Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial
Background Food Is Medicine interventions show promise for improving cardiovascular health outcomes, particularly for addressing disparities affecting Black and Hispanic populations. However, their development often lacks community co‐creation. Human‐centered design approaches can enhance the accept...
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2025-08-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.125.041846 |
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| author | Khadijat Adeleye Kennedy McDaniel Irma Iribe Adeline Assani‐Uva Janice Dugbartey Aminata Sinyan Bijaya Bhattarai Samantha DeMarco Tosin Tomiwa Mojisola Olusola‐Bello Chelsea Akubo Faith E. Metlock D’Janee Kyeremeh Adrián McMahon Maya Kramer‐Johansen India Washington Peiyu Chen Christy Rodriguez Mia Johnson William Xiao Samuel Gledhill Samuel Yeboah‐Manson Natania Kurien Lydia Vassiliadi Jennifer Freeman Anna Maria Izquierdo‐Porrera Lessly Palencia Valerie K. Sullivan Yvonne Commodore‐Mensah Oluwabunmi Ogungbe |
| author_facet | Khadijat Adeleye Kennedy McDaniel Irma Iribe Adeline Assani‐Uva Janice Dugbartey Aminata Sinyan Bijaya Bhattarai Samantha DeMarco Tosin Tomiwa Mojisola Olusola‐Bello Chelsea Akubo Faith E. Metlock D’Janee Kyeremeh Adrián McMahon Maya Kramer‐Johansen India Washington Peiyu Chen Christy Rodriguez Mia Johnson William Xiao Samuel Gledhill Samuel Yeboah‐Manson Natania Kurien Lydia Vassiliadi Jennifer Freeman Anna Maria Izquierdo‐Porrera Lessly Palencia Valerie K. Sullivan Yvonne Commodore‐Mensah Oluwabunmi Ogungbe |
| author_sort | Khadijat Adeleye |
| collection | DOAJ |
| description | Background Food Is Medicine interventions show promise for improving cardiovascular health outcomes, particularly for addressing disparities affecting Black and Hispanic populations. However, their development often lacks community co‐creation. Human‐centered design approaches can enhance the acceptability and feasibility of interventions through co‐design processes. We aimed to co‐design the THRIVE program (Adaptive Personalized Dietitian Coaching and Messaging With Produce Prescriptions to Improve Healthy Dietary Behaviors) among Black and Hispanic adults with hypertension living in healthy food priority areas in Maryland. Methods Using social cognitive theory and the human‐centered design double‐diamond framework, 3 iterative co‐design sessions were conducted. The first session included an orientation/listening (virtual), followed by 2 in‐person prototyping and process mapping sessions. Participants included community residents with hypertension, health care providers, local food system representatives, and community organization leaders. Data collection included detailed session notes, post‐session surveys, prototypes, and documentation of visual outputs. Content analysis identified key implementation themes. Results Thirty‐six community stakeholders (29 female, 6 male, 17 English‐speaking, 18 Spanish‐speaking/bilingual) participated. Three primary themes emerged: (1) health care system integration, emphasizing personalized dietitian support with cultural competency; (2) food access and education, highlighting flexible produce prescription programs with practical nutrition education; and (3) community empowerment, emphasizing peer support networks. Process evaluation demonstrated high engagement, with 100% reporting valued contributions and 92% recommending similar approaches for future cardiovascular interventions. Conclusions Human‐centered design effectively guided community engagement in the development of a contextually tailored Food Is Medicine intervention. Integrating human‐centered design with implementation science creates more effective, equitable, and sustainable health interventions for addressing complex health challenges. |
| format | Article |
| id | doaj-art-a7812d855bf9467bb46eab9807b04434 |
| institution | Kabale University |
| issn | 2047-9980 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-a7812d855bf9467bb46eab9807b044342025-08-20T04:02:14ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-08-01141510.1161/JAHA.125.041846Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot TrialKhadijat Adeleye0Kennedy McDaniel1Irma Iribe2Adeline Assani‐Uva3Janice Dugbartey4Aminata Sinyan5Bijaya Bhattarai6Samantha DeMarco7Tosin Tomiwa8Mojisola Olusola‐Bello9Chelsea Akubo10Faith E. Metlock11D’Janee Kyeremeh12Adrián McMahon13Maya Kramer‐Johansen14India Washington15Peiyu Chen16Christy Rodriguez17Mia Johnson18William Xiao19Samuel Gledhill20Samuel Yeboah‐Manson21Natania Kurien22Lydia Vassiliadi23Jennifer Freeman24Anna Maria Izquierdo‐Porrera25Lessly Palencia26Valerie K. Sullivan27Yvonne Commodore‐Mensah28Oluwabunmi Ogungbe29Elaine Marieb College of Nursing University of Massachusetts Amherst