ClinicalTrials.gg
RecruitingNCT07779707MTG : RCTUpdated Sep 22, 2026

The Medically Tailored Groceries and Mental Health Study

An interventional study of Medically Tailored, Home-delivered Groceries and Active Comparison Group: Monthly Grocery Gift Card in Depression / Major Depressive Disorder and Food Insecurity, sponsored by University of Massachusetts, Worcester. Recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by University of Massachusetts, Worcester · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 10 studies in Depression by University of Massachusetts, Worcester — 4 open to participants now, 4 under way, none of them phase 3. Depression · University of Massachusetts, Worcester.

Planned enrollment
4th of 10
300 · median 151
Started
2026
with 1 other
No phase
9 of 10
4 open now
Registered
10th of 10
by date

Among the 10 studies in Depression by University of Massachusetts, Worcester, this one is the 4th largest by planned enrollment, is one of 2 that started in 2026, is one of 9 with no phase, and was the 10th registered.

Depression

8,582 studies on the registry are indexed under Depression; 1,723 are open to participants now.

Browse Depression studies →

Open to participants now

4 of the 10 studies in Depression by University of Massachusetts, Worcester are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Where they have run

Who these studies take

Of the 1,089 Depression studies recruiting now, 470 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 311 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Depression by University of Massachusetts, Worcester, or all of them as a file.
02

Study summary

This randomized controlled trial will test whether providing medically tailored groceries for 6 months can improve depressive symptoms among adults with depression and food insecurity.

The intervention under study is a 6-month, medically tailored grocery program provided by the Boston-based non-profit organization, Community Servings. Food boxes are mailed to participants' homes every two weeks and are designed by a registered dietitian nutritionists to support an individuals' health needs. Participants may also attend optional nutritional counseling sessions.

In this randomized clinical trial, 300 adults with depression and food insecurity will be assigned to one of two groups. The intervention group will receive medically tailored grocery boxes delivered to their home every two weeks for six months (13 boxes total), along with nutritional counseling support. The comparison group will receive usual medical care plus a $30 monthly grocery gift card for six months to be used to purchase any products of their choice.

Participants will be recruited from UMass Memorial Health and health centers associated with Community Care Cooperative (C3) in the greater Worcester area in Massachusetts.The main goal of the study is to determine whether the grocery program reduces symptoms of depression. The study will also examine effects on anxiety, food insecurity, diet quality, and healthcare use.

Read the detailed description

Food insecurity, defined as limited or uncertain access to adequate food for an active and healthy life, is strongly associated with poor mental health outcomes, including depression. Individuals experiencing food insecurity often face chronic stress, reduced dietary quality, and barriers to managing health conditions, all of which can worsen depressive symptoms. Despite this well-established relationship, there is limited rigorous evidence evaluating food-based interventions as a primary strategy to improve mental health.

Medically tailored grocery (MTG) programs are an emerging "Food is Medicine" intervention that provides groceries tailored to an individual's health needs, along with nutrition education and support. Unlike medically tailored meals, MTG programs support individuals in preparing their own meals, which may improve dietary quality, increase self-efficacy, and reduce food insecurity. While prior studies suggest that food-based interventions may improve mental health outcomes, no randomized controlled trials have evaluated MTG with depression as the primary outcome.

This study is a single-site, open-label, randomized controlled trial designed to evaluate the efficacy of an MTG intervention among adults with depression and food insecurity. A total of 300 participants will be recruited by Community Servings and UMass Chan Medical School and randomized 1:1 to either the MTG intervention or a control group receiving usual care plus a food subsidy. Participants in the intervention group will receive 13 medically tailored grocery boxes over six months, along with nutrition support. The control group will receive usual care and a $30 monthly food subsidy for six months.

The primary outcome is the change in depressive symptoms measured by the Patient Health Questionnaire (PHQ-9). Secondary outcomes include anxiety symptoms, food insecurity, dietary quality, and healthcare utilization, including emergency department visits and hospitalizations. This trial is designed to generate rigorous evidence on the role of medically tailored grocery programs in improving mental health and to inform future clinical and policy decisions regarding the integration of nutrition interventions into healthcare.

03

Conditions studied

  • Depression / Major Depressive Disorder
  • Food Insecurity

Keywords

  • Depression
  • Food insecurity
  • Food as Medicine
  • Mental Health
  • Medically tailored groceries
  • Randomized controlled trial
  • Nutrition
  • Food is Medicine
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

  • A depression diagnosis with active symptoms, defined as having a recent Patient Health Questionnaire (PHQ-9) screening of 5+, or no depression diagnosis but a recent PHQ-9 screening of 10+
  • Experiencing food insecurity (could be either low or very low food security)
  • Lives in Central Massachusetts in Worcester County
  • Receives care at UMass Memorial Health, or receives care at clinics affiliated with Community Care Cooperative (C3)
  • Can prepare and cook meals independently, or has a family member or caregiver able to prepare food

Exclusion criteria

Exclusion Criteria:

