B E Antia, B A Omotara, A I Rabasa, E O Addy, O A A Tomfafi, C C Anaso
More reliable data for diarrhoeal intervention programmes: rethinking on knowledge, attitude and practice studies
Journal of health, population, and nutrition
people low income disproportionately affected type 2 diabetes t2d 176 us adults t2d experience food insecurity low diet quality lowcarbohydrate eating plans improve glycemic control promote weight loss associated improved cardiometabolic health allcause mortality little known supporting lowcarbohydrate eating people t2d although foodasmedicine interventions paired nutrition education offer promising solution program aims support initiation dietary changes using grocery delivery lowcarbohydrate education increase quality lowcarbohydrate nutrition among people t2d food insecurity program nonrandomized pilot conducted 21 primary care practices michigan adults t2d food insecurity low income eligible enroll patients referred primary care clinic staff participants received 3month program included monthly us 80 credits healthy foods free grocery delivery shipt lowcarbohydrate nutrition education food credits restricted purchase healthy foods education materials developed collaboration providers patients included print digital interactive web video formats enrollment participants completed survey including demographics diabetes health diet physical activity diabetes management knowledge 3month program participants completed survey repeat assessments diabetes health diet physical activity diabetes management knowledge perspectives participant experience perceived program impact food purchasing behaviors use educational materials also collected diabetes health information supplemented data participant medical records plan perform mixed methods analysis assess program feasibility acceptability impact primary quality improvement qi measures number patients referred enrolled use us 80 food credits analysis food purchasing behavior participant experience program program costs secondary qi measures include changes hemoglobin a1c weight medications selfefficacy diabetes carbohydrate knowledge activity baseline followup program started october 2022 data collection expected concluded june 2024 total 151 patients referred program 83 55 enrolled average age 57 sd 13 range 1886 years 72 5779 female 90 7078 white 96 7477 nonhispanic ethnicity participants successfully ordered grocery delivery program pilot qi program aimed improve diet quality among people t2d food insecurity using grocery delivery lowcarbohydrate nutrition education findings may help inform implementation future qi programs research studies foodasmedicine interventions include grocery delivery education people t2d derr110219654043