3.1. Study Recruitment and Enrollment Redesign
RECRUITMENT
Interview data and study team observational feedback on original elements of study design helped narrow and identify change opportunities and strategies (These challenges, combined with scheduling and coordination challenges for the study team, led us to implement an opt-in model for food assistance. This change negated the need for written consent and allowed us to streamline recruitment by collecting verbal consent during the initial phone recruitment call. Newly enrolled participants were provided a curated list of food assistance resources available in their ZIP Code and were encouraged to connect with resources convenient for them as needed. Initial study participants who wished to continue seeking services were encouraged to do so with our community organization directly or were provided with the same food assistance list as part of our transition plan. Since our community organization was no longer a centralized location for study onboarding, we moved onboarding procedures for eCM participants to the clinic where they received their primary care. Given the positive interview feedback about MNT, fewer changes were suggested and implemented for the MNT comparison arm aside from picking up their cooking supplies from the RDs at their clinic instead of the community organization.