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Clinical Trial NCT07101289 for Congestive Heart Failure Chronic is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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Eat Well Heart Failure 900 Randomized
Clinical Trial NCT07101289 is an interventional study for Congestive Heart Failure Chronic that is recruiting. It started on 22 October 2025 with plans to enroll 900 participants. Led by Duke University, it is expected to complete by 1 December 2027. The latest data from ClinicalTrials.gov was last updated on 12 November 2025.
Brief Summary
The purpose of this parallel pragmatic randomized controlled trial (RCT) is to evaluate the impact of Eat Well (an evidence-based 'Food is Medicine' produce prescription program) with varying levels of behavioral support on health outcomes and care utilization patterns of Duke Health patients diagnosed with congestive heart failure (CHF). Objectives of this three arm trial include testing the effectiveness of Eat Wel...Show More
Official Title
Eat Well Produce Prescription for Duke Health Patients With Congestive Heart Failure
Conditions
Congestive Heart Failure ChronicOther Study IDs
- PRO00117602
NCT ID Number
Start Date (Actual)
2025-10-22
Last Update Posted
2025-11-12
Completion Date (Estimated)
2027-12
Enrollment (Estimated)
900
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
prescription produce
behavioral support
behavioral support
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
No InterventionUsual Care Patients will continue to receive their usual care as well as educational materials | N/A |
Active ComparatorPrescription Produce program with low behavioral support Patients will receive the Eat Well Prescription Produce benefit card ($100/month for 12 months) with low behavioral support provided by Reinvestment Partners | Prescription Produce Eat Well is a prescription produce program that provides a reloadable, restricted use debit card to participants to purchase fresh, frozen, or canned fruits, vegetables, and legumes at grocery stores. |
Active ComparatorPrescription Produce program with high behavioral support Patients will receive the Eat Well Prescription produce benefit card ($100/month for 12 months) with high behavioral support provided by Reinvestment Partners and ZealCare | Personal health planning and nutritional coaching Behavioral support will be offed by ZealCare, an evidence-based, virtual coaching behavioral support program for patients with chronic conditions. Prescription Produce Eat Well is a prescription produce program that provides a reloadable, restricted use debit card to participants to purchase fresh, frozen, or canned fruits, vegetables, and legumes at grocery stores. |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Composite of incidence rates of ED visits, hospitalizations, and all-cause mortality at 12 months | The primary outcome of interest will be a composite endpoint of: ED visits, hospitalizations, and all-cause mortality at 12 months. | 12 months |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
All cause hospitalizations | The total number of admissions to a hospital for any reason | 12 months |
All cause ED visits | The total number of visits to the Emergency Department for any reason | 12 months |
Outpatient utilization | The number of outpatient visits | 12 months |
Change in Blood pressure | Change in Blood Pressure from baseline to visit closest to end of study assessed by both systolic and diastolic blood pressure | 12 months |
Change in Body Mass Index | Change in Body Mass Index from baseline to visit closest to end of study | 12 months |
Heart Failure Specific Hospitalization | Hospitalization related to heart failure. | 12 months |
Heart Failure specific Emergency Department use | Visits to the emergency department related to heart failure | 12 months |
Kansas City Cardiomyopathy Questionnaire 12-item version (KCCQ-12) | The Kansas City Cardiomyopathy Questionnaire 12-item version (KCCQ-12) is a validated, self-administered health status measure for patients with heart failure. It is designed to quantify the patient's perception of their health status related to heart failure over the past two weeks.
Scoring Range: Each domain score and the overall/clinical summary scores are transformed to a standardized range of 0 to 100.
Interpretation: Higher scores indicate better health status and outcomes, while lower scores indicate worse health status and more severe limitations.
0-24: Very poor to poor health 25-49: Poor to fair health 50-74: Fair to good health 75-100: Good to excellent health | Baseline, 6 months, and 12 months |
USDA 6-item Food Security Survey Module (FSSM) | The USDA 6-item Food Security Survey Module (FSSM) is a short form of the larger 18-item survey, designed to efficiently assess and categorize a household's food security status. The scale is based on the number of affirmative (food-insecure) responses, with a raw score range of 0 to 6. A higher score indicates a worse outcome (greater food insecurity/less food security), while a lower score indicates a better outcome (higher food security). | Baseline, 6 months, and 12 months |
Dietary Screener Questionnaire (DSQ) | The 10-item DSQ assesses the frequency of fruit and vegetable intake. Higher scores on beneficial foods (like fruits and vegetables) mean a better outcome (healthier diet). Higher scores on less healthy items (like added sugars or red/processed meat) would mean a worse outcome. | Baseline, 6 months, and 12 months. |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
- Age 18 or older
- Diagnosis of CHF regardless of ejection fraction AND
- Hospitalization or ED visit within the past 12 months AND
- At risk of food insecurity as defined by one of the following:
screened positive for financial instability (medium risk and up) or food insecurity in the past 12 months minimum OR a Medicaid or dual eligible enrollee
- English as preferred language
- Valid email address (for virtual health coaching intervention)
- NC mailing address
- History of dialysis or end stage renal disease OR
- History of LVAD or heart transplant.
Reinvestment Partners
ZealCare
Study Central Contact
Contact: Connor Drake, PhD, 919-724-2129, [email protected]
Contact: Cierra Buckman, MHS, 843-269-5657, [email protected]
1 Study Locations in 1 Countries
North Carolina
Duke Health, Durham, North Carolina, 27701, United States
Stephen Greene, MD, Contact, 860-484-9403, [email protected]
Recruiting