More Fresh Fruit and Vegetable Prescription Program for Families With Type 2 Diabetes Mellitus

Conditions studied

Type 2 Diabetes

About this study

Rady Children's Hospital San Diego (RCHSD), UCSD Division of Child and Community Health and the Center for Community Health, and Northgate Gonzalez (NG) Markets will collaborate to create a Produce Prescription Program (Fruit and Vegetable Prescription Program) to be implemented in the RCHSD Diabetes Clinic. We will provide families on Medi-Cal who have a child with T2DM with a fruit and vegetable prescription (FVRx) which will enhance their ability to purchase GusNIP-eligible fresh fruits and vegetables (FV). These prescriptions will be delivered in the form of an electronic voucher that can be filled at any NG Markets throughout San Diego and Riverside counties. The goal of this program is to increase the purchase and consumption of fresh fruits and vegetables, decrease food insecurity, and improve metabolic outcomes for children with type 2 diabetes mellitus (T2DM).

Interventions

• Behavioral: Fruit and Vegetable Prescription Voucher — Each participant will immediately (intervention group) or after a 6-month waiting period (delayed-intervention group) receive seven $15 vouchers (value $105 per month) for 12 months. Up to 4 vouchers ($60 total) can be redeemed at any one transaction for purchase of fresh fruits and vegetables, dried beans and legumes at participating Northgate Gonzalez markets. Both groups will continue to receive diabetes and nutrition education as is standard in their practice.

Primary outcomes

• Change in Household food security (Survey will be completed at baseline and 12 months)
• Change in Hemoglobin A1c (Measured as part of the participant's routine care in the Diabetes Clinic at baseline and 12 months)

Eligibility information

Study locations

• Rady Children's Hospital San Diego, San Diego, California 92123 United States