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Nutrition intervention of groceries for Black residents of Boston to stop
hypertension (GoFresh) among adults with or without treated hypertension trial:
rationale, design, and guiding domains
#MMPMID41340057
Ferro KM
; Seager R
; McManus K
; Kraemer KM
; Turkson-Ocran RAN
; Michetti J
; Allison S
; Fitzpatrick S
; Juraschek SP
Trials
2025[Dec]; 26
(1
): 560
PMID41340057
show ga
BACKGROUND: The Dietary Approaches to Stop Hypertension (DASH) Eating Plan is
proven to lower blood pressure; however, the original DASH diet involved a set
menu of meals prepared in a metabolic kitchen. There is little evidence mapping
this dietary pattern to real-world groceries, tailored to a range of personal
preferences and dietary practices. METHODS: The GoFresh Trials, two parallel-arm
randomized, controlled trials, are studying the impact of DASH-patterned,
home-delivered groceries on the blood pressure of Black adults living in
communities with reduced access to grocery stores. Participants were able to
choose the groceries according to their preferences for themselves and up to five
family members from local supermarkets. A dietitian assisted participants with
selection to ensure that groceries followed a DASH pattern and met a
potassium/sodium ratio of?>?2.0 with kilocalories from saturated fat???7%.
Dietitians also provided weekly educational modules on sustainably adopting DASH.
To support meal preparation, a recipe book and 24 demonstration videos were
created in collaboration with Boston Chefs. A community advisory board
participated in the conception of intervention materials to ensure the program
was feasible and grounded in community priorities. RESULTS: Compliance
assessments include 24-h urine paired with 24-h nutrition recalls, seated blood
pressure, and surveys on food preparation and shopping habits. A knowledge
assessment and palatability form were used to assess changes in DASH knowledge
and acceptability before and after the intervention. CONCLUSION: By describing
the unique features and development process of GoFresh, this paper offers
practical guidance for adapting and scaling similar nutrition interventions in
other communities. TRIAL REGISTRATION: ClinicalTrials.gov NCT05121337. Registered
on November 16, 2021. https://clinicaltrials.gov/ct2/show/NCT05121337 .
|*Black or African American
[MESH]
|*Blood Pressure
[MESH]
|*Dietary Approaches To Stop Hypertension/methods
[MESH]
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