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NON APPLICABLENCT07792564

Diet Quality Pilot Intervention in LA Safety Net

A study testing Diet Quality Matters (DQM) Nutrition Education and Culinary Skills Program in people with NON APPLICABLE, run by University of California, Los Angeles at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate the feasibility, acceptability, and effectiveness of a culturally tailored nutrition education intervention designed to improve diet quality and reduce nutrition-related cardiometabolic disease risk among low-income adults participating in the Los Angeles County Food Rx… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
NON APPLICABLE
What is being tested?
Diet Quality Matters (DQM) Nutrition Education and Culinary Skills Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
2 sitesUnited States
Study dates
21 May 2026to 1 Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 years or older.
  • Current participant or recipient of services from a Food Rx produce distribution program.
  • Able to provide informed consent.
  • Able to communicate in English or Spanish.
  • Willing and able to attend the nutrition education and recipe demonstration sessions.
  • Previously agreed to be contacted for future research participation or recruited through approved community outreach activities.

Who cannot join

  • Younger than 18 years of age.
  • Pregnant.
  • Unable to provide informed consent due to severe cognitive impairment or other conditions that would prevent meaningful participation in study activities.
  • Unable to communicate in English or Spanish.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Frederick Ferguson, MD, MS contact

336-686-2355

fferguson@mednet.ucla.edu

United States2 sites, 1 recruiting
  • Martin Luther King, Jr. Center for Public Health

    Los Angeles, California, 90059

    Frederick Ferguson, MD, MS, 336-686-2355, fferguson@mednet.ucla.edu

    fferguson@mednet.ucla.edu

    Recruiting
  • Curtis R. Tucker Health Center

    Los Angeles, California, 90301

    Active, not recruiting

Other trials in United States

About this study

Official title: Diet Quality Matters: Reducing Nutrition-Related Cardiometabolic Disease in LA County Safety Net Population

The goal of this clinical trial is to evaluate the feasibility, acceptability, and effectiveness of a culturally tailored nutrition education intervention designed to improve diet quality and reduce nutrition-related cardiometabolic disease risk among low-income adults participating in the Los Angeles County Food Rx Fresh Produce Distribution Program. Participants are adults aged 18 years and older who experience food insecurity and receive services through Food Rx produce distribution sites.

The main questions it aims to answer are:

Read more

Does participation in the Diet Quality Matters intervention reduce food neophobia (reluctance to try unfamiliar foods)? Does participation improve overall dietary quality as measured by validated diet quality assessment tools? Does participation improve food resource management skills, nutrition-related self-efficacy, and food security? Does participation lead to improvements in cardiometabolic risk indicators, including body mass index (BMI) and blood pressure? Is the intervention acceptable, feasible, and culturally relevant to participants and program staff?

Participants will:

Complete baseline surveys assessing food neophobia, diet quality, food security, food resource management skills, and self-efficacy.

Attend three monthly nutrition education sessions that include:

Guided group motivational interviewing discussions. Live culturally tailored cooking demonstrations. Taste-testing of featured foods. Group discussions about adapting recipes to participants' cultural and household preferences.

Undergo height, weight, and blood pressure measurements. Complete follow-up surveys approximately 3 months after the final intervention session.

Participate in optional feedback interviews regarding their experiences with the program.

Read the detailed description

Background

Food insecurity disproportionately affects low-income households and communities of color and is associated with reduced dietary quality and increased risk of chronic cardiometabolic conditions, including obesity, hypertension, diabetes, chronic kidney disease, and cardiovascular disease. Although fresh produce distribution programs improve access to fruits and vegetables, evidence demonstrating sustained improvements in overall dietary quality and chronic disease risk reduction remains limited.

The Los Angeles County Food Rx Collaborative operates produce distribution programs throughout Los Angeles County to address food insecurity and improve health outcomes among underserved populations. Prior evaluations of Food Rx programs demonstrated adequate fruit and vegetable consumption among participants; however, measurable improvements in dietary quality and cardiometabolic risk have not yet been established.

One potential barrier to improving dietary quality is food neophobia, defined as reluctance to try unfamiliar foods. Food neophobia may limit dietary diversity and reduce consumption of minimally processed plant foods that contribute to healthy dietary patterns. Repeated exposure to novel plant foods, coupled with nutrition education and behavioral support, may increase acceptance of these foods and improve overall dietary quality.

Study Purpose

The purpose of this pilot study is to evaluate a community-partnered nutrition education intervention called Diet Quality Matters, designed to improve dietary quality among Food Rx participants by increasing consumption of diverse minimally processed plant foods and reducing barriers related to food neophobia.

