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Impact & Data

Optimize your Population Health Strategy

The EatWell Impact Report gives you the SDoH knowledge you need to maximize program impact and cost savings.

The EatWell Impact Report is an analytics-based executive summary of your populations’ health. Focused insights on social determinants like food access, plus behavior change and program progress data, to give you the knowledge you need to improve patient health and reduce cost of care.

Glanceable insights

Digestible summaries deliver cohort highlights and insights customized to your organization’s population health strategy & KPIs.

Close the knowledge gap

Enable providers to make the most of their consults by arming them with data on individual patient challenges, nutrition, and dietary habits.

Unique data

Information on food access and behavior change gives you a deeper understanding of your population to make informed strategic decisions.

How it works

The EatWell Impact Report collects data at various patient touchpoints and leverages proprietary analytics to yield easily-digested information with actionable insights, delivered in a monthly report.

Patient data collected via various EatWell touchpoints

SDoH insights generated from proprietary analytics co-developed with American Medical Association

Population health executive summaries delivered on a monthly basis

Our Impact Philosophy and goals

We believe wholesome food changes lives. Since its foundation, EatWell Meal Kits has been dedicated to evidence-based impact validation of this belief to understand patient needs better and improve product satisfaction and strengthen the body of research supporting Food is Medicine.

Impact Model

EatWell’s impact goals align with the United Nations’ Sustainable Development Goals, particularly, Goal 2: Zero Hunger, and Goal 3: Good Health and Wellbeing. Our theory of change for achieving these goals looks at patient progress in four cumulative tiers:

Social Determinants of Health

EatWell first looks to alleviate the most immediate and pressing needs: food insecurity, food access, and food affordability. Metrics like the Hunger Vital Sign and Food Stability tools are frequently used. We also consider measures that evaluate cooking skills and nutrition knowledge in this tier.

Behavior change

Next, we validate that the alleviation of barriers posed by the social determinants of health is leading to healthful behavior change: patient cooking habits and food frequency questions looking at fruit, vegetable, and whole grain consumption are typically used.

Clinical health

At the foundation of our impact spectrum is the alleviation of food insecurity, and at the top of the range is patient health and well-being. By equipping patients with nutritious resources and the skills to use them, we can see sustainable healthy habits leading to improvements in clinical health. This validation begins with a selection from the CDC’s Healthy Days tool for all patients. It is elaborated on with biometric data like systolic blood pressure, HbA1c levels, and similar metrics based on a patient’s disease burden.

Cost-effectiveness

The US has greater healthcare expenses per capita than any other nation. As such, it is not enough for an intervention to be effective; it must also be cost-effective if it is to be a scalable, sustainable, and accessible solution to the most vulnerable populations. To evaluate cost-effectiveness, EatWell has pioneered an evaluation algorithm developed with support from the American Medical Association. This model looks at the cost of our services compared against both short and long-term health outcomes, changes in diagnosis prospective or prognosis, and impact on preventable service utilization. Such a preventive approach offers the greatest impact on both costs of care and quality of life.

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Research Partners

Dr. Sabrina Noel

University of Massachusetts

EatWell is currently collaborating with Dr. Sabrina Noel at the University of Massachusetts Lowell to study the impact of meal kits on psycho-physiological stress, dietary quality, and cardio-metabolic risk factors and outcomes among high-risk cardio metabolic patients.

Dr. Allison Wu

Boston Children's Martha Eliot Health Center

EatWell is currently collaborating with Dr. Allison Wu at Boston Children's Martha Eliot Health Center to study the feasibility and implementation of meal kit delivery among families with children with obesity and food insecurity.

Work with EatWell to expand the Food Is Medicine evidence-base!

