Addressing Diabetes by Elevating Access to Nutrition

Launched by STANFORD UNIVERSITY · Jan 27, 2022

Keywords

ClinConnect Summary

The ADELANTE trial is studying how a program that delivers food and offers lifestyle support can help Latino patients with diabetes. The main goal is to see if this combined approach is better than standard care at improving blood sugar levels over six months. Researchers also want to learn how this program affects people's access to food, their eating habits, and their overall well-being, as well as how it could be used in regular healthcare settings in the future.

To participate, individuals must be at least 18 years old, identify as Hispanic or Latino, and have type 2 diabetes along with food insecurity, meaning they struggle to get enough food. They should also have a body mass index (BMI) of 25 or higher and currently receive care at specific health centers in Alameda or Contra Costa County. Participants will receive food deliveries and take part in lifestyle sessions, as well as answer some questionnaires to help researchers understand the program's impact. It's important to note that participants need internet access to join remote sessions and provide feedback.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• * For main study (index/intervention) participants:
• • Age at enrollment: 18+ years
• • Self-identified ethnicity: Hispanic, Latino, Chicano, or Spanish
• • Type 2 diabetes indicated in the electronic health record, e.g. as ICD-10 (International Classification of Diseases) diagnosis code or HbA1c value
• • Have indicated food insecurity according to the screening 2-item Hunger Vital Sign questionnaire
• • Have a Body Mass Index (BMI) =\> 25
• • Receiving care at our partnering community health centers (e.g., Clinica de la Raza)
• • Currently residing in Alameda or Contra Costa County and not expecting to relocate in the next 6-12 months
• • Have access to phone or computer, email, and some internet for access to remote intervention and completion of follow-up measures
• * For household members:
• • Age at enrollment: 12+ years
• • Significantly involved in supporting nutrition in the home including food shopping, preparation, social support for healthy nutrition
• • Willing to complete some questionnaires and attend a single group session.
• * For all participants:
• • Able and willing to provide informed consent
• Exclusion Criteria:
• • Unable to provide informed consent
• • Unable to speak, read, or understand English and/or Spanish
• • Active substance use or psychotic disorders that would impair participation in a group lifestyle intervention or interfere with follow-up assessments
• • Lacking mailing address for delivery of food box
• • Planning to relocate out of area within the next 12 months
• • Index participant only: Pregnant or planning to become pregnant within the next 12 months