Related Experiment Video
Updated: Apr 28, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
14.2K
Optimizing Navigation and Text Messaging Interventions to Promote Participation in a Food Is Medicine Program Among
Anuroop Nirula1, Rae Denise Oanesa2, Leslie Castaneda3
1School of Medicine, University of California, San Francisco, San Francisco, CA, United States.
JMIR Formative Research
|April 27, 2026
Summary
Food Is Medicine (FIM) programs can improve health outcomes. Human-centered design revealed participant needs for culturally sensitive, personalized support to enhance engagement and retention in FIM initiatives.
Area of Science:
- Public Health
- Health Services Research
- Behavioral Science
Background:
- Food Is Medicine (FIM) programs integrate nutritional interventions into healthcare.
- Limited evidence exists on designing FIM programs responsive to participant experiences for optimal engagement and retention.
Purpose of the Study:
- To develop participant-centered interventions promoting initiation, engagement, and retention in FIM programs.
- To address participant-identified needs and preferences in FIM program design.
Main Methods:
- Human-centered design approach with cardiac rehabilitation participants.
- Interviews to understand experiences, preferences, and unmet needs.
- Feedback on draft patient navigator scripts and healthy eating text messages.
Main Results:
- Key themes included food cost, cultural relevance, communication, transportation, and personalized support.
- Participants highlighted financial strain and social influence as barriers.
- Revisions to scripts and messages focused on clarity, cultural sensitivity, positive framing, empathy, and actionable information.
- Trust in healthcare and dignity in food support were critical for retention.
Conclusions:
- Human-centered design yielded insights into participant needs for culturally sensitive and personalized FIM interventions.
- Developed interventions aim to improve navigation scripts and text messages for better participation.
- Findings emphasize the importance of tailoring FIM programs to individual experiences for success.
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