Eat Well Produce Prescription Program with Behavioral Support for Adults 18 and Older with Congestive Heart Failure

What this Trial Is About

Researchers are evaluating the Eat Well program, a prescription produce initiative, for Duke Health patients diagnosed with congestive heart failure CHF. This randomized controlled trial aims to compare the effects of Eat Well alone with minimal behavioral support and Eat Well combined with intensified behavioral support on health outcomes, healthcare usage, and cost savings over 12 months. The study also seeks to identify factors that influence the programs effectiveness and implementation. Participants are assigned to one of three groups usual care with educational materials, Eat Well with a 100 monthly produce benefit card and low behavioral support provided by Reinvestment Partners, or Eat Well with the produce benefit card plus high behavioral support offered by both Reinvestment Partners and ZealCare. The program provides a reloadable debit card for purchasing fruits, vegetables, and legumes, and behavioral support includes virtual coaching for chronic conditions. During the 12-month study period, participants will be monitored for emergency department visits, hospitalizations, and mortality rates. Secondary assessments include blood pressure, body mass index, heart failure-specific hospital use, quality of life questionnaires, food security surveys, and dietary intake questionnaires. The study tracks healthcare usage and health outcomes while providing ongoing support and follow-up to understand the programs overall impact on CHF patients.

Eat Well Heart Failure