Type 2 Diabetes Mellitus, Hypertension
Conditions
Keywords
Food Insecurity, Food as Medicine, Medicaid Adults
Brief summary
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.
Interventions
BEHAVIORALFresh Funds
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.
Sponsors
Instacart Health
Kentucky Association of Health Plans
Alison Gustafson
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with a percentage change in Hemoglobin A1C (HbgA1C) | baseline and post intervention, approximately 12 weeks | HbgA1C will be obtained baseline and post intervention by the healthcare provider from the medical chart. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure | baseline and post intervention, approximately 12 weeks | Both systolic and diastolic blood pressure will be obtained baseline and post intervention by the healthcare provider from the medical chart. |
| Change in food insecurity | baseline and post intervention, approximately 12 weeks | 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. |
Countries
United States
Outcome results
None listed