MA USAJohns Hopkins School of Nursing Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USAHoly Cross Hospital Silver Spring MD USAJohns Hopkins School of Nursing Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USASchool of Medicine Johns Hopkins University Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USAChobanian & Avedisian School of Medicine Boston University Boston MA USAJohns Hopkins School of Nursing Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAJohns Hopkins Bloomberg School of Public Health Baltimore MD USAJohns Hopkins Bloomberg School of Public Health Baltimore MD USAJohns Hopkins Bloomberg School of Public Health Baltimore MD USASchool of Medicine Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USAZanvyl Krieger School of Arts and Sciences Johns Hopkins University Baltimore MD USACommunity FarmShare Poolesville MD USACare for Your Health Inc. Silver Spring MD USACare for Your Health Inc. Silver Spring MD USAJohns Hopkins Bloomberg School of Public Health Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USAJohns Hopkins School of Nursing Baltimore MD USABackground Food Is Medicine interventions show promise for improving cardiovascular health outcomes, particularly for addressing disparities affecting Black and Hispanic populations. However, their development often lacks community co‐creation. Human‐centered design approaches can enhance the acceptability and feasibility of interventions through co‐design processes. We aimed to co‐design the THRIVE program (Adaptive Personalized Dietitian Coaching and Messaging With Produce Prescriptions to Improve Healthy Dietary Behaviors) among Black and Hispanic adults with hypertension living in healthy food priority areas in Maryland. Methods Using social cognitive theory and the human‐centered design double‐diamond framework, 3 iterative co‐design sessions were conducted. The first session included an orientation/listening (virtual), followed by 2 in‐person prototyping and process mapping sessions. Participants included community residents with hypertension, health care providers, local food system representatives, and community organization leaders. Data collection included detailed session notes, post‐session surveys, prototypes, and documentation of visual outputs. Content analysis identified key implementation themes. Results Thirty‐six community stakeholders (29 female, 6 male, 17 English‐speaking, 18 Spanish‐speaking/bilingual) participated. Three primary themes emerged: (1) health care system integration, emphasizing personalized dietitian support with cultural competency; (2) food access and education, highlighting flexible produce prescription programs with practical nutrition education; and (3) community empowerment, emphasizing peer support networks. Process evaluation demonstrated high engagement, with 100% reporting valued contributions and 92% recommending similar approaches for future cardiovascular interventions. Conclusions Human‐centered design effectively guided community engagement in the development of a contextually tailored Food Is Medicine intervention. Integrating human‐centered design with implementation science creates more effective, equitable, and sustainable health interventions for addressing complex health challenges.https://www.ahajournals.org/doi/10.1161/JAHA.125.041846community engagementFood Is Medicinehuman‐centered designhypertensionnutrition |
| spellingShingle | Khadijat Adeleye Kennedy McDaniel Irma Iribe Adeline Assani‐Uva Janice Dugbartey Aminata Sinyan Bijaya Bhattarai Samantha DeMarco Tosin Tomiwa Mojisola Olusola‐Bello Chelsea Akubo Faith E. Metlock D’Janee Kyeremeh Adrián McMahon Maya Kramer‐Johansen India Washington Peiyu Chen Christy Rodriguez Mia Johnson William Xiao Samuel Gledhill Samuel Yeboah‐Manson Natania Kurien Lydia Vassiliadi Jennifer Freeman Anna Maria Izquierdo‐Porrera Lessly Palencia Valerie K. Sullivan Yvonne Commodore‐Mensah Oluwabunmi Ogungbe Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease community engagement Food Is Medicine human‐centered design hypertension nutrition |
| title | Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial |
| title_full | Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial |
| title_fullStr | Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial |
| title_full_unstemmed | Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial |
| title_short | Applications of Human‐Centered Design to Food Is Medicine Interventions: The THRIVE Pilot Trial |
| title_sort | applications of human centered design to food is medicine interventions the thrive pilot trial |
| topic | community engagement Food Is Medicine human‐centered design hypertension nutrition |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.125.041846 |
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