Conclusions
dementia
The findings of this pilot clinical trial demonstrated the feasibility of conducting an embedded pragmatic trial within MOW programs, enrolling older adults with dementia, monitoring their fidelity, linking data, and measuring participants’ outcomes. Although there was lower nursing home placement among participants receiving daily-delivered meals, this result was not significant; however, it does suggest that proceeding to a full-scale, conclusive, pragmatic randomized clinical trial is warranted to inform decision-making about the provision of home-delivered meals for homebound older adults living with dementia. This information is important as health systems, health care professionals, medical institutions, and health plans are increasingly providing meals to patients, a large and growing number of whom are living with dementia.