Evidence map›Paper›PMID 39574158›Full record

ArticleTrials2024

Evaluating effects of meal delivery on the ability of homebound older adults to remain in the community via a pragmatic, two-arm, randomized comparative effectiveness trial: study protocol for the Deliver-EE trial.

Kali S Thomas, Kimberly P Bernard, Melissa Clark, Laura Dionne, Alison Fisher, Emily Gadbois, Jill Harrison, Lisa Juckett, Julie Locher, Patricia Risica and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05357261 (Deliver-EE), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05357261 naactive not recruitingnot on this map

Deliver-EE: Evaluating Effects of Meal Delivery on the Ability of Homebound Older Adults to Remain in the Community Via A Pragmatic, Two-Arm, Randomized Comparative Effectiveness Trial

TypeinterventionalSponsorBrown UniversityRan2022 to 2028Enrolled2,300ConditionsHealthyArmsWellness Check and Socialization, Prepared Meals
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kali S ThomasJohns Hopkins School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21205, USA. kali.thomas@jhu.edu.ORCID http://orcid.org/0000-0003-3436-2184
Kimberly P BernardCenter for Gerontology & Healthcare Research, Brown University, Providence, RI, USA.
Melissa ClarkDepartment of Health Services, Policy and Practice, Brown University, Providence, RI, USA.
Laura DionneSchool of Public Health, Brown University, Providence, RI, USA.
Alison FisherCenter for Gerontology & Healthcare Research, Brown University, Providence, RI, USA.
Emily GadboisDepartment of Health Services, Policy and Practice, Brown University, Providence, RI, USA.
Jill HarrisonDepartment of Health Services, Policy and Practice, Brown University, Providence, RI, USA.
Lisa JuckettSchool of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA.
Julie LocherHeersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Patricia RisicaDepartment of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Tamara SequeiraSchool of Public Health, Brown University, Providence, RI, USA.
Lucy TheilheimerMeals On Wheels America, Arlington, VA, USA.
Roee GutmanDepartment of Biostatistics, Brown University, Providence, RI, USA.

Funding

Patient-Centered Outcomes Research Institute IHS-2020C3-21201
6 · The paper itself

Abstract

backgroundAs food insecurity and healthcare costs are linked, healthcare entities (i.e., providers, healthcare systems, insurers) are increasingly interested in identifying and providing solutions to address food insecurity among their patients. Home-delivered meals are one long-standing solution to address food insecurity among homebound older adults. However, there is limited evidence about what mode of delivery is most effective in promoting community independence, reducing healthcare utilization, and improving quality of life as well as how these outcomes may vary as a function of people's preferences for how meals are delivered to them.

methodsWith extensive stakeholder input, we designed and implemented a pragmatic randomized comparative effectiveness study in which we will enroll 2300 older adults on waiting lists at home-delivered meals programs across the country and randomize them to receive for 6 months, either (1) weekday lunchtime meals delivered by a local volunteer or driver who also provides socialization and wellness checks or (2) biweekly delivery of 10 frozen meals to participants' homes. Participant data will be combined with Centers for Medicare and Medicaid Services (CMS) data to calculate post-randomization institutional vs. community days. Baseline and 3-month surveys will evaluate secondary outcomes (e.g., food insecurity, loneliness, quality of life) and exploratory outcomes (e.g., nutritional risk). To examine heterogeneity of treatment effects, we will test for interactions between the two types of meal delivery and participants' preferred mode of meal delivery as well as participants' living arrangements. DISCUSSION: This research will be the first to prospectively evaluate the comparative effectiveness of the two predominant meal delivery options. The knowledge generated from this research will be of value to healthcare providers, health systems, payers, community-based organizations, older adults, and their families, because it will identify the mode of meal delivery that best meets homebound older adults' needs and promotes community independence. In addition, the experience of working closely with stakeholders in designing and conducting this trial will be useful to researchers seeking to engage with stakeholders in the development and evaluation of complex social service interventions while balancing regulatory, resource, and human subjects research considerations.

trial registrationClinicalTrials.gov.  NCT05357261 . Registered on May 02, 2022.

Indexed as

Food InsecurityHomebound PersonsIndependent LivingAgedComparative Effectiveness ResearchFemaleFood ServicesHumansMaleMealsPragmatic Clinical Trials as TopicQuality of LifeTime FactorsUnited StatesAging in placeCommunity independenceFood insecurityHealthcare costsHealthcare utilizationMeal deliveryOlder adultsQuality of life

Identifiers

PMID39574158
PMCPMC11583665

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.