Food Insecurity, Food as Medicine, Hypertension

Development of a User Centered Design Approach for Screening, Referral, and Enrollment in Food as Medicine Among Adults

Development of a user centered design to understand how a tailored food is medicine program based on user preferences and needs improves engagement and clinical outcomes. The study will examine how patients, screened either face to face or through automated for food insecurity, engage in a food is medicine program over 12-weeks.

Inclusion Criteria:

• Diagnosis of Hypertension in last 12 months
• Experiencing food insecurity as indicated by 2-item Hunger Vital Sign
• English or Spanish speaking
• No plans to move from the area for at least 1 year
• Willing and able to accept text messages
• Free living to the extent that participant has control over dietary intake
• Willing and able to provide written informed consent and participate in all study activities.

Exclusion Criteria:

• Participant in weight research intervention in last 12 months
• Considering bariatric surgery in the next year or prior bariatric surgery
• Lack of safe, stable residence and ability to store meals
• Lack of telephone which can receive text messages
• Pregnancy/breastfeeding or intended pregnancy in the next year
• Known drug or alcohol misuse in the past 2 years