The intervention integrates evidence-based nutrition education, motivational interviewing, culturally tailored cooking demonstrations, taste-testing experiences, and community discussion to support sustainable dietary behavior change.

The study also seeks to assess the feasibility and acceptability of implementing this intervention within Food Rx produce distribution programs and to generate preliminary data to inform future larger-scale randomized controlled trials.

Study Design

This is a prospective, single-arm behavioral intervention pilot study using a pre-post evaluation design.

Approximately 240 participants will be enrolled from a Los Angeles County Food Rx produce distribution site. Recruitment will occur through community outreach, referrals, flyers, word-of-mouth communication, and re-contact of individuals who previously consented to future research participation.

The study uses a Community-Partnered Participatory Research (CPPR) framework involving collaboration among researchers, Food Rx leadership, community advisory board members, community health workers (promotores), and partner organizations.

Intervention

Participants will attend three nutrition education sessions delivered over a three-month period during regularly scheduled Food Rx produce distribution events.

Each session includes:

Guided Group Motivational Interviewing (~15 minutes)

Facilitated discussions designed to enhance motivation, identify personal goals, and strengthen commitment to dietary behavior change.

Live Recipe Demonstration and Taste Testing (~30 minutes)

Nutrition educators prepare culturally relevant recipes featuring foods distributed through the Food Rx program. Participants observe preparation techniques, receive nutrition education, and sample featured foods.

Community Cultural Adaptation Discussion (~15 minutes)

Participants discuss how recipes and dietary recommendations can be adapted to their cultural traditions, food preferences, family practices, and household resources.

Data Collection Baseline Assessments

Prior to participation, participants will complete:

Demographic questionnaire Food Neophobia Scale Global Dietary Quality Questionnaire (GDQQ) PREDIMED Mediterranean Diet Score Food insecurity screening measures Food resource management skills assessments Nutrition self-efficacy assessments

Participants will also undergo:

Height measurement Weight measurement Body Mass Index calculation Blood pressure assessment Follow-Up Assessments

Approximately three months after completion of the intervention, participants will repeat all outcome assessments to evaluate changes from baseline.

Primary Outcomes Food Neophobia

Change in Food Neophobia Scale scores from baseline to follow-up.

Diet Quality

Change in:

Global Dietary Quality Questionnaire (GDQQ) scores PREDIMED Mediterranean Diet Score Secondary Outcomes Food resource management skills Nutrition-related self-efficacy Food security status Body Mass Index (BMI) Blood pressure Implementation and Acceptability Evaluation

Semi-structured interviews will be conducted with participants and intervention staff to assess:

Acceptability of the intervention Feasibility of implementation Cultural relevance Participant satisfaction Barriers and facilitators to participation Recommendations for future program improvement and scale-up

Qualitative findings will guide refinement of the intervention and inform future implementation across additional Food Rx sites.

Long-Term Goal

The long-term objective of this pilot study is to develop and evaluate scalable, culturally responsive "Food Is Medicine" interventions that improve dietary quality, reduce nutrition-related chronic disease risk, and address food insecurity among underserved populations in Los Angeles County. Findings from this study will inform the design of a future multi-site randomized controlled trial within the Los Angeles County Food Rx Collaborative.

Conditions
NON APPLICABLE
Being tested
Diet Quality Matters (DQM) Nutrition Education and Culinary Skills Program
Keywords
diet quality, nutrition, community-based research

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Diet Quality Matters (DQM) Nutrition Education and Culinary Skills ProgramBehavioural

    Diet Quality Matters (DQM) is a culturally tailored behavioral nutrition education intervention designed to improve diet quality and reduce cardiometabolic disease risk among food-insecure adults participating in the Los Angeles County Food Rx Program. Adapted from the evidence-based Cooking Matters curriculum, DQM combines motivational interviewing, nutrition education, cooking demonstrations, taste testing, and culturally relevant group discussions to increase consumption of diverse minimally processed plant foods and reduce food neophobia. Participants attend three monthly in-person group sessions, each lasting approximately 60 minutes and delivered during Food Rx produce distribution events. Sessions include guided motivational interviewing (15 minutes), a live recipe demonstration and taste testing (30 minutes), and a discussion on adapting healthy eating practices to participants' cultural and household preferences (15 minutes).

