Evidence map›Paper›PMID 41034808›Full record

ArticleBMC public health2025

A study protocol for a randomized controlled trial evaluating the impact of adding community health worker coaching calls and healthy grocery bag deliveries to a Meals on Wheels home-delivered meal program for homebound older adults in Rhode Island.

Isabelli L Costa da Silva, Kim M Gans, Kali S Thomas, Roee Gutman, Brie Tyler, Snehaa Ray, Meghan Grady, Shana DeFelice, Maya Hussein, Amelia Lusi and 1 more

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

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06401694 (Evaluating the Impact and Sustainability of Enhanced Home-delivered Meal Program Services on Older Adults' Health and Well-being), 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.

NCT06401694 naenrolling by invitationnot on this map

Evaluating the Impact and Sustainability of Enhanced Home-delivered Meal Program Services on Older Adults' Health and Well-being

TypeinterventionalSponsorUniversity of ConnecticutRan2024 to 2028Enrolled1,640ConditionsDiet, Healthy, Food Insecurity, Loneliness, Quality of LifeArmsHome-delivered meals, Wellness check and socialization visit, Community Health Worker calls, Supplemental grocery bag
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

11 authors.

Isabelli L Costa da SilvaDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, USA. ooi24003@uconn.edu.
Kim M GansDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA.
Kali S ThomasSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Roee GutmanDepartment of Biostatistics, Brown University School of Public Health, Providence, RI, USA.
Brie TylerUConn Rudd Center for Food Policy and Health, University of Connecticut, Storrs, CT, USA.
Snehaa RayDepartment of Nutritional Sciences, University of Connecticut, Storrs, CT, USA.
Meghan GradyMeals on Wheels of Rhode Island, Inc, Providence, RI, USA.
Shana DeFeliceMeals on Wheels of Rhode Island, Inc, Providence, RI, USA.
Maya HusseinMeals on Wheels of Rhode Island, Inc, Providence, RI, USA.
Amelia LusiMeals on Wheels of Rhode Island, Inc, Providence, RI, USA.
Caitlin E CaspiDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.

Funding

Administration for Community Living (ACL)'s Innovation in Nutrition Programs and Services 90INNU0047
6 · The paper itself

Abstract

backgroundHome-delivered meal programs (HDMP), such as Meals on Wheels, offer nutritious meals for homebound older adults experiencing nutritional risk. Despite receiving meals, participants may still have difficulty achieving nutritional goals, overcoming social isolation, and addressing other health issues. We aim to evaluate the impact of adding enhancements to traditional HDMP on improving diet quality, food and nutrition security, loneliness, and health-related quality of life among older adults in a randomized controlled trial.

methodsHomebound older adults at nutritional risk and participating in the Meals on Wheels of Rhode Island, Inc. (MOWRI) HDMP are randomized to receive either a usual care control group of the traditional HDMP (5 meals delivered per week) or the enhanced program (Meals+), which includes four Community Health Worker (CHW) coaching calls using motivational interviewing, and delivery of three healthful grocery bags during 12 weeks, in addition to the traditional HDMP. The primary outcome is diet quality measured by the validated Dietary Screening Tool (DST). Food and nutrition security, loneliness, and health-related quality of life are secondary outcomes assessed by validated measures. In the 12-week follow-up call, CHWs also ask participants about utilization and satisfaction with the intervention. The usual care group receives coaching from CHWs to connect them to community resources in this follow-up call. Study procedures were tested in a pilot randomized controlled trial (n = 12), resulting in modifications to the study protocol. DISCUSSION: Enhancements such as CHW calls and grocery bags can help HDMP target food access, social and health interventions for older adults. These enhanced HDMP have the potential to be sustained and replicated nationwide.

trial registrationNumber NCT06401694; Start date: 2024-06-20.

Indexed as

Community Health WorkersFood ServicesHomebound PersonsMealsMentoringAgedFemaleHumansLonelinessMaleQuality of LifeRandomized Controlled Trials as TopicRhode IslandAgingCommunity-based participatory researchNutrition

Identifiers

PMID41034808
PMCPMC12487516

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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.