Healthy Food Incentives for Type 2 Diabetes

DO
SD
Overseen BySharlette Dunn, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Calgary
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a program offering financial incentives to people with type 2 diabetes to buy healthy foods, aiming to improve blood sugar control and reduce diabetes complications. The trial compares two groups: one receives a healthy food prescription with financial support, and the other receives only the healthy food prescription. It focuses on adults with ongoing high blood sugar who struggle to afford enough food. Participants should speak English or have someone to translate for them. As an unphased trial, this study provides a unique opportunity to contribute to research that could make healthy eating more accessible for those with diabetes.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on dietary changes rather than medication adjustments.

What prior data suggests that this healthy food prescription incentive program is safe?

Research has shown that healthy food prescription programs are generally safe for participants. These programs aim to improve diet and health by encouraging the consumption of more whole, less processed foods. One study found that these programs can enhance diet quality and assist with food security, making them a well-accepted option for participants.

Another study demonstrated that these programs led to positive changes in eating habits and reduced risks related to heart and blood sugar issues, such as high blood pressure or high blood sugar. No major safety concerns or negative effects were reported in these studies, indicating that participants generally handle these programs well.

In summary, evidence suggests that healthy food prescription programs are safe and may improve health by promoting better eating habits and managing blood sugar levels.12345

Why are researchers excited about this trial?

Unlike the standard treatment options for type 2 diabetes, which often include medication and lifestyle counseling, the healthy food prescription is unique because it directly incentivizes dietary changes through a financial subsidy. Researchers are excited about this approach because it not only provides guidance on healthy eating but also makes it more accessible by giving participants a weekly financial incentive to purchase minimally processed foods. This method aims to tackle the root of dietary habits, potentially improving long-term health outcomes by making healthier food choices easier and more affordable.

What evidence suggests that this trial's treatments could be effective for type 2 diabetes?

Research has shown that programs offering healthy food prescriptions might help reduce food insecurity and improve diet quality, which are important for managing type 2 diabetes. In this trial, participants in the "Subsidized Healthy Food Prescription Incentive" arm will receive a weekly incentive to purchase healthy foods, potentially helping to control blood sugar levels by encouraging more nutritious eating habits. Meanwhile, participants in the "Healthy Food Prescription Comparison" arm will receive a one-time healthy food prescription pamphlet, similar to standard nutrition counseling. Some studies have found that these types of programs can lead to better eating habits, supporting improved health for people with diabetes. However, one study found that giving a monthly voucher for healthy foods did not significantly improve diabetes control, showing mixed results. Overall, while these programs have potential, more research is needed to confirm their effectiveness.12346

Who Is on the Research Team?

DO

Dana Olstad, PhD

Principal Investigator

University of Calgary

Are You a Good Fit for This Trial?

This trial is for adults aged 18-85 with type 2 diabetes and persistent high blood sugar, who struggle to afford healthy food. Participants must speak English or have a translator, not plan extensive travel outside Canada, be able to shop at certain supermarkets, and not live in meal-providing facilities.

Inclusion Criteria

Can communicate in English or have someone to translate
You have long-lasting high blood sugar levels (hemoglobin A1C 6.5-12%).
Currently having trouble getting enough food to eat or finding it hard to afford basic needs.

Exclusion Criteria

Your A1c level is below 6.5% or above 12%.
Plan to leave for Canada for more than 2 weeks in the next 12 months
You are showing signs of metabolic problems like weight loss, excessive thirst, and frequent urination.
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a healthy food prescription pamphlet and a weekly incentive to purchase healthy foods for 12 months

12 months
Baseline, 6 months, 12 months, 18 months

Follow-up

Participants are monitored for changes in blood glucose levels, diet quality, and other health outcomes

6 months
Follow-up assessments at 6 months, 12 months, 18 months

What Are the Treatments Tested in This Trial?

Interventions

  • Healthy food incentive
  • Healthy food prescription
  • Healthy food subsidy
Trial Overview The study tests if giving incentives to buy healthy foods can better control blood sugar in diabetics facing food insecurity than just prescribing healthy foods. It includes a randomized controlled trial comparing these two approaches.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Subsidized Healthy Food Prescription IncentiveExperimental Treatment2 Interventions
Group II: Healthy Food Prescription ComparisonActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Calgary

Lead Sponsor

Trials
827
Recruited
902,000+

Nu Skin Enterprises

Industry Sponsor

Trials
4
Recruited
780+

Nu Skin

Collaborator

Trials
1
Recruited
600+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials
1,417
Recruited
26,550,000+

Alberta Blue Cross

Collaborator

Trials
1
Recruited
600+

Alberta Innovates Health Solutions

Collaborator

Trials
54
Recruited
94,100+

Alberta Health services

Collaborator

Trials
168
Recruited
658,000+

Citations

Healthy food prescription incentive programme for adults ...Healthy food prescription programmes may reduce food insecurity and support patients to improve their diet quality, prevent diabetes complications and avoid ...
Voucher for Healthy Foods and Diabetes ControlFindings In this randomized clinical trial of 390 adults, a monthly voucher that allowed access to healthy foods did not improve diabetes ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/35168964/
Healthy food prescription incentive programme for adults with ...Healthy food prescription programmes may reduce food insecurity and support patients to improve their diet quality, prevent diabetes ...
Healthy Food Prescription Programs and their Impact on ...Two-thirds of the individual studies, including 1 of the randomized trials, reported a positive effect on dietary outcomes over this time frame. In conclusion, ...
Impact of Produce Prescriptions on Diet, Food Security ...Produce prescriptions may improve cardiometabolic health by increasing fruit and vegetable (F&V) consumption and food insecurity.
NCT04828785 | Food As MedicinE for DiabetesOur research team has developed a medically tailored meal intervention that combines provision of healthy food, tailored to the specific nutrition needs of the ...
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