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Not yet recruitingNCT07713836NOURISHUpdated Oct 19, 2026

Nutrition Intervention Optimization to Better Utilize Resources and Support Health

An interventional study of Meal kits and No-prep meals in Diabete Type 2, Obesity & Overweight and Nutritional Intervention, sponsored by Tufts University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Tufts University · Not applicable, Interventional, and Other

Updated Oct 19, 2026Sponsor changedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Not having enough food for each person in a household, also called food insecurity, makes it hard to eat a nutritious diet, maintain a healthy weight, and manage diabetes risk. Food banks and pantries provide direct food assistance that can mitigate food insecurity among people with lower income, however, people that utilize these organizations face time, resource, and physical constraints that limit their ability to consistently select and cook healthier meals and the organizations face budget constraints that limit their bandwidth for implementing nutrition programs. This research will test four innovative nutrition programs (nutritious prepared meals, medically tailored groceries in the form of meal kits, culinary medicine, motivational text messages) to identify which are the most effective for supporting healthy eating and food security and the most cost effective for organizations to implement, as an effort to reduce diabetes risk, improve diabetes self-management, and diminish health disparities.

02

Conditions studied

  • Diabete Type 2
  • Obesity & Overweight
  • Nutritional Intervention
  • Food Insecurity

Keywords

  • Food is Medicine
  • Medically tailored meals
  • Medically tailored groceries
  • Type 2 Diabetes
  • Culinary medicine
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 400 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Tufts University is the lead sponsor of 228 studies on the registry; 23 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged 18+,
  • (BMI)≥ 25;
  • Access to a device with SMS and MMS (picture) text and Wi-Fi capabilities (e.g., phone, tablet, computer) and willingness to use the device regularly during the study;
  • Willingness to complete four in-person data collection appointments;
  • Willing and able to consent.

Exclusion criteria

Exclusion Criteria:

  • Presence of a condition or dietary restriction precluding eating study meals or weight loss (e.g., condition requiring liquid diet, pregnancy);
  • Another member of the household participating;
  • Planning to move within the next 12 months;
  • Unwilling to participate.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Outcomes assessor)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    Condition 1: Pantry, MTG, No-prep meals, Culinary classes, and SMS

    Pantry provisions, meal kits, no-prep meals, culinary nutrition classes, and text messages

    Behavioral: Meal kits · Behavioral: No-prep meals · Behavioral: Culinary nutrition classes · Behavioral: Text messages

  • Experimental
    Condition 2: Pantry, MTG, No-prep meals, and Culinary classes

    Pantry provisions, meal kits, no-prep meals, and culinary nutrition classes

    Behavioral: Meal kits · Behavioral: No-prep meals · Behavioral: Culinary nutrition classes

  • Experimental
    Condition 3: Pantry, MTG, No-prep meals, and SMS

    Pantry provisions, meal kits, no-prep meals, and text messages

    Behavioral: Meal kits · Behavioral: No-prep meals · Behavioral: Text messages

  • Experimental
    Condition 4: Pantry, MTG, and No-prep meals

    Pantry provisions, meal kits, and no-prep meals

    Behavioral: Meal kits · Behavioral: No-prep meals

  • Experimental
    Condition 5: Pantry, MTG, Culinary classes, and SMS

    Pantry provisions, meal kits, culinary nutrition classes, and text messages

    Behavioral: Meal kits · Behavioral: Culinary nutrition classes · Behavioral: Text messages

  • Experimental
    Condition 6: Pantry, MTG, and Culinary classes

    Pantry provisions, meal kits, and culinary nutrition classes

    Behavioral: Meal kits · Behavioral: Culinary nutrition classes

  • Experimental
    Condition 7: Pantry, MTG, and SMS

    Pantry provisions, meal kits, and text messages

    Behavioral: Meal kits · Behavioral: Text messages

  • Experimental
    Condition 8: Pantry and MTG

    Pantry provisions and meal kits

    Behavioral: Meal kits

  • Experimental
    Condition 9: Pantry, No-prep meals, Culinary classes, and SMS

    Pantry provisions, no-prep meals, culinary nutrition classes and text messages

    Behavioral: No-prep meals · Behavioral: Culinary nutrition classes · Behavioral: Text messages

  • Experimental
    Condition 10: Pantry, No-prep meals, and Culinary classes

    Pantry provisions, no-prep meals, and culinary nutrition classes

    Behavioral: No-prep meals · Behavioral: Culinary nutrition classes

  • Experimental
    Condition 11: Pantry, No-prep meals, and SMS

    Pantry provisions, no-prep meals, and text messages

    Behavioral: No-prep meals · Behavioral: Text messages

  • Experimental
    Condition 12: Pantry and No-prep meals

    Pantry provisions and no-prep meals

    Behavioral: No-prep meals

  • Experimental
    Condition 13: Pantry, Culinary classes, and SMS

    Pantry provisions, culinary nutrition classes, and text messages

    Behavioral: Culinary nutrition classes · Behavioral: Text messages

  • Experimental
    Condition 14: Pantry and Culinary classes

    Pantry provisions and culinary nutrition classes

    Behavioral: Culinary nutrition classes

  • Experimental
    Condition 15: Pantry and SMS

    Pantry provisions and text messages

    Behavioral: Text messages

  • No intervention
    Condition 16: Pantry only

    Pantry provisions

Interventions

  • BehavioralMeal kits

    Meal kits combine ingredients (e.g., chicken, tomatillo salsa verde, peppers, sweet potatoes) in a bag with a recipe that instructs how to make a healthier meal (e.g., Chicken Tomatillo Salsa Verde with Peppers and Sweet Potatoes).

    Also known as: medically tailored groceries, MTGs

  • BehavioralNo-prep meals

    The meals were created to meet nutrition standards for people with or at-risk for cardiometabolic diseases. Each entree has at least one serving of proteins, whole grains, and two vegetables. Entrees are low in sodium and sugar and meet carbohydrate recommendations for people with diabetes.

    Also known as: ready-to-eat meals, no prep, ready to eat meals

  • BehavioralCulinary nutrition classes

    Participants randomly assigned to receive culinary nutrition classes will receive six-weeks of hybrid instruction from the Health Meets Food™ curriculum. Health Meets Food™ improves adherence to a nutritious diet, reduces food costs by encouraging more home food preparation, and reduces blood pressure and cholesterol among people with diabetes.

  • BehavioralText messages

    Participants will receive four culturally tailored SMS and MMS texts per week with motivational messages and nutrition education developed and tested by Dr. Leng as part of the SANOS trial (R01MD012819) and slightly adapted to our community's food preferences identified through extensive preliminary research. Texts will be delivered in the participants preferred language (English/Spanish) and scheduled for their preferred time (e.g., AM/PM).

06

What researchers measure

Primary outcomes

  1. Diet

    24-hour recall based on recommendations from the National Cancer Institute and prior evidence suggesting feasibility and validity of the measure with Spanish speakers. Diet will be assessed using 24-hour recall administered via the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) in English and Spanish. Will be used to calculate a Healthy Eating Index (HEI) score. The HEI is a scale from 0 to 100.

    Time frame: Recorded at baseline (Appt 1, prior to randomization), midpoint (Appt 2, month 3), immediately following the intervention period (Appt 3, month 6), and three months post-intervention (Appt 4, month 9).

Secondary outcomes

  1. Household food security

    Measured using the USDA 6-item household food security survey and will be treated as a continuous variable if normally distributed or a categorical variable if data is non-normal. Categorical scoring will be based on USDA recommendations (0-1 affirmative responses = high or marginal food security, 2-4 = low food security, 5-6 = very low food security).

    Time frame: Recorded at baseline (Appt 1, prior to randomization), midpoint (Appt 2, month 3), immediately following the intervention period (Appt 3, month 6), and three months post-intervention (Appt 4, month 9).

  2. Percent body weight change

    Will be calculated as (Baseline weight minus follow-up weight) / (Baseline weight) x 100. Height and weight will be measured using an externally validated and calibrated Tanita DC-240MA scale.

    Time frame: Recorded at baseline (Appt 1, prior to randomization), midpoint (Appt 2, month 3), immediately following the intervention period(Appt 3, month 6), and three months post-intervention (Appt 4, month 9).

  3. Hemoglobin A1C (HbA1c)

    Will be measured using the externally validated point-of-care instrument, DCA VantageAnalyzer (1μl finger stick, nonfasting). This method has been implemented in food pantries and is less invasive and more cost effective than a venous blood draw.

    Time frame: Recorded at baseline (Appt 1, prior to randomization), midpoint (Appt 2, month 3), immediately following the intervention period(Appt 3, month 6), and three months post-intervention (Appt 4, month 9).

Other outcomes

  1. Adherence

    Number of meal kits eaten by the participant per month divided by number of meal kits selected per month, number of no-prep meals eaten per month divided by number of no-prep meals selected per month, number of culinary nutrition classes completed, and number of texts read.

    Time frame: Through study completion, an average of 6 months (Baseline through 6 months)

  2. Implementation Outcomes

    Will measure early-stage implementation outcomes with the follow-up questionnaire (acceptability \[intervention satisfaction measures\] and through administrative tracking: intervention fidelity (adherence to assigned intervention components \[e.g., eating meals, attending classes, etc.\] and study protocols \[e.g., attending appointments\]).

    Time frame: The entirety of the participant being enrolled (6 months)

07

Study locations

1 site
  • Crossroads Community Services
    Dallas, Texas 75236, United States
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Informed consent form

Time frame: June 2027

Access criteria: The study protocol and informed consent sheet will be published along with an open-access peer reviewed protocol manuscript.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sponsor
Collaborators added: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    Sponsor Collaborators added: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07713836
Lead sponsor
Tufts University
Responsible party
Sponsor
First posted
Jul 20, 2026
Start date
Jan 2027 (estimated)
Primary completion
Feb 2031 (estimated)
Completion
Feb 2031 (estimated)
Last update
Oct 19, 2026

Study contacts

NICHE Lab Team
Contact
niche@tufts.edu
‪(469) 240-9112‬
Kelseanna Hollis-Hansen, PhD, MPH
principal investigator · Tufts University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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