RECRUITING

Addressing Diabetes by Elevating Access to Nutrition

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of ADELANTE is to determine whether a multi-level intervention to improve household food insecurity and glycemic control is effective for Latino patients with diabetes. Specifically, ADELANTE aims to 1. determine whether weekly household food delivery plus an intensive lifestyle intervention is more effective than usual care for improving glycemic control (HbA1c) at 6 months, 2. examine the effects of the multi-level intervention on = household food insecurity, dietary behaviors, and psychosocial outcomes, and 3. assess the future potential for implementation and dissemination of this multi-level intervention in primary care settings.

Official Title

Addressing Diabetes by Elevating Access to Nutrition: the ADELANTE Study

Quick Facts

Study Start:2023-09-18
Study Completion:2027-09
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05228860

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * For main study (index/intervention) participants:
  2. * Age at enrollment: 18+ years
  3. * Self-identified ethnicity: Hispanic, Latino, Chicano, or Spanish
  4. * Type 2 diabetes indicated in the electronic health record, e.g. as ICD-10 (International Classification of Diseases) diagnosis code or HbA1c value
  5. * Have indicated food insecurity according to the screening 2-item Hunger Vital Sign questionnaire
  6. * Have a Body Mass Index (BMI) =\> 25
  7. * Receiving care at our partnering community health centers (e.g., Clinica de la Raza)
  8. * Currently residing in Alameda or Contra Costa County and not expecting to relocate in the next 6-12 months
  9. * Have access to phone or computer, email, and some internet for access to remote intervention and completion of follow-up measures
  10. * For household members:
  11. * Age at enrollment: 12+ years
  12. * Significantly involved in supporting nutrition in the home including food shopping, preparation, social support for healthy nutrition
  13. * Willing to complete some questionnaires and attend a single group session.
  14. * For all participants:
  15. * Able and willing to provide informed consent
  1. * Unable to provide informed consent
  2. * Unable to speak, read, or understand English and/or Spanish
  3. * Active substance use or psychotic disorders that would impair participation in a group lifestyle intervention or interfere with follow-up assessments
  4. * Lacking mailing address for delivery of food box
  5. * Planning to relocate out of area within the next 12 months
  6. * Index participant only: Pregnant or planning to become pregnant within the next 12 months

Contacts and Locations

Study Contact

Study Coordinator
CONTACT
650-725-5180
morizaga@stanford.edu

Principal Investigator

Lisa Goldman Rosas, PhD, MPH
PRINCIPAL_INVESTIGATOR
Stanford University

Study Locations (Sites)

La Clínica Monument
Concord, California, 94518
United States

Collaborators and Investigators

Sponsor: Stanford University

  • Lisa Goldman Rosas, PhD, MPH, PRINCIPAL_INVESTIGATOR, Stanford University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-09-18
Study Completion Date2027-09

Study Record Updates

Study Start Date2023-09-18
Study Completion Date2027-09

Terms related to this study

Keywords Provided by Researchers

  • food insecurity
  • community health worker
  • health coach
  • weight loss
  • HbA1c
  • T2DM
  • glycemic control
  • multilevel

Additional Relevant MeSH Terms

  • Diabetes
  • Obesity
  • Lifestyle, Healthy