Grocery Support for Diabetes and High Blood Pressure

LG
EL
Overseen ByEmma L Tucher, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
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 investigates how varying levels of grocery support can aid individuals with diabetes or high blood pressure in managing their health. Participants will receive either $80 or $120 monthly for groceries. The goal is to determine which amount more effectively improves health outcomes for these conditions. The trial seeks adults who are members of Covered California, have a diagnosis of diabetes or high blood pressure, and have a household income below 250% of the federal poverty level. As an unphased trial, this study offers a unique opportunity to contribute to research that could directly enhance health management and financial well-being.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on providing grocery support rather than changing medication use.

What prior data suggests that this Grocery Support Program is safe for participants with diabetes or hypertension?

Research has shown that both the $80 and $120 Grocery Support Monthly Programs are safe for participants. These programs provide monthly food cards to help manage health issues like diabetes and high blood pressure.

For the $80 program, studies have found that similar food assistance initiatives are well-received by participants, with no reports of negative effects from using these benefits.

Similarly, the $120 program has been used in other studies without any safety concerns. Participants generally manage these grocery support programs well, and there are no known health risks from using the food cards.

Overall, these programs aim to support healthier eating habits without introducing any risks.12345

Why are researchers excited about this trial?

Researchers are excited about the Grocery Support Program for managing diabetes and high blood pressure because it offers a novel approach by directly addressing diet, a key factor in these conditions. Unlike traditional treatments that often rely on medications like metