Cancer
Conditions
Keywords
Medically tailored grocery delivery, Diet Quality
Brief summary
The primary objective of this study is to determine the effect of a 6-month pilot randomized controlled trial of medically tailored grocery delivery plus nutrition counseling vs. medically tailored grocery delivery alone vs. standard of care (with delayed grocery delivery alone) among 100 individuals with any stage and type cancer who reside in Maine on change in diet quality from baseline to 6-months. The secondary objective is to assess the benefits of the intervention on change from baseline to 6-months on self-reported healthcare utilization (e.g., hospitalizations, emergency room visits), malnutrition, cancer-treatment related symptoms, food insecurity, quality of life, and financial toxicity. We will also evaluate feasibility and acceptability of the intervention in the target population.
Detailed description
The purpose of this study is to assess the effect of a 6-month intervention of medically tailored groceries plus nutrition counseling vs. medically tailored groceries alone vs. standard of care on diet and health outcomes among 100 cancer survivors who reside in Maine. This project will be conducted in partnership with the Christine B. Foundation which has been delivering medically tailored groceries to cancer survivors in Maine since 2020, but has not yet evaluated the impact of this nutrition program on important health outcomes in people living with cancer. The eligibility criteria matched the population of cancer survivors currently served by the Christine B. Foundation as we are testing the effect of their services on health-related outcomes in their target population. Given medically tailored meals and groceries have conferred health benefits in other patient populations, but there is limited research among cancer survivors, this highly innovative study and could provide evidence on the potential benefits of this type of nutrition intervention specifically for cancer survivors.
Interventions
BEHAVIORALMedically Tailored Grocery Plus Nutrition Counseling Group
Weekly delivery of medically tailored groceries plus 8 remote nutritional counselling sessions.
BEHAVIORALExperimental: Medically Tailored Grocery Group
Weekly delivery of medically tailored groceries.
BEHAVIORALStandard of Care Group with Delayed Medically Tailored Grocery Delivery
Option to pick up fresh produce weekly from participating clinics. Medically tailored grocery delivery will be available for 6 months beginning at the end of the study.
Sponsors
Yale University
Christine B. Foundation
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older * Ever been diagnosed with cancer * Reside Hancock, Penobscot, Washington or Piscataquis county in Maine for the next 6 months
Exclusion criteria
* Seeing a dietitian regularly (at least once every two weeks) * Planned long-term inpatient cancer treatment * Receiving nutrition via IV also known as total parenteral nutrition * Getting nutrition through a feeding tube * Drinking more than 3 bottles of liquid meal replacements, such as Ensure, per day * Received grocery delivery or grocery (not produce only) pick-up from the Christine B. Foundation in the past 3 months. * Those with reduced mental capacity and unable to understand all the components of the study, including the details of randomization.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diet Quality | Change from baseline to 6 months | Recent diet will be assessed via food frequency questionnaire (FFQ). Diet quality will be calculated using the HEI-2020; range of 0 - 100, higher score indicating better diet quality. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Food Insecurity | Change from baseline to 6 months | United Stated Department of Agriculture 6-item questionnaire; range of 0-6, higher score indicating lower food security. |
| Health Related Quality of Life | Change from baseline to 6 months | 12-item Short Form Survey (SF-12) will be used to generate the Physical Component Summary (PCS) and the Mental Component Summary (MCS). Using norm based scores, above 50 indicate a better-than-average health-related quality of life. |
| Cancer-Treatment Related Symptoms | Change from baseline to 6 months | Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Count of number of symptoms. |
| Healthcare Utilization | Number from baseline to 6 months | Self-reported visits and admissions to emergency rooms, urgent care clinics, and in-patient facilities. |
| Malnutrition | Change from baseline to 6 months | Patient-Generated Subjective Global Assessment (PG-SGA); range of 0-33, higher score indicating greater likelihood of malnutrition. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORLeah M Ferrucci, PhD
Yale University
Outcome results
None listed