Medically Tailored Groceries for Depression
(MTG : RCT Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether specially designed grocery deliveries can improve depression in adults who struggle to afford food. One group will receive boxes of healthy groceries tailored to their health needs every two weeks for six months, along with optional nutrition advice. Another group will receive their usual care plus a monthly grocery gift card. People with depression who face challenges in accessing enough food and live in Central Massachusetts might be a good fit for this trial. The goal is to determine if these medically tailored, home-delivered groceries can reduce depression and improve overall health. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could lead to new ways of supporting mental and physical health.
What prior data suggests that this grocery program is safe for individuals with depression and food insecurity?
Research has shown that home-delivered groceries tailored for medical needs are generally well-received by recipients. One study found that receiving these meals improved depressive symptoms for some individuals. This suggests the program might be beneficial for mental health. Other studies have demonstrated that these meal programs also enhance food security. Reports of major problems with these programs are absent, indicating they are safe to use.12345
Why are researchers excited about this trial?
Unlike traditional treatments for depression, which often involve medications like SSRIs or therapy, the Medically Tailored Groceries (MTG) program is unique because it focuses on nutrition as a means to improve mental health. Researchers are excited about this approach because it delivers personalized meal plans directly to participants' homes, addressing dietary needs and preferences while providing nutrition education and peer support. This holistic method could offer a new way to manage depression, potentially reducing reliance on medications and enhancing overall well-being through dietary changes.
What evidence suggests that medically tailored groceries could be effective for depression?
This trial will compare the effects of medically tailored, home-delivered groceries with a food subsidy program. Research has shown that grocery programs designed for specific medical needs can improve health. Some studies indicate that these programs help people manage their health better and reduce food insecurity. Participants in those studies have seen improvements in their diet and overall health. Additionally, evidence suggests that these programs can lead to fewer hospital visits and better control of long-term health issues. While direct evidence on depression is still developing, the positive effects on health management and food security suggest potential benefits for people with depression and food insecurity.46789
Who Is on the Research Team?
Kurt Hager, Phd
Principal Investigator
UMass Chan Medical School
Are You a Good Fit for This Trial?
This trial is for adults living in the greater Worcester, MA area who have depression and are struggling to afford enough food. Participants must be patients at UMass Memorial Health or certain local health centers.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive medically tailored grocery boxes every two weeks for six months, along with optional nutritional counseling
Follow-up
Participants are monitored for changes in depressive symptoms and other health outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Medically Tailored, Home-delivered Groceries
Trial Overview
The study compares two groups: one gets home-delivered, medically tailored groceries every two weeks plus optional nutrition counseling for six months; the other receives usual care and a $30 monthly grocery gift card for six months.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
150 participants will be enrolled in Community Servings' MTG program, receiving 13 MTG boxes over a six-month intervention period with accompanying nutrition education and counseling, including the peer support sessions. There are two main meals plans that participants could select: 1) The standard Wellness MTG intervention, which adheres to guidelines set by the The Academy of Nutrition and Dietetics Nutrition Care Manual and dietary plans such as the Dietary Approaches to Stop Hypertension and recommendations from the American Heart Association and American Diabetes Association for individuals with cardiovascular disease and diabetes. This dietary plan is set as the default for participants. 2) A renal MTG intervention for those with kidney disease, given the unique dietary concerns for this population. In addition, the meals plans can be further customized based on allergies and personal preferences such as vegetarian meals.
The other 150 participants will receive their usual medical care plus a monthly stipend of $30 for a six-month intervention period, provided as unrestricted grocery gift cards from a select food retailers, along with healthy eating information to guide use of that subsidy.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Massachusetts, Worcester
Lead Sponsor
Community Servings
Collaborator
Health Foundation of Central Massachusetts
Collaborator
Citations
1.
journals.sagepub.com
journals.sagepub.com/doi/10.1177/26350106241232649?int.sj-full-text.similar-articles.8=A Systematic Review of Interventions That Address Food ...
Self-management improved in 50% (3/6) of studies that evaluated this outcome. Self-efficacy improved in 40% (2/5) of studies, and improvements were seen in ...
2.
researchgate.net
researchgate.net/publication/378972316_Food_is_Medicine_Initiative_for_Mitigating_Food_Insecurity_in_the_United_StatesFood is Medicine Initiative for Mitigating Food Insecurity in ...
Data suggest that it has lowered food insecurity, promoted better management of health, improved health outcomes, and has, therefore, lowered ...
Pearl Anna McElfish
To determine the impact of a home-delivered, medically tailored grocery intervention on glycemic control and diet quality among participants with type 2 ...
A Systematic Review of “Food Is Medicine”... : Circulation
This review identified a total of 14 randomized controlled trials of Food Is Medicine interventions in the United States with noncommunicable disease outcomes, ...
HCXF Data Vault Summary
This document provides summaries of the studies and participants available in the. Health Care by Food (HCXF) Data Vault.
Measuring the Health Impact of Reliable Access to ...
“The data highlighted the significant food insecurity that are members with chronic conditions are navigating in these communities,” says Pam ...
Division of Cancer Control & Population Sciences - Food ...
A study among a cohort of underserved cancer patients in New York City showed that 56% were food insecure, with 38% of the cohort with very low food security.
Preventive Services for Food Insecurity Evidence Report ...
Of the 2 fair-quality studies, 1 randomized crossover study (n = 44) found that home delivery of medically tailored meals was associated with ...
telepsychology service delivery for depressed elderly veterans
Is in-home telepsychology for major depressive disorder in older adults as effective as same-room treatment on clinical and process outcomes? 2. Is in-home ...
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