• J Hosp Med · Jul 2023

    Randomized Controlled Trial

    Comparing two durations of medically tailored meals posthospitalization: A randomized clinical trial.

    • Rebecca Boxer, Melanie L Drace, Cheryl Kelly, Rachael Robinson, Pamela Schwartz, Jenna Ausiello, Blythe Dollar, Valerie Paolino, Angela Comer, John David Powers, and John F Steiner.
    • Department of Medicine, Division of Geriatrics, Hospice and Palliative Care, University of California, Davis, California, USA.
    • J Hosp Med. 2023 Jul 1; 18 (7): 576587576-587.

    BackgroundMedically tailored meals (MTM) may be beneficial to patients after hospital discharge.ObjectiveTo determine if 2 versus 4 weeks of MTM posthospitalization will improve patient outcomes.DesignRandomized unblinded trial.Settings And ParticipantsSix hundred and fifty patients pending hospital discharge with at least one chronic condition.InterventionOne MTM a day for 2 versus 4 weeks.Main Outcome And MeasuresThe primary outcome was a change from baseline to 60 days in the Hospital Anxiety Depression Scale (HADS). Secondary outcomes measured change in the Katz activities of daily living (ADLs), DETERMINE nutritional risk, and all-cause emergency department (ED) visits and rehospitalizations.ResultsFrom baseline to 60 days the HADS anxiety subscale changed 5.4-4.9 in the 2-week group (p = .03) and 5.4-5.3 in the 4-week group (p = .49); the difference in change between groups 0.4 (p = .25). HADS changed 5.4-4.8 in the 2-week group (p = .005) and 5.3-5.1 in the 4-week group (p = .34); the difference in change between groups 0.4 (p = .18). ADL score changed from 5.3 to 5.6 in the 2-week group (p ≤ .0001) and 5.2-5.5 in the 4-week group (p ≤ .0001); the difference in change between groups -0.01 (p = .90). The DETERMINE changed in the 2-week group from 7.2 to 6.4 (p = .0006) and from 7 to 6.7 in the 4-week group (p = .19); the difference in change between groups 0.5 (p = .13). There was no difference in ED visits and rehospitalizations between groups or time to rehospitalization.ConclusionsDifferent durations of short-term MTM did not affect patient-centered or utilization outcomes.© 2023 The Authors. Journal of Hospital Medicine published by Wiley Periodicals LLC on behalf of Society of Hospital Medicine.

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