Massachusetts General Hospital
Anne N. Thorndike, MD, MPH
The goal of this study is to implement and evaluate a randomized pilot study of a 4-month Nutrition-enhanced community health worker (CHW) intervention for primary care patients with nutrition insecurity and poorly controlled hypertension. The nutrition intervention will be added to the pre-existing Massachusetts General Hospital CHW hypertension (Basic CHW) program that provides hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring over the course of approximately 4 months.
Hypertension
Nutrition, Healthy
Food Insecurity
Community Health Worker
Nutrition-enhanced CHW
Basic CHW
Phase 2
Phase 3
The goal of this study is to implement and evaluate a randomized pilot study of a 4-month Nutrition-enhanced CHW intervention in primary care patients with nutrition insecurity and poorly controlled hypertension. The nutrition intervention will be added to the pre-existing Massachusetts General Hospital CHW hypertension (Basic CHW) that provides basic hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring over the course of approximately 4 months. The CHW nutrition intervention curriculum is tailored to the needs and preferences of a food-insecure population with limited resources. Nutrition education materials will be provided to participants, including a booklet of nutrition information and a summarized version of key points on a brochure that they can use as a quick reference when grocery shopping. Nutrition education will focus on reducing sodium, saturated fats, and added sugars and increasing fruits, vegetables, and whole grains. Much of the educational material is based on a traffic-light system. These topics are organized into four modules: nutrition label reading, grocery shopping, meal-planning, and healthy cooking.
| Study Type : | Interventional |
| Estimated Enrollment : | 60 participants |
| Masking : | None (Open Label) |
| Primary Purpose : | Treatment |
| Official Title : | CHW Intervention to Improve Nutrition Security of Primary Care Patients With Hypertension |
| Actual Study Start Date : | August 1, 2024 |
| Estimated Primary Completion Date : | January 31, 2027 |
| Estimated Study Completion Date : | May 1, 2027 |
| Arm | Intervention/treatment |
|---|---|
|
Experimental: Nutrition-enhanced CHW intervention This intervention integrates a nutrition component into the Basic CHW hypertension intervention to address gaps in patients' knowledge, skills, and resources for consuming and sustaining a healthful diet. CHWs will administer a 4-part nutrition curriculum that is tailored to the needs and preferences of a food-insecure population with limited resources. The nutrition education materials provided to participants will include a booklet of nutrition information that will serve as the primary educational resource for CHW use with participants. |
Behavioral: Nutrition-enhanced CHW |
|
Active Comparator: Basic CHW intervention The CHW provides basic hypertension education, coaching about adherence to medications and primary care visits, and home BP cuffs and promotion of BP self-monitoring. All participants are provided home BP cuffs and remote monitoring free of charge. |
Behavioral: Basic CHW |
| Ages Eligible for Study: | 21 Years to 99 Years |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
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