Addressing Diabetes by Elevating Access to Nutrition
Recruiting
N/AInterventional Study
DiabetesObesityLifestyle, Healthy
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
360 (estimated)
Sponsor
Stanford University · Other
Who this trial is looking for
This trial is looking for Latino adults with type 2 diabetes who experience food insecurity. Participants will receive weekly food deliveries and lifestyle support to help improve their health over six months.
Are You a Good Fit for This Trial?
You may be able to join if
I am 18 years or older.
I identify as Hispanic, Latino, Chicano, or Spanish.
I have been diagnosed with type 2 diabetes.
I experience food insecurity.
I have a body mass index (BMI) of 25 or higher.
I receive care at a community health center.
I live in Alameda or Contra Costa County and won’t move in the next year.
I have access to a phone or computer with internet.
You may not be able to join if
I cannot provide informed consent.
I cannot speak, read, or understand English or Spanish.
I have active substance use or serious mental health issues.
I do not have a mailing address for food delivery.
I plan to move out of the area in the next year.
I am pregnant or planning to become pregnant in the next year.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
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 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.
Trial Locations
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Eligibility Criteria
Inclusion 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) dia…
Inclusion 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
Exclusion Criteria:
* 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
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