Addressing Diabetes by Elevating Access to Nutrition

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.

Conditions

Diabetes, Obesity, Lifestyle, Healthy

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Study Overview

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Study Details

Study overview

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.

Addressing Diabetes by Elevating Access to Nutrition: the ADELANTE Study

Addressing Diabetes by Elevating Access to Nutrition

Condition
Diabetes
Intervention / Treatment

-

Contacts and Locations

Concord

La Clínica Monument, Concord, California, United States, 94518

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.

For general information about clinical research, read Learn About Studies.

Eligibility 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
  • * 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

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Stanford University,

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

Study Record Dates

2027-09