What patients want– qualitative research on the patient perspective of a food is medicine intervention

Background: Medically tailored groceries (MTG) support the management of chronic, diet-related illnesses by providing healthy foods at no cost to low-income patients.Currently, the design of these innovative programs varies widely.Little is known about patient preferences for MTG program design that may increase uptake and adherence.Objective: Present patient preferences regarding program design of an innovative MTG program to improve blood sugar control.Methods: The Evaluating NutRitional Interventions in food-inseCure High-risk adults(ENRICH) randomized clinical trial (1 control:1 intervention) is enrolling 1100 Kaiser Permanente Medicaid patients with uncontrolled type 2 diabetes across California.The intervention provided a $100/month voucher for purchase of healthy foods through an online grocery shopping platform for 6 months.We conducted in-depth qualitative interviews among participants of the intervention group.Interviews were conducted until thematic saturation was reached (n = 22), and a structured rapid group analysis (Rap-GAP) was used.Results: Patients genuinely appreciated the program for the food and convenience it provided.Some faced challenges related