Meals MATTER: A Trial of Medically Tailored Meals 2 Weeks vs. 4 Weeks Post Hospital Discharge
Purpose
The purpose of this study is to determine if medically tailored meals provided for either 2 weeks or 4 weeks (1 meal per day) to a Kaiser Permanente Colorado (KPCO) member after hospital discharge will improve their health. Medically tailored meals (MTM) are meals that are approved by a dietitian and shown to help people with certain health conditions.
Conditions
- Heart Failure
- Copd
- Liver Failure
- Diabetes Mellitus
- Cancer
- End Stage Renal Disease
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age 18 or older, with no upper age limit - Hospitalized at Saint Joseph Hospital or Good Samaritan Medical Center with the anticipation that they will be discharged home - Member of a KP health plan - Have one or more of the following conditions: - Heart failure - Cancer - End-stage renal disease (ESRD)/chronic renal disease - Chronic obstructive pulmonary disease (COPD) - Diabetes Mellitus - Chronic liver disease/cirrhosis
Exclusion Criteria
- Patient discharged to a nursing home, an assisted living facility, or another setting where meals are institutionally provided - Patient has a health condition which is incompatible with the diet choices offered by Project Angel Heart (PAH - food service vendor) - Patient refuses the type of meal best for their medical condition - Patient has dementia - Patient is pregnant or hospitalized peri-partum - Patient is an active participant in a PAH program or another meal program - Patient is unable to speak English or Spanish - PAH unable to deliver meals due to patient not being in PAH service area - Patient was discharged from the hospital within 24 hours of admission - Patient whose household member has enrolled in the Meals MATTER study - Patient discharged to hospice care
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- This is a randomized trial to compare two approaches to meal delivery. Group 1 will receive meal delivery for 2 weeks (1 meal per day for a total of 14 days) and Group 2 will receive meal delivery for 4 weeks (1 meal per day for a total of 28 days). A concurrent propensity matched control group which will not receive an intervention will also be used.
- Primary Purpose
- Other
- Masking
- Single (Investigator)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Active Comparator Meals - 2 weeks |
Receive meal delivery for 2 weeks (1 meal per day for a total of 14 days). The medically tailored meal ordered for each participant will depend on their medical conditions. |
|
Active Comparator Meals - 4 weeks |
Receive meal delivery for 4 weeks (1 meal per day for a total of 28 days). The medically tailored meal ordered for each participant will depend on their medical conditions. |
|
Recruiting Locations
More Details
- NCT ID
- NCT04351880
- Status
- Completed
- Sponsor
- Kaiser Permanente
Detailed Description
The purpose of this study is to determine if medically tailored meals provided for either 2 weeks or 4 weeks (1 meal per day) to a Kaiser Permanente Colorado (KPCO) member after hospital discharge will improve their health. Medically tailored meals (MTM) are meals that are approved by a dietitian and shown to help people with certain health conditions. The Investigators propose a research study with four Specific Aims: Specific Aim 1: To determine if MTM provided post hospitalization for 4 weeks to patients with one or more of seven chronic health conditions will decrease depression/anxiety measured by the Hospital Anxiety and Depression Scale (HADS) at 60 days in comparison to meals provided for 2 weeks to members discharged from two hospitals. Hypothesis 1: Patients receiving meals for 4 weeks will have a clinically significant increase in their HADS score at 60 days compared to those receiving meals for 2 weeks. Specific Aim 2: To determine if MTM provided for 4 weeks to patients with one or more of seven chronic health conditions post hospitalization will improve general well-being and functional status measured by Katz's Activities of Daily Living (ADL). Hypothesis 2: Patients receiving meals for 4 weeks will have a clinically significant increase in their sense of well-being and ADLs at 60 days compared to those receiving meals for 2 weeks. Specific Aim 3: To determine if MTM provided for 4 weeks to patients with one or more of seven chronic health conditions post hospitalization will decrease a composite outcome of rehospitalizations and emergency department (ED) visits at 60 days in comparison to: a) meals provided for 2 weeks to members discharged from two hospitals; and b) a concurrent prospective control group not receiving meals at two other KPCO-contracted hospitals. Hypothesis 3: Patients receiving meals for 4 weeks will have a decreased composite rate of rehospitalizations and ED visits at 60 days compared to those receiving meals for 2 weeks or the non-randomized control group. Specific Aim 4: To determine the feasibility, acceptability and scalability of the Meals Matter Program to KP members, their households, and hospital leadership and staff.