Research History
Ongoing and Prospective projects
EatWell is currently engaged in a feasibility study led by an attending physician from Boston Children's Hospital. This research examines the impact of our meal kits on families with children who are food insecure and obese. EatWell also has a pending application with the NIH to fund a Phase III RCT, expanding the formative work of UMass Lowell in Phase II. If funded, this research would begin as early as June 2023. EatWell is also currently collecting data for a matched case-control retrospective analysis among patients living with HIV, also being led by research partners at UMass Lowell.
Phase II Research

Following the success of our pilot, impact research was scaled with EatWell’s academic research partners from UMass Lowell. 50 food insecure families were enrolled from more than 5 collaborating community health centers across Boston. While the formal analysis of this data is still ongoing, preliminary data was compelling and selected to be shared at an NIH conference on nutrition, hunger, and food security. The poster with preliminary data can be found here.

Pilot Proof of Concept
While the first 2 years of EatWell’s sales were paired with numerous surveys and interviews of end users, our first formal research began with a proof of concept pilot with 14 patients from Neponset Health Center evaluating the feasibility of a Food is Medicine meal kit intervention. Patients loved the meal kits, and a similar feasibility study was launched with a cohort of 9 diabetic, food insecure patients.
Community Needs Assessment

EatWell began with a community needs assessment of more than 80 families from food insecure communities in the greater Boston area. Participants were interviewed about their shopping, cooking, and dietary habits; the challenges they faced; and potential solutions. From this community-engaged research, EatWell was born.

Other resources / chain of evidence
The Cost of Diabetes Care—An Elephant in the Room

Matthew C. Riddle, William H. Herman; The Cost of Diabetes Care—An Elephant in the Room. Diabetes Care 1 May 2018; 41 (5): 929–932.

ONLINE
A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States

Seligman HK, Lyles C, Marshall MB, Prendergast K, Smith MC, Headings A, Bradshaw G, Rosenmoss S, Waxman E. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States. Health Aff (Millwood). 2015 Nov;34(11):1956-63.

ONLINE
Food Bank-Based Diabetes Prevention Intervention to Address Food Security, Dietary Intake, and Physical Activity in a Food-Insecure Cohort at High Risk for Diabetes

Cheyne K, Smith M, Felter EM, Orozco M, Steiner EA, Park Y, et al. Food Bank-Based Diabetes Prevention Intervention to Address Food Security, Dietary Intake, and Physical Activity in a Food-Insecure Cohort at High Risk for Diabetes, Prev Chronic Dis. 2020; 17:E04.

Patient Experiences and Provider perspectives on a hospital-based food pantry: a mixed methods evaluation study

Greenthal E, Jia J, Poblacion A, James T. Patient Experiences and Provider perspectives on a hospital-based food pantry: a mixed methods evaluation study. Public Health Nutr. 2019;22(17):3261-3269.

Design and Implementation of a Clinic-Based Food Pharmacy for Food Insecure, Uninsured Patients to Support Chronic Disease Self-Management

Wetherill MS, McIntosh HC, Beachy C, Shadid O. Design and Implementation of a Clinic-Based Food Pharmacy for Food Insecure, Uninsured Patients to Support Chronic Disease Self-Management, J Nutr Educ Behav. 2018 Oct;50(9):947-949

Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial

Seligman HK, Smith M, Rosenmoss S, Marshall MB, Waxman E. Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial. Am J Public Health. 2018;108(9):1227-1234.

Use of Hospital-Based Food Pantries Among Low-Income Urban Cancer Patients

Gany F, Lee T, Loeb R, Ramirez J, Moran A, Crist M, et al. Use of Hospital-Based Food Pantries Among Low-Income Urban Cancer Patients. J Community Health 2016 Dec;40(6):1193-200

Primary Care and Food Bank Collaboration to Address Food Insecurity: A Pilot Randomized Trial

Ferrer RL, Neira LM, De Leon Garcia GL, Cuellar K, Rodriguez J. Primary Care and Food Bank Collaboration to Address Food Insecurity: A Pilot Randomized Trial. Nutr Metab Insights 2019;12:1178638819866434.