Study

Academy of Nutrition and Dietetics80 enrolled

Overview

The purpose of this study is to demonstrate proof of concept that registered dietitian nutritionists (RDNs) can implement a Food as Medicine program that utilizes a grocery E-commerce platform in a food retail setting, and the process of measuring the outcomes is feasible.

The Academy of Nutrition and Dietetics Data Science Center (DSC) will implement the proposed prospective feasibility study. The study aims to measure change in nutrition problems, eating patterns, food purchasing patterns and health outcomes of participants who have agreed to receive a 6-month RDN-led Food as Medicine intervention program in the food retail setting. The intervention will be provided to all study participants and change will be evaluated in participants by comparing data at baseline and endline. The Food as Medicine intervention program will consist of: * Personalized nutrition counseling (delivered in-person or telehealth, depending on preferences of the participant) by Hy-Vee RDNs. * Personalized meal plans (based on program participants' individual anthropometrics, disease state, health goals, culture, food allergies / intolerances and eating preferences). The meal plans will be generated by the nutrition technology software, NutriStyle. * Personalized shopping lists generated by a nutrition technology software (NutriStyle) and utilized for in-store grocery shopping, online grocery pick-up or online grocery delivery.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Nutrition Disorders

Interventions

RDN Medical Nutrition TherapyOTHER

The RDNs will provide bi-monthly nutrition care, counseling, and dietary recommendations for a 6-month intervention, delivered either in-person or via telehealth, to the grocery store patrons during the study intervention. The RDN will provided care to the participant based upon the participant's unique dietary and nutritional needs. The RDN will provide nutrition recommendations and create meal plans via NutriStyle for the participants to follow. The meal plans will be uploaded into the grocery store's E-commerce shopping platform, which the participant can utilize to purchase foods that are needed to follow the RDNs nutrition recommendations for an individual person.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. 18+ years old 2. Household/participant willing to utilize the shopping list provided 3. No new medical diagnoses or medications (unrelated to the study intervention) within the last 3 months and no anticipated changes during the intervention period. (The participant may have a new medical diagnosis for which they are seeking MNT.) 4. Nebraska or Iowa resident 5. Minimum of one new self-reported diagnosis or an existing diagnosis that participant has not sought MNT for previously: Overweight/obesity, Hypertension, Cardiovascular disease, Pre-diabetes, Type 2 diabetes 6. First visit with the RDN for the current medical diagnosis (may have received MNT for other conditions previously) 7. Access to Hy-Vee Aisles Online and NutriStyle, through the computer or mobile app 8. Willing to use Hy-Vee's Aisles Online e-commerce platform and NutriStyle 9. Willing to meet with a Hy-Vee RDN regularly in person or via telehealth (and talk on the phone with the Hy-Vee RDN monthly) throughout the study intervention (6 months) 10. Current Hy-Vee fuel saver card holder, or willing to obtain a fuel saver card 11. Provide verbal and written communication and written informed consent in English Exclusion Criteria: 1. Prescribed or taking over-the-counter weight loss medication at enrollment 2. Prescribed corticosteroids or other drug known to interfere with glucose metabolism 3. Scheduled for bariatric weight loss surgery during 6-month study intervention period 4. Pregnant/lactating 5. Currently working with another nutrition care professional

Locations (3)

Amber Pharmacy

Omaha, Nebraska, United States

Linden Market Hy-Vee

Omaha, Nebraska, United States

Papillion Hy-Vee

Papillion, Nebraska, United States

Outcomes

Primary Outcomes

Change in resolution of nutrition problem

Percent of resolution of nutrition problems

Time frame: 6 months

Change in eating pattern score

Picture your Plate Survey (Score ranges from minimum 0 to maximum 96 with 96 being the best score)

Time frame: 6 months

Secondary Outcomes

Change in body weight

pounds

Time frame: 6 months

Change in Body Mass Index (BMI)

kg/m2

Time frame: 6 months

Change in waist circumference

inches

Time frame: 6 months

Change in total cholesterol (LDL, HDL, Triglycerides)

mg/dL

Time frame: 6 months

Change in fasting blood glucose

mg/dL

Time frame: 6 months

Change in blood pressure (systolic and diastolic)

mmHg

Time frame: 6 months

Change in basket size

Dollars spent per order

Time frame: 6 months

Change in perceived shopping list adherence

Data from ClinicalTrials.gov

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