Mixed Methods Evaluation of a Shipped Medically Tailored Meal Pilot Intervention

Area of Science:

• Public Health
• Nutrition Science
• Health Services Research

Background:

• Medically tailored meal (MTM) programs are recognized for positive health outcomes.
• Evaluating novel delivery methods like shipped MTMs is crucial for understanding participant and organizational impacts.
• The RE-AIM framework provides a structure for assessing interventions.

Purpose of the Study:

• To evaluate a pilot shipped MTM intervention in San Diego County.
• Assess initial and ongoing client reach, including enrollment and completion rates.
• Examine effects on client health and behaviors, and staff perceptions of intervention maintenance.

Main Methods:

• A mixed-methods design based on the RE-AIM framework.
• Quantitative data from participants (enrollment, completion, dietary patterns, health perceptions) and qualitative data from MTM provider staff.
• A 12-week pilot intervention with 21 MTMs/week and virtual nutrition education.

Main Results:

• Enrollment exceeded goals, but only 40% completed the 12-week pilot.
• Significant increases in vegetable intake and meals per day were observed.
• Clients reported MTMs aided weight management, healthier eating, and improved well-being.

Conclusions:

• The pilot MTM program demonstrated mixed results regarding reach, effectiveness, and maintenance potential.
• While clients perceived benefits, intervention completion rates and sustainability factors require further attention.
• Further research is needed to optimize MTM delivery for sustained impact.