Grocery Prescription Program for Medicaid Adults With Hypertension or Type 2 Diabetes

Alison Gustafson50 enrolled

Overview

The purpose of this study is to evaluate the effectiveness of a grocery prescription program in adults diagnosed with either Type 2 Diabetes Mellitus or Hypertension. Participants will enroll in Instacart Fresh Funds program. Once enrolled each week participants will select foods that are eligible in the Fresh Funds Program to be delivered to their home for 12 weeks. Participants will also participate in a survey at the beginning of the study and at the end of the study.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Type 2 Diabetes Mellitus Hypertension

Interventions

Fresh FundsBEHAVIORAL

Participants will enroll in Instacart Fresh Funds program. Once enrolled participants will select foods that are eligible in the Fresh Funds to be delivered to their home each week for 12 weeks.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 64 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of Type 2 Diabetes Mellitus, hemoglobin A1c = 7.0% and = 12.0% in last 12 months, or diagnosis of hypertension * Experiencing food insecurity as indicated by 2-item Hunger Vital Sign * English speaking * No plans to move from the area for at least 1 year * Willing and able to accept text messages * Free living to the extent that participant has control over dietary intake * Willing and able to provide written informed consent and participate in all study activities. Exclusion Criteria: * Participant in diabetes, nutrition, or weight research intervention in last 12 months * Another member of the household is already enrolled in this study * Considering bariatric surgery in the next year or prior bariatric surgery * Lack of safe, stable residence and ability to store meals

Locations (1)

University of Kentucky

Lexington, Kentucky, United States

Outcomes

Primary Outcomes

Number of participants with a percentage change in Hemoglobin A1C (HbgA1C)

HbgA1C will be obtained baseline and post intervention by the healthcare provider from the medical chart.

Time frame: baseline and post intervention, approximately 12 weeks

Secondary Outcomes

Change in blood pressure

Both systolic and diastolic blood pressure will be obtained baseline and post intervention by the healthcare provider from the medical chart.

Time frame: baseline and post intervention, approximately 12 weeks

Change in food insecurity

The USDA 6 item food insecurity screener will be used. The scale ranges from 0 to 6 with a higher score indicating greater food insecurity.

Time frame: baseline and post intervention, approximately 12 weeks

Data from ClinicalTrials.gov

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