Impact of a Community Health Worker Strategy on Produce Prescription Program Uptake Among People With Diabetes

Description

Produce prescription programs (PRx) are promising interventions for improving health outcomes for patients with both type 2 diabetes (T2D) and food insecurity, but uptake has been suboptimal. There is a critical need for scalable, evidence-based implementation strategies for improving PRx uptake and optimizing the effectiveness and cost-effectiveness of these interventions. This study will co-design and pilot a community health worker (CHW) strategy and test the effectiveness of the strategy compared to PRx participants without a CHW. The overall objective of this study is to test and evaluate a theory-informed, user-centered community health worker (CHW) implementation strategy to improve uptake of a PRx, among Hispanic Medicaid-eligible patients with T2D in Connecticut (CT). CHWs will offer participants personalized support by overcoming barriers and leveraging facilitators to PRx uptake.

Conditions

Diabetes Type 2

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Study Overview

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Study Details

Study overview

Produce prescription programs (PRx) are promising interventions for improving health outcomes for patients with both type 2 diabetes (T2D) and food insecurity, but uptake has been suboptimal. There is a critical need for scalable, evidence-based implementation strategies for improving PRx uptake and optimizing the effectiveness and cost-effectiveness of these interventions. This study will co-design and pilot a community health worker (CHW) strategy and test the effectiveness of the strategy compared to PRx participants without a CHW. The overall objective of this study is to test and evaluate a theory-informed, user-centered community health worker (CHW) implementation strategy to improve uptake of a PRx, among Hispanic Medicaid-eligible patients with T2D in Connecticut (CT). CHWs will offer participants personalized support by overcoming barriers and leveraging facilitators to PRx uptake.

Impact of a Community Health Worker Strategy on Produce Prescription Program Uptake Among People With Diabetes

Impact of a Community Health Worker Strategy on Produce Prescription Program Uptake Among People With Diabetes

Condition
Diabetes Type 2
Intervention / Treatment

-

Contacts and Locations

Hartford

Hartford HealthCare/ St. Vincent Medical Center, Hartford, Connecticut, United States, 06102

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

  • * Be a current primary or specialty care patient at Hartford Hospital
  • * Live in Hartford County
  • * Identify as Hispanic
  • * Have a current diagnosis of Type II Diabetes
  • * Be eligible for Medicaid based on household income and size.
  • * Does not speak English or Spanish
  • * Has a diagnosis of gestational diabetes
  • * Individuals who are members of vulnerable populations, such as individuals who are incarcerated and individuals who are not able to consent.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Yale University,

Rafael Perez-Escamilla, MD, PRINCIPAL_INVESTIGATOR, Yale School of Public Health

Study Record Dates

2025-06