{"doi":"10.1093/ajh/hpad008","title":"Rationale and Design of the Groceries for Black Residents of Boston to Stop Hypertension Among Adults Without Treated Hypertension (GoFresh) Trial","abstract":"BACKGROUND: Poor diet quality significantly contributes to hypertension disparities affecting Black adults. While the Dietary Approaches to Stop Hypertension (DASH) eating pattern lowers blood pressure (BP), access to DASH-patterned groceries is a major barrier for residents of urban food deserts. METHODS: The Groceries for Black Residents of Boston to Stop Hypertension among Adults without Treated Hypertension (GoFresh) study is one of five projects in the RESTORE Network, an AHA-funded initiative focused on hypertension prevention. GoFresh is testing whether online, dietitian-assisted, home-delivered, DASH-patterned groceries lowers BP among Black adults with elevated BP. This individual-level, parallel-arm trial will enroll up to 176 Black adults with SBP (systolic blood pressure) between 120 and <150 mm Hg residing in Boston-area communities with reduced grocery store access. Following randomization, half of the participants will be assigned to weekly sessions with a dietitian who will assist participants in ordering DASH-patterned groceries online for home delivery; the remainder will receive a $500 monthly stipend. Both interventions will last 3 months, followed by a 9-month maintenance phase. RESULTS: The primary outcome is the difference in SBP after 3 months. Secondary outcomes include a change in 24-hour ambulatory BP, body mass index, 24-hour urine sodium and potassium, hemoglobin A1C, lipids, fruit and vegetable intake, and saturated fat intake. Qualitative interviews with 45 participants 6 months after baseline assessments will determine barriers and facilitators to long-term maintenance of DASH-patterned grocery shopping. DISCUSSION: Findings from this study will inform ongoing work on scalable interventions to prevent hypertension among Black adults with implications for public and healthcare-based food supplementation programs. TRIAL REGISTRATION: NCT05121337. Registered on 16 November 2021, at ClinicalTrials.gov: https://clinicaltrials.gov/ct2/show/NCT05121337.","journal":"American Journal of Hypertension","year":2023,"id":339588,"datarank":0.5335513631941077,"base_score":2.833213344056216,"endowment":2.833213344056216,"self_citation_contribution":0.42498200160843247,"citation_network_contribution":0.1085693615856752,"self_endowment_contribution":0.42498200160843247,"citer_contribution":0.1085693615856752,"corpus_percentile":null,"corpus_rank":null,"citation_count":16,"citer_count":6,"citers_with_citation_signal":4,"citers_with_endowment":4,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9453,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT05121337"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":291341,"name":"Jennifer Cluett","orcid":"0000-0002-5744-1099","position":1,"is_corresponding":false},{"id":959707,"name":"Stephanie L. Fitzpatrick","orcid":"0000-0003-2740-5502","position":2,"is_corresponding":false},{"id":370810,"name":"Kristen M. Kraemer","orcid":"0000-0002-5532-0111","position":3,"is_corresponding":false},{"id":1074083,"name":"Kathy McManus","orcid":null,"position":4,"is_corresponding":false},{"id":291349,"name":"Kenneth J. Mukamal","orcid":"0000-0001-8450-6970","position":5,"is_corresponding":false},{"id":59268,"name":"Roger B. Davis","orcid":"0000-0003-3330-3123","position":6,"is_corresponding":false},{"id":1074084,"name":"Marwa Elborki","orcid":null,"position":7,"is_corresponding":false},{"id":1074085,"name":"Kayla Ferro","orcid":null,"position":8,"is_corresponding":false},{"id":1074086,"name":"Norah Ismail","orcid":null,"position":9,"is_corresponding":false},{"id":1073551,"name":"Emily Aidoo","orcid":"0000-0002-8959-505X","position":10,"is_corresponding":false},{"id":1073552,"name":"Fredrick Larbi Kwapong","orcid":"0000-0002-5585-632X","position":11,"is_corresponding":false},{"id":1074087,"name":"Noelle Castilla‐Ojo","orcid":null,"position":12,"is_corresponding":false},{"id":388132,"name":"Benjamin Grobman","orcid":"0000-0002-4416-6243","position":13,"is_corresponding":false},{"id":1074088,"name":"Reva Seager","orcid":null,"position":14,"is_corresponding":false},{"id":1029827,"name":"Anika L Hines","orcid":"0000-0003-3502-5606","position":15,"is_corresponding":false},{"id":291347,"name":"Edgar R. 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