Food for Health: a produce prescription program for rural Native American older adults
A Produce Prescription Program Aimed at Reducing Food Insecurity and Type 2 Diabetes Risk Among Native American Older Adults
This project will try giving produce vouchers to Native American adults 55 and older on the Flathead Reservation who have or are at risk for type 2 diabetes to see if it reduces food insecurity and improves diet and blood sugar.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 43 (estimated) |
| Ages | 55 Years and up |
| Sex | All |
| Sponsor | University of Montana Academic / other |
| Locations | 1 site (Arlee, Montana) |
| Trial ID | NCT07254689 on ClinicalTrials.gov |
What this trial studies
The Food for Health (F4H) project implements a Produce Prescription Program (PPP) tailored for rural Native American older adults on the Flathead Reservation. Local healthcare providers will issue vouchers redeemable for fruits and vegetables at partner food outlets, building on services from the tribal health department and the Food Resource Center. The interventional program enrolls adults 55+ who self-identify as Native American, screen positive for food insecurity, and have diabetes or prediabetes, and tracks outcomes including food security, diet quality, and glycemic markers. Activities are delivered through the Arlee Health Center in partnership with the Confederated Salish and Kootenai Tribes and include culturally relevant nutrition supports.
Who should consider this trial
Good fit: Ideal candidates are Native American adults aged 55 or older who live on the Flathead Reservation, screen positive for food insecurity, and have diabetes or prediabetes.
Not a fit: People with end-stage renal disease, those whose provider advises against participation, or individuals who do not live on the Flathead Reservation are unlikely to be eligible or benefit.
Why it matters
Potential benefit: If successful, the program could increase access to fresh produce, reduce food insecurity, and help lower diabetes risk among participating older Native American adults.
How similar studies have performed: Produce prescription programs have shown improved diet quality and reduced food insecurity in other populations, but there is limited evidence specifically among rural Native American older adults.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 55 years or older * Live on the Flathead Reservation * Self-identify as Native American (NA) * Food insecurity, as determined using Hunger Vital Sign™, a two question screener asked by providers. * Diabetes diagnosis * Pre-diabetic based on HbA1c lab results of (5.7-6.4%) or scores 5+ on the National Diabetes Prevention Programs screener based on health and history. Exclusion Criteria: * Individuals with end-stage renal disease * Their health provider states they should not participate
Where this trial is running
Arlee, Montana
- Arlee Health Center — Arlee, Montana, United States (Recruiting)
Study contacts
- Study coordinator: Maja Pedersen, PhD
- Email: maja.pedersen@mso.umt.edu
- Phone: 907-590-9694
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.