Study groups in NCT07792564
Study groupRoleWhat they receive
Single Arm IntervnetionExperimentalParticipants receive a culturally tailored nutrition education intervention consisting of three monthly group sessions that include motivational interviewing, live cooking demonstrations, food tasting, and culturally adapted dietary discussions designed to improve diet quality and reduce nutrition-related cardiometabolic disease risk among Food Rx participants. Sessions are delivered during Food Rx produce distribution events over a 3-month period, followed by a 30 day follow-up assessment period.
Receives: Behavioral: Diet Quality Matters (DQM) Nutrition Education and Culinary Skills Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Diet Quality - GDQQ GDR Score

    Change in overall diet quality as measured by the Global Dietary Quality Questionnaire (GDQQ)-Global Dietary Recommendations (GDR) Score. Range 0-18 with higher score indicating better diet quality. Calculated by GDR Score = NCD-Protect Score - NCD-Limit socre + 9

    Measured: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session

  2. Change in Diet Quality - MDS

    Change in overall diet quality as measured by the PREDIMED Mediterranean Diet Score. Range 0-9 with higher score indicating increased adherence to mediterranean diet.

    Measured: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session

  3. Change in NCD-Protect Score

    Change in consumption of food groups associated with protection against noncommunicable diseases (NCDs) will be assessed using the NCD-Protect score derived from the Global Diet Quality Questionnaire (GDQQ). The score reflects consumption of health-promoting food groups, including fruits, vegetables, whole grains, legumes, nuts and seeds, and other recommended foods represented in the GDQQ. Higher scores indicate greater consumption of NCD-protective foods and a more favorable dietary pattern with a range 0-9

    Measured: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session

  4. Change in NCD-Limit Score

    Change in consumption of food groups recommended for limitation for prevention of noncommunicable diseases (NCDs) will be assessed using the NCD-Limit score derived from the Global Diet Quality Questionnaire (GDQQ). The score reflects consumption of foods that dietary recommendations advise limiting, such as highly processed foods and foods high in added sugars, sodium, or unhealthy fats, as represented in the GDQQ. Lower scores indicate lower consumption of foods recommended for limitation and a more favorable dietary pattern with a range 0-9.

    Measured: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session

  5. Change in Food Neophobia

    Change in willingness to try new or unfamiliar foods as measured by the Food Neophobia Scale (FNS). The Food Neophobia Scale (FNS) is a 10-item questionnaire to measure an individual's reluctance to eat unfamiliar or novel foods. It uses a 7-point Likert scale (1 = strongly disagree to 7 = strongly agree), yielding total scores from 10 to 70, where higher scores show greater food neophobia

    Measured: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session.

Secondary outcomes (7)
  1. Change in Cardiometabolic Risk Indicators - BMI

    Change in body mass index (BMI). Weight and height will be combined to report BMI in kg/m^2

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

  2. Change in Cardiometabolic Risk Indicators - Grip Strength

    Change in grip strength (kg) using dynamometer.

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

  3. Change in Cardiometabolic Risk Indicators - Systolic BP

    Change in systolic blood pressure (mmHg) collected using sphygmomanometer.

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

  4. Change in Cardiometabolic Risk Indicators - Diastolic BP

    Change in diastolic blood pressure (mmHg). Collected using sphygmomanometer.

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

  5. Change in Food Security

    Change in food security status assed using one question, "In the last 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?" An answer of "yes" indicates a high risk for very low food security.

    Measured: Baseline to 30 days post last intervention session.

  6. Change in Food Resource Management Skills

    Change in food resource management skills. Food resource management will be assessed using 5 questions evaluating participants' food management behaviors. Each item is rated on a 5-point scale ranging from 1 (Never) to 5 (Always). Item responses are summed to generate a total score ranging from 5 to 25, with higher scores indicating greater ability to manage food resources effectively.

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

  7. Change in Behavior Self Confidence

    Self-confidence in food resource management will be assessed using 4 items evaluating participants' confidence in their ability to purchase healthy foods for their family on a budget, select the best-priced forms of fruits and vegetables, make food money last throughout the month, and prepare low-cost meals. Each item is rated on a 5-point scale ranging from 1 (Not at all confident) to 5 (Very confident). Responses are summed to generate a total score ranging from 4 to 20, with higher scores indicating greater self-confidence in managing food resources and preparing affordable meals. Change in total score will be evaluated from baseline to follow-up.

    Measured: Baseline, prior to study intervention, and again 30 days post last intervention session.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2026
  2. Study start21 May 2026
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion1 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07792564
Sponsor's protocol ID
IRB-25-0966
Other IDs
UL1TR001881, P50MD017366
Status last verified
Aug 2026
First submitted
24 Jul 2026
Last updated
28 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Diet Quality Matters (DQM) Nutrition Education and Culinary Skills Program in people with NON APPLICABLE, run by University of California, Los Angeles at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Frederick Ferguson, MD, MS (336-686-2355, fferguson@mednet.ucla.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Diet Quality - GDQQ GDR Score (time frame: Assessed at baseline, prior to study intervention, and again 30 days post last intervention session). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2026.

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