Related Experiment Video
Updated: Jan 29, 2026
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Nutrition Counseling for Hypertension Within a Grocery Store: An Example of the Patient-Centered Medical Neighborhood
Rosanna P Watowicz1, Randell K Wexler2, Rick Weiss3
1Department of Nutrition, Case Western Reserve University, Cleveland, OH.
Objective:
To evaluate the effectiveness of nutrition counseling for patients with hypertension, provided in a grocery store setting.
Design:
Single-arm pretest-posttest design implementing a 12-week dietary intervention.
Setting:
Grocery store.
Participants:
Thirty adults with hypertension recruited from a primary care practice.
Intervention:
Registered dietitian nutritionists provided counseling based on the Dietary Approaches to Stop Hypertension diet.
Main Outcome Measures:
Dietary intake patterns and Healthy Eating Index-2010 (HEI-2010) scores measured via food-frequency questionnaire. Change in systolic blood pressure (SBP) was a secondary outcome.
Analysis:
Paired t tests were used to test for differences between HEI-2010 scores, intake of key food pattern components, and SBP at baseline compared with follow-up. Statistical significance was established at P ≤ .05.
Results:
Eight HEI-2010 component scores increased significantly from baseline to follow-up (a change toward a more desirable eating pattern): total fruit, whole fruit, greens and beans, whole grains, fatty acids, refined grains, and empty calories. Sodium (P < .001), saturated fat (P < .001), discretionary solid fat (P < .001), added sugars (P = .01), and total fat (P < .001) all decreased significantly. The change in SBP was not significant.
Conclusions And Implications:
Grocery store-based counseling for patients with hypertension may be an effective strategy to provide lifestyle counseling that is not typically available within primary care.
Related Concept Videos
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:13Patient-centered Care
02:11The Roles of Bacteria and Fungi in Plant Nutrition
01:12Energy Stored in a Capacitor
01:10Energy Stored in Capacitors
By integrating the equation that relates voltage and current in a capacitor, one can derive an equation for the voltage across the capacitor at any given time. This equation is crucial in understanding and predicting the behavior of capacitors in...
01:16Energy Stored in Inductors
In terms of gauging the energy stored within an inductor, it is equivalent to the integral of the power delivered at every individual moment, all...