  • Pregnant women and women who are within one year postpartum at baseline. Women who become pregnant during trial will be allowed to finish their food programming and study participation.
  • New depression diagnosis within the past 3 months
  • Has bipolar depression or bipolar disorder
  • Expresses suicide ideation in baseline depression screening defined as responding "nearly everyday" to question #9 in the Patient Health Questionnaire: "Over the last 2 weeks, how often have you been bothered by any of the following problems - Thoughts that you would be better off dead, or of hurting yourself?"
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Medically Tailored Grocery (MTG)

    150 participants will be enrolled in Community Servings' MTG program, receiving 13 MTG boxes over a six-month intervention period with accompanying nutrition education and counseling, including the peer support sessions. There are two main meals plans that participants could select: 1) The standard Wellness MTG intervention, which adheres to guidelines set by the The Academy of Nutrition and Dietetics Nutrition Care Manual and dietary plans such as the Dietary Approaches to Stop Hypertension and recommendations from the American Heart Association and American Diabetes Association for individuals with cardiovascular disease and diabetes. This dietary plan is set as the default for participants. 2) A renal MTG intervention for those with kidney disease, given the unique dietary concerns for this population. In addition, the meals plans can be further customized based on allergies and personal preferences such as vegetarian meals.

    Other: Medically Tailored, Home-delivered Groceries

  • Active comparator
    Food Subsidy

    The other 150 participants will receive their usual medical care plus a monthly stipend of $30 for a six-month intervention period, provided as unrestricted grocery gift cards from a select food retailers, along with healthy eating information to guide use of that subsidy.

    Other: Active Comparison Group: Monthly Grocery Gift Card

Interventions

  • OtherMedically Tailored, Home-delivered Groceries

    13-box home grocery delivery (1 Welcome Box of pantry and spice staples and 12 grocery boxes) for a six-month intervention period; nutrition and other resources to sustain the benefit of the intervention.

    Also known as: MTG

  • OtherActive Comparison Group: Monthly Grocery Gift Card

    $30/month food subsidy in the form of gift cards to Amazon or Hannaford grocery stores

    Also known as: Food Subsidy

06

What researchers measure

Primary outcomes

  1. Depressive Symptoms as measured by Patient Health Questionnaire (PHQ-9) [Time Frame: 6 months]

    The PHQ-9 is a standardized clinical tool to diagnose and monitor depression. The survey consists of 9 questions, each with four possible responses, and is scored from 0 to 27. Standardized scoring is as follows: 1- 4 minimal depression, 5 - 9 mild depression, 10 - 14 moderate depression, 15-19 moderately severe depression, 20 - 27 severe depression. Each study participant (both treatment and control groups) will have a baseline PHQ-9 assessment at the time of randomization and a second assessment at program end (within the last month of program enrollment). As part of the PHQ-9, if a participant reports any symptoms, then a follow-up question is promoted: "If you reported any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" with responses ranging from "not difficult at all" to "extremely difficult".

    Time frame: At baseline and within the last month of the program enrollment (6 months)

Secondary outcomes

  1. Anxiety symptoms as measured by the General Anxiety Disorder (GAD-7) questionnaire [Time Frame: 6 months]

    Investigators will use the standardized General Anxiety Disorder (GAD-7) questionnaire, which is also routinely used in clinical care. The survey is 7-question tool used to screen for generalized anxiety disorder and assess severity of anxiety symptoms over the last two weeks. Scores range from 0 to 21, with higher numbers describing more severe anxiety. As part of the GAD-7, if a participant reports any symptoms, then a follow-up question is promoted: "If you reported any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" with responses ranging from "not difficult at all" to "extremely difficult".

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  2. Self-Reported MENTAL Health Status [Time Frame: 6 months]

    The self-reported MENTAL health question is adapted from the Behavioral Risk Factor Surveillance System (BRFSS) and National Health Interview Survey (NHIS) surveys. This will assessed using: " Would you say that in general your MENTAL health is excellent, very good, good, fair, or poor?" The five response options range from "poor" to "excellent."

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  3. Self-Reported PHYSICAL Health Status [Time Frame: 6 months]

    This self-reported PHYSICAL health question is adapted from the Behavioral Risk Factor Surveillance System (BRFSS) and National Health Interview Survey (NHIS) surveys. This will be assessed using: " Would you say that in general your PHYSICAL health is excellent, very good, good, fair, or poor?" The five response options range from "poor" to "excellent."

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  4. Food Insecurity, as measured by the Hunger Vital Sign [Time Frame: 6 months]

    Investogators will use the 2-item Hunger Vital Sign, which is a validated screener used by Centers for Medicare and Medicaid Services (CMS) and most health systems that screen for food insecurity.

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  5. Nutrition Insecurity as measured by the Tufts-Kaiser Permanente 1-item screener [Time Frame: 6 months]

    The validated, 1-item nutrition security screener assesses nutrition security using the following question: "Thinking about the last month, how hard was it for you or your household to regularly get and eat healthy foods? Include food from all sources when thinking about your response?" The five possible responses range from "Very hard" to "Not hard at all."

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  6. Unplanned, Inpatient Hospitalizations [Time Frame: 6 months]

    Total counts per 6 months (i.e., 6-month rate) and reasons for each admission. Analyses will also report rates for mental health-related admissions and all-cause admissions. As a secondary assessment of inpatient hospitalizations, investigators will also report the proportion of study participants with at least one admission.

    Time frame: Total counts from baseline to program end (6 months)

  7. Emergency Department Visits [Time Frame: 6 months]

    Total counts per 6 months (i.e., 6-month rate) and reasons for each admission. Analyses will also report rates for mental health-related admissions and all-cause admissions. As a secondary assessment of Emergency Department (ED) utilization, investigators will also report the proportion of study participants with at least one ED visit.

    Time frame: Total counts from baseline to program end (6 months)

  8. Fruit and Vegetable Consumption as measured by the Dietary Screener Questionnaire-10 [Time Frame: 6 months]

    Investigators will use the Dietary Screener Questionnaire (DSQ-10), a 10-item fruit and vegetable screener that is routinely used in similar research and promoted by the United States Department of Agriculture and the American Heart Association. The survey tool will report servings per day of fruits and vegetables. Response options range from "never" to "6 or more times per day" to measure average daily dietary intake.

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  9. Dairy Consumption, servings per day as measured by the Dietary Screener Questionnaire [Time Frame: 6 months]

    Investigators will use the Dietary Screener Questionnaire, a survey tool promoted by the United States Department of Agriculture and the American Heart Association. The survey tool will report servings per day of dairy, including milk and cheese. Response options range from "never" to "6 or more times per day" to measure average daily dietary intake.

    Time frame: At baseline and within the last month of the program enrollment (6 months)

  10. Whole Grain Consumption, servings per day, as measured by the Dietary Screener Questionnaire [Time Frame: 6 months]

    Investigators will use the Dietary Screener Questionnaire, a survey tool promoted by the United States Department of Agriculture and the American Heart Association. The survey tool will report servings per day of whole grains from all sources. Response options range from "never" to "6 or more times per day" to measure average daily dietary intake.

    Time frame: At baseline and within the last month of the program enrollment (6 months)

Other outcomes

  1. Program Adherence: Deliveries, as measured by number of food box deliveries per participant [Time Frame: 6 months]

    This measure will report the number of food box deliveries for each participant during program participation.

    Time frame: 6 months

  2. Program Adherence, Self-Reported Consumption of Food [Time Frame: 6 months]

    Self-reported consumption of food, as assessed by the following questions: 1. "How much of the food from the Community Servings' Grocery Boxes did you usually eat?" Responses range from "None of the food" to "All of the food." 2. If you didn't eat all of the food, what are the reasons why you didn't eat all of the food? Responses include, "I shared food with my family or friends; I didn't like some of the meals and ingredients; It was too much food for me; I had challenges cooking the food; If another reason, explain why \[open ended response\]".

    Time frame: Assessed at program end at 6 months

07

Study locations

2 of 3 sites recruiting
  • UMass Chan Medical School
    Worcester, Massachusetts 01605, United States
    Not yet recruiting
  • Community Care Cooperative (C3)
    Worcester, Massachusetts 01655, United States
    Recruiting
    • Kim Prendergast Vice President, Policy & Strategy at C3, MPP · Contactkprendergast@c3aco.org · 1-866-676-9226
  • UMass Memorial Health
    Worcester, Massachusetts 01655, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that can be deidentified without risk of a confidentiality breach will be shared upon written request to the study investigators. Deidentified individual data that supports the results will be shared, provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UMass Chan Medical School.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: Data will become available 12 months after publication of the main findings and will be available for 60 months.

Access criteria: The criteria are the ability to deidentify data, plan for secure storage of data, and sign an agreement to protect participant privacy, in addition to proposing a relevant research question, all of which will be assessed by study investigators.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Aug 2029, 36 months after the start.

Of 3,471 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's planned 36 months is above that.

Counting every sponsor, half of 3,569 studies reached it within 21 months; a quarter within 9 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 14, 2026
First posted
Aug 21, 2026
StartActual
Aug 29, 2026
Primary completionEst.
Aug 31, 2029
CompletionEst.
Aug 31, 2029
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07779707
Collaborators
Community Servings, Health Foundation of Central Massachusetts
Responsible party
Kurt Hager (Assistant Professor, University of Massachusetts, Worcester) — Principal investigator
First posted
Aug 21, 2026
Start date
Aug 29, 2026
Primary completion
Aug 31, 2029 (estimated)
Completion
Aug 31, 2029 (estimated)
Last update
Sep 22, 2026

Study contacts

Kurt Hager, PhD, MS
Contact
Kurt.Hager1@umassmed.edu
508-856-3247
Kurt Hager, Phd
principal investigator · UMass Chan Medical School

Oversight

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

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