A Pilot, 3-arm Randomized Controlled Trial of a Fruit and Vegetable Prescription Program for Patients With Type Two Diabetes
Milton S. Hershey Medical Center
Summary
Dietary intake of fruits and vegetables (F\&V) is a cornerstone for the treatment of type 2 diabetes, however less than 16% of Hispanic adults consume the recommended number of servings each day. F\&V prescription (F\&V Rx) programs are embedded into clinical settings and provide patients with vouchers to purchase F\&V at local retailers. The proposed study aims to test the effects of a F\&V Rx on diabetes self-management education and support (DSME/S) uptake and retention, dietary intake of F\&V and diet quality, glucose control (hemoglobin A1c), and program implementation outcomes.
Description
Consuming a nutrient-dense diet, rich in fruits and vegetables (F\&Vs) is at the cornerstone of type 2 diabetes (T2DM) treatment. Yet, among Hispanic adults, only 16% meet the recommended minimum F\&V intake recommendations and have higher rates of T2DM than non-Hispanic whites (16.6% versus 13.3%, respectively). F\&V Prescription (F\&V Rx) programs are embedded in clinical settings, target medically high-risk patients such as those with T2DM, and provide them with vouchers to purchase F\&V at local retailers. Preliminary F\&V Rx studies in patients with T2DM have found F\&V intake increases o…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Patient at Penn State Health St. Joe's Medical Center * Diagnosis of Type 2 Diabetes Mellitus greater than or equal to six months * A1c level is greater than or equal to 7% (53 mmol/mol) * Low income defined as enrolled in Supplemental Nutrition Assistance Program (SNAP), is uninsured or have Medicaid, or identifying as food insecure based on USDA criteria. * Ability to give a blood sample * Willing to respond to contacts from study staff over the study period * Willing and able to give informed consent * Can read and write in English or Spanish Exclusion Criteria: * D…
Interventions
- BehavioralUsual Care
Visit with a primary care provider and referral for diabetes self-management education and support (DSME/S) sessions
- BehavioralF&V Rx alone
Usual Care plus four F\&V prescriptions that are independent of DSME/S attendance
- BehavioralF&V Rx plus DSME/S
Usual Care plus four F\&V prescriptions that are dependent on DSME/S attendance
Location
- Penn State Health St. Joseph Downtown CampusReading, Pennsylvania