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Peer-reviewedCC BY-NC-NDThe Journal of nutrition

Restaurant-based NEW Soul intervention with meal provision improves weight loss among African American adults versus meal provision alone

  1. 1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
  2. 2Prevention Research Center, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208, USA
  3. 3Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC, 29208, USA

Abstract

BACKGROUND: African-American adults have disparate rates of chronic disease, and plant-based diets pose 1 way to mitigate disease risk. Dissemination and implementation (D&I) studies of nutrition programs in community settings are needed to scale successful interventions. OBJECTIVES: This type 2 hybrid effectiveness trial reports outcomes of weight loss (kg), diet quality (Healthy Eating Index score), and blood pressure (mmHg) among African-American adults in a 12-wk nutrition intervention. METHODS: ) were randomly assigned to a 12-wk intervention, attending weekly classes with 1 free weekly meal (intervention) or 1 free weekly meal only (control). The study took place from 2022 to 2025 and enrolled participants in 3 different restaurants in 2 cities-Columbia, SC, United States, and Augusta, GA, United States. RESULTS: The study enrolled 236 participants across 6 cohorts (average age: 48.5 ± 9.1 y and 81% females); cohorts ranged in size from 11 to 53. Participants in the intervention group lost more weight than participants in the control group (between-group change: -1.1 ± 0.5 kg; P = 0.01), and both groups exhibited significant within-group weight loss. Participants exhibited significant within-group improvements in diet quality after 12 wk, but there was no between-group difference (4.5 ± 4.0; P = 0.26). Participants in the control group exhibited significant improvements in systolic and diastolic blood pressure. No between-group differences were observed in systolic (2.0 ± 2.0; P = 0.30) or diastolic blood pressure (change 1.6 ± 1.4; P = 0.28). CONCLUSIONS: Restaurants are viable partners in conducting implementation research. In this D&I trial implemented in community restaurants, African-American adults lost weight. Future studies should focus on implementation outcomes and continued scale-up of the program. This trial was registered at clinicaltrials.gov as NCT05659966.

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BibTeX
@article{bernhart2026restaurantbased,
  title = {{Restaurant-based NEW Soul intervention with meal provision improves weight loss among African American adults versus meal provision alone}},
  author = {John A. Bernhart and Gabrielle M. Turner-McGrievy and Alexis Bell and Sara Wilcox and A. Caroline Rudisill and Taylor Duncan and Crystal Peterson and Judy Etheredge},
  journal = {The Journal of nutrition},
  year = {2026},
  month = sep,
  doi = {10.1016/j.tjnut.2026.101826},
  url = {https://doi.org/10.1016/j.tjnut.2026.101826},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Restaurant-based NEW Soul intervention with meal provision improves weight loss among African American adults versus meal provision alone
AU  - John A. Bernhart
AU  - Gabrielle M. Turner-McGrievy
AU  - Alexis Bell
AU  - Sara Wilcox
AU  - A. Caroline Rudisill
AU  - Taylor Duncan
AU  - Crystal Peterson
AU  - Judy Etheredge
PY  - 2026
DA  - 2026/09/11
JO  - The Journal of nutrition
DO  - 10.1016/j.tjnut.2026.101826
UR  - https://doi.org/10.1016/j.tjnut.2026.101826
AB  - BACKGROUND: African-American adults have disparate rates of chronic disease, and plant-based diets pose 1 way to mitigate disease risk. Dissemination and implementation (D&I) studies of nutrition programs in community settings are needed to scale successful interventions. OBJECTIVES: This type 2 hybrid effectiveness trial reports outcomes of weight loss (kg), diet quality (Healthy Eating Index score), and blood pressure (mmHg) among African-American adults in a 12-wk nutrition intervention. METHODS: ) were randomly assigned to a 12-wk intervention, attending weekly classes with 1 free weekly meal (intervention) or 1 free weekly meal only (control). The study took place from 2022 to 2025 and enrolled participants in 3 different restaurants in 2 cities-Columbia, SC, United States, and Augusta, GA, United States. RESULTS: The study enrolled 236 participants across 6 cohorts (average age: 48.5 ± 9.1 y and 81% females); cohorts ranged in size from 11 to 53. Participants in the intervention group lost more weight than participants in the control group (between-group change: -1.1 ± 0.5 kg; P = 0.01), and both groups exhibited significant within-group weight loss. Participants exhibited significant within-group improvements in diet quality after 12 wk, but there was no between-group difference (4.5 ± 4.0; P = 0.26). Participants in the control group exhibited significant improvements in systolic and diastolic blood pressure. No between-group differences were observed in systolic (2.0 ± 2.0; P = 0.30) or diastolic blood pressure (change 1.6 ± 1.4; P = 0.28). CONCLUSIONS: Restaurants are viable partners in conducting implementation research. In this D&I trial implemented in community restaurants, African-American adults lost weight. Future studies should focus on implementation outcomes and continued scale-up of the program. This trial was registered at clinicaltrials.gov as NCT05659966.
SN  - 0022-3166
SN  - 1541-6100
ER  -