Delivering Food Resources & Kitchen Skills (FoRKS) to Adults with Food Insecurity and Hypertension

Description

The goal of this clinical trial is to determine the impact of a home-delivered foods and kitchen skills program on health and nutrition in adults with high blood pressure and food insecurity. Researchers will compare Food Resources \& Kitchen Skills (FoRKS) and Enhanced Usual Care (EUC) to evaluate the effects on mean systolic blood pressure (SPB), HbA1c, food security and nutrition. Participants will complete 24-hr blood pressure monitoring, standard blood pressure measurements, weight, finger stick for A1c point-of-care testing, and questionnaires.

Conditions

Food Insecurity, Hypertension, Nutrition, Disease Management

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Study Overview

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Study Details

Study overview

The goal of this clinical trial is to determine the impact of a home-delivered foods and kitchen skills program on health and nutrition in adults with high blood pressure and food insecurity. Researchers will compare Food Resources \& Kitchen Skills (FoRKS) and Enhanced Usual Care (EUC) to evaluate the effects on mean systolic blood pressure (SPB), HbA1c, food security and nutrition. Participants will complete 24-hr blood pressure monitoring, standard blood pressure measurements, weight, finger stick for A1c point-of-care testing, and questionnaires.

Delivering Food Resources & Kitchen Skills (FoRKS) to Adults with Food Insecurity and Hypertension: an RCT

Delivering Food Resources & Kitchen Skills (FoRKS) to Adults with Food Insecurity and Hypertension

Condition
Food Insecurity
Intervention / Treatment

-

Contacts and Locations

Indianapolis

Eskenazi Health, Indianapolis, Indiana, United States, 46202

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Fluent in English
  • 2. Marion County resident
  • 3. 35-75 years
  • 4. Systolic BP of ≥120 in prior 12 months
  • 5. Ability to see and read street signs (self report)
  • 6. Stable housing with independent access to kitchen, including functional stove or hotplate, oven, refrigerator, and freezer (self report)
  • 7. Activity independence per functional activities questionnaire (FAQ; \<3 responses of "Require Assistance" and 0 responses of "Dependent")
  • 8. Food insecurity per first two items of USDA 18-item survey with ≥ 1 response of "Often true" or "Sometimes true" \[1) Within the past 12 months, you worried that your food would run out before you got the money to buy more; 2) Within the past 12 months, the food you bought just didn't last and you didn't have money to get more.\] OR currently listed as food insecure in Eskenazi EMR; OR currently receiving SNAP benefits.
  • 9. normal cognition per six-item screener (SIS; score of ≥ 5)
  • 10. Mean systolic BP of ≥120 from 3 standard BP measurements taken by research staff following standardized wait periods.
  • 1. lives in nursing home
  • 2. diagnosis of dementia or Alzheimer disease or mild cognitive impairment; Parkinson disease; brain tumor/infection/surgery (within the last 10 years with residual symptoms and/or functional loss/deficit, such as impaired learning, memory, or communication); psychosis, schizophrenia, or bipolar disorder
  • 3. ICD 10 code I11/hypertensive heart disease, ICD 10 code I12/hypertensive CKD, ICD 10 code I13/hypertensive heart disease and CKD, ICD 10 code I15, or ICD 10 code I16
  • 4. alcohol consumption ≥ 8 drinks per week for women, or ≥15 drinks per week for men
  • 5. drug use/abuse (excluding marijuana) per EMR
  • 6. moving out of area during study timeline
  • 7. scheduling conflicts with intervention schedule
  • 8. unwilling to use a touchscreen
  • 9. unwilling to be on video conferencing
  • 10. low communicative ability, functional status, or other disorders (examiner rated) that would interfere with interventions and assessments
  • 11. unable to provide informed consent

Ages Eligible for Study

35 Years to 75 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Indiana University,

Daniel O Clark, PhD, PRINCIPAL_INVESTIGATOR, Indiana University

Richard Holden, PhD, PRINCIPAL_INVESTIGATOR, Indiana University

Study Record Dates

2027-07-30