Integrating a Prescription Produce Program Within a Diabetes Prevention Program to Address Health Inequities Among Adults
Type 2 Diabetes remains a major chronic disease among adults in the United States. A way to prevent Type 2 Diabetes is to engage in a diabetes prevention program. In the diabetes prevention program, individuals at risk of Type 2 Diabetes meet with a health coach to learn effective ways to build health behaviors around diet and physical activity. Individuals who participate in the diabetes prevention program are more likely to lose weight and eat a healthy diet.
• ≥age 18
• rationale: adolescents who are at-risk of T2DM may have unique needs that will not be addressed in this study
• Most recent BMI ≥ 25kg/m 2 and not pregnant
• rationale: elevated BMI is associated with higher risk of developing T2DM
• Elevated glucose as evidenced by one of the following criteria:
• Hemoglobin A1c 5.7-6.4% indicative of prediabetes within the last 36 months
• Fasting blood glucose 100-125mg/dl or 2-hour glucose 140-199mg/dl within the last six months
• Physician diagnosis of prediabetes (impaired fasting glucose, impaired glucose intolerance)
• These criteria indicate the presence of prediabetes and places individuals are risk of T2DM
• Speak, read, and understand English
• rationale: current version of PPP intervention (cooking classes) is available in English
• Have a working U.S.- based phone number
• rationale: participants must have a working phone number because they will receive automated text messages as reminders to receive session reminders; participants must have a working phone number in case adverse event monitoring contacts are required
• Able to attend study-related sessions at the Health Hub @ 25th over the year long study (i.e., weekly for 4 months, then monthly for 7 months)
• rationale: participants must be able to attend study activities at the community site in order to engage in the intervention and study related sessions.