A Fruit and Vegetable Prescription Program

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.

Eligibility

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:

* Diagnosis of Type 2 Diabetes Mellitus less than six months
* Patients who have previously participated in the Veggie Rx program in the past year
* Patients who have attended any diabetes self-management education and support (DSME/S) sessions in the past year
* Women who are pregnant or who plan to become pregnant during the study period
* Any uncontrolled mental illness or substance abuse, or inpatient treatment for these in the past six months
* Any unstable or significant medical condition in the past 3 months (e.g. recent heart attack, stroke, DVT)
* A1c level is less than 7%
* Does not speak English or Spanish
* Inability to provide informed consent
* Unable to give a blood sample

Conditions3

Locations1 site

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