医疗量身定制的杂货配送,以改善贫困群体的粮食安全和高血压:由学生运行的试点随机对照试验
Elaijah R Lapay1,2, Trevor M Sytsma2, Haley M Hutchinson2
1Department of Community Health, El Centro Hispano, Durham, NC 27707, USA.
Healthcare (Basel, Switzerland)
|February 13, 2025
概括
学生运营的组织和社区组织可以向服务不足的人群提供医疗定制杂货 (MTGs),改善血压和粮食不安全.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康 公平 卫生 公平
背景情况:
- 随机对照试验 (RCT) 对于评估食品是药物 (FIM) 计划至关重要,如医疗定制杂货 (MTGs),用于高血压管理.
- 学术学生运营组织 (SRO) 和社区组织 (CBO) 之间的伙伴关系可以有效地为受高血压影响不成比例的服务不足的人群提供服务.
研究的目的:
- 评估SRO协调,CBO合作的MTG干预的可行性和可接受性.
- 目标是改善贫困群体的血压 (BP) 和粮食不安全 (FI).
主要方法:
- 一个没有盲目的试验RCT随机选择成年黑人/非裔美国人和西班牙裔/拉丁裔患者,患有基本高血压和FI.
- 参与者接受了为期12周的在家提供的,以高血压为重点的MTG与营养教育或控制会话.
- 可行性是通过资格,入学和保留率来衡量的;参与者和合作伙伴反的可接受性.
主要成果:
- 查确定了1577名符合条件的参与者;50人被随机选择 (入学率为65%).
- 可接受性得到了肯定,家庭配送和支持服务提高了保留率.
- 与对照组相比,干预组的缩血压 (-14.2 mmHg) 降低得更大 (-3.5 mmHg),食品不安全性得分有所改善.
结论:
- SRO-CBO合作伙伴关系为在服务不足的人群中进行FIM试验提供了一个可行和可接受的模型.
- 这种多组成部分的FIM干预措施解决了社会需求,改善了健康结果.
- 这种方法需要扩展到一个更大,更强大的RCT.
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