About this trial
The purpose of this parallel pragmatic randomized controlled trial (RCT) is to evaluate the impact of Eat Well (an evidence-based 'Food is Medicine' produce prescription program) with varying levels of behavioral support on health outcomes and care utilization patterns of Duke Health patients diagnosed with congestive heart failure (CHF). Objectives of this three arm trial include testing the effectiveness of Eat Well alone with minimal behavioral support and Eat Well with intensified behavioral support based on an evidence based approach to improve CHF patients' health outcomes, estimating health care cost savings between the intervention and control arms, and identifying barriers, facilitators, and potential strategies to enhance Eat Well effectiveness and implementation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 or older
Diagnosis of CHF regardless of ejection fraction AND
Hospitalization or ED visit within the past 12 months AND
English as preferred language
Disqualifiers
History of dialysis or end stage renal disease OR
History of LVAD or heart transplant.
Trial design
Parallel
Treatments tested in this trial
Personal health planning and nutritional coaching
BehavioralBehavioral support will be offed by ZealCare, an evidence-based, virtual coaching behavioral support program for patients with chronic conditions.
Prescription Produce
Other interventionEat Well is a prescription produce program that provides a reloadable, restricted use debit card to participants to purchase fresh, frozen, or canned fruits, vegetables, and legumes at grocery stores.
Treatment groups
Trial outcomes
Primary outcomes
Composite of incidence rates of ED visits, hospitalizations, and all-cause mortality at 12 months
The primary outcome of interest will be a composite endpoint of: ED visits, hospitalizations, and all-cause mortality at 12 months.
Secondary outcomes
All cause hospitalizations
The total number of admissions to a hospital for any reason
All cause ED visits
The total number of visits to the Emergency Department for any reason
Outpatient utilization
The number of outpatient visits
Change in Blood pressure
Change in Blood Pressure from baseline to visit closest to end of study assessed by both systolic and diastolic blood pressure
Sponsors and contacts
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