The KP Personal Shopper: A Pilot to Improve the Impact of Dietary Advice
The KP Personal Shopper: A Pilot to Improve the Impact of Dietary Advice
Randomized trial of grocery-store based nutrition counseling visits for weight management vs.
 in-office visits. The investigators will test pre- and post-intervention individual-level
 dietary quality, knowledge, self-efficacy around dietary choice, and cost of shopping,
 measuring difference between intervention and control arms. At the study's end, the
 investigators will also conduct focus groups with a subset of 20 patients (10 from each arm)
 and do a structured interview with the dietitian to better understand the feasibility,
 strengths and shortcomings of this approach. Patients who complete the main portion of the
 trial will be randomly selected for recruitment into a focus group and consented separately
 for that focus group at the end of the study.

 The investigators hypothesize that, compared to office-based visits, the KP Personal Shopper
 visits will result in higher member diet quality scores, better nutritional knowledge scores,
 higher self-efficacy and confidence around food purchasing decisions, and more favorable
 perception of the visit by both dietician and member. The KP Personal Shopper approach may
 also result in increased grocery store costs for some members. Long-term, the investigators
 hypothesize that improvements in member perception, knowledge and dietary quality will lead
 to improved health outcomes.
Inclusion Criteria:

 -  Employee population of a specific Southeastern U.S. County

 -  18-64 years of age

 -  Body Mass Index greater than or equal to 30kg/m^2 (Obese)

 -  Low rate of no-shows for office visits (<10%)

 -  Saw PCP or other provider in past 12 months

 -  Does at least 50% of the food shopping and/or food preparation for their household

 Exclusion Criteria:

 -  non-English speaking

 -  Currently being treated for cancer (other than non-melanoma skin cancer)

 -  Pregnant or planning pregnancy in the next 6 months

 -  Had or considering having bariatric surgery

 -  Currently participating in commercial weight loss program (e.g. Jenny Craig)

 -  Currently enrolled in another weight management or nutrition study