About this trial
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.
Eligibility criteria
Qualifiers
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
Disqualifiers
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
Trial design
Treatments tested in this trial
- Vida Sana (a Group Lifestyle Intervention)
- Supplemental Healthy Food Deliveries
Treatment groups
Sponsors and collaborators
Stanford University
Lead sponsor
La Clínica de La Raza Inc.
Collaborator
National Institutes of Health (NIH)
Collaborator
Dig Deep Farms
Collaborator
Yeyi Organics
Collaborator
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator