Improving diabetes management through better access to nutrition
Addressing Diabetes by Elevating Access to Nutrition: the ADELANTE Study
This study is testing whether providing Latino patients with diabetes weekly healthy food deliveries and a supportive lifestyle program can help them manage their blood sugar better and improve their overall health.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 360 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Stanford University Academic / other |
| Locations | 1 site (Concord, California) |
| Trial ID | NCT05228860 on ClinicalTrials.gov |
What this trial studies
The ADELANTE initiative aims to evaluate the effectiveness of a multi-level intervention designed to enhance food security and glycemic control among Latino patients with diabetes. Participants will be randomly assigned to receive either weekly healthy food deliveries along with a culturally tailored lifestyle intervention called Vida Sana, or to a waitlist control group. The study will assess improvements in glycemic control, dietary behaviors, and psychosocial outcomes over a 12-month period. The Vida Sana program includes group sessions focused on weight loss, physical activity, and behavioral strategies to promote healthy living.
Who should consider this trial
Good fit: Ideal candidates are Hispanic or Latino adults aged 18 and older with type 2 diabetes, food insecurity, and a BMI of 25 or higher.
Not a fit: Patients who do not identify as Hispanic or Latino or those without food insecurity may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly improve diabetes management and overall health for Latino patients facing food insecurity.
How similar studies have performed: Other studies have shown promise in using culturally tailored interventions to improve health outcomes in similar populations, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion 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) 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
Where this trial is running
Concord, California
- La Clínica Monument — Concord, California, United States (Recruiting)
Study contacts
- Principal investigator: Lisa Goldman Rosas, PhD, MPH — Stanford University
- Study coordinator: Study Coordinator
- Email: morizaga@stanford.edu
- Phone: 650-725-5180
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.