User-centered design food is medicine intervention baseline and post intervention

Background: Food is medicine programs have shown potential at improving health outcomes, reducing food insecurity, and increasing dietary intake. However, there are few interventions that have sought to individually tailor these programs based on user preferences and constraints. This program utilized a screening decision tool to allocate adults to a tailored food is medicine program to examine process and clinical outcomes.
Methods: Adults ages 18-64 with hypertension were screened for food insecurity at two large hospital systems (one rural, one urban) in Kentucky. Participants who screened positive and wanted assistance with food were referred to the Food as Health Alliance hub. Medically tailored meals (MTM) provided 5 meals per week for 12-weeks. The grocery Rx program provided $100 each month for 3-months to purchase foods consistent with guidelines for people with hypertension. Baseline and post-intervention health data were obtained from electronic medical records, and process m..., Eligibility Criteria: To be eligible for participating in this pilot study, patients had to be between the ages 18-64, have a diagnosis of hypertension (ICD-10 code I10), and speak conversational English. Only one patient per household was eligible to participate. Participants were recruited over 45 days from two large hospital systems in rural and urban communities in Kentucky. 
Screening: Two screening processes were used, based on the current structure and preferences of the health system partners. The automated procedure consisted of the patient receiving the Hunger Vital Signs screener25 via text or e-mail before check in and documenting their response in the electronic medical record (EMR). The face-to-face procedure consisted of the nurse or clinic staff asking the patient the Hunger Vital Signs screener in the patient room and documenting response in the EMR.
Referral: If the patient expressed interest in participating, the healthcare clinic staff would input their relevant..., # User-centered design food is medicine intervention baseline and post intervention

Dataset DOI: [10.5061/dryad.xsj3tx9ss](https://doi.org/10.5061/dryad.xsj3tx9ss)

## Description of the data and file structure

Participants were recruited from two large hospital systems in Kentucky to participate in a food is medicine intervention. Participants completed a baseline and post intervention survey related to household size, food security status using the USDA 6-item screener, nutrition security using the Gretchen Swanson nutrition security screener, general health status, financial strain, psychological stress. These self-report measures were captured again post intervention 3-months after the food is medicine program ended. 

### Files and variables

#### File: AHAFIMUserCenteredDe_DATA_FullDataSetFINAL.csv

**Description:** 

##### Variables

* record_id: text
* fi_screening_pos: text Screened positive for food insecurity?

Positive = Answer of 'Often true' or 'Sometimes true' on one ..., We have consent to publish de-identified data in the public domain. We have removed all identifiers in the dataset.