Heart Failure
Conditions
Keywords
Medically tailored meals, Food is medicine, Food as medicine, Heart failure, Diet quality, Readmissions
Brief summary
The goal of this interventional pilot study is to evaluate the feasibility, acceptability, and impact of medically tailored meals (MTM) on post-discharge recovery in patients with heart failure for Penn Medicine patients in Philadelphia and Lancaster through two pilots.
Detailed description
Pilot 1: Will enroll 30 eligible Penn Medicine patients to receive 4 weeks of medically tailored meals (MTMs) directly to their door. Patients will be given the opportunity to choose to receive 7/14/21 meals from the MTM provider for the duration of their participation in the 4 week pilot. Pilot 1 participants will be asked to complete a baseline survey, and end of study survey, and an end of study semi-structured interview. Pilot 2: Will expand upon the learnings from Pilot 1 and be a larger scale longer Food is Medicine (FIM) intervention with patients receiving 8 weeks of MTM deliveries directly to their door. As with Pilot 1, patients will be given the opportunity to choose to receive 7/14/21 meals from the MTM provider for the duration of their participation in the 8 week pilot. Pilot 2 participants will be asked to complete a baseline survey, a mid-point survey at 4 weeks, and an end of study survey and semi-structured interview.
Interventions
Medically tailored meals to provide essential tailored nutrition for patients recovering from a heart failure hospitalization
Sponsors
University of Pennsylvania
American Heart Association
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years old * Have a primary diagnosis of health failure based on ICD code I50\* with active hospitalization at time of enrollment * Must be insured by Medicaid or Medicare or dual eligible * Ability to read and speak English * Ability to provide informed consent
Exclusion criteria
* Are on hospice care or reside in an acute or skilled nursing facility * Are undergoing evaluation for advanced HF treatments including heart transplant or ventricular assist devices * Are unable to complete data collection due to cognitive decline or disability (based on the electronic health record or referring provider assessment)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the MTM intervention | From enrollment to the end of the intervention at 4 weeks for Pilot 1 | The % of meals successfully delivered to the patient, where a 75% rate of successful delivery indicates feasibility. |
| Acceptability of the MTM intervention as measured by the Net Promoter Score | At the end of the intervention at 4 weeks for Pilot 1. | Will evaluate the acceptability of the intervention among patients through the Net Promoter Score (scale of 0 to 10; 9-10 being promoters, 7-8 being passives, and 0-6 being detractors) |
Countries
United States
Outcome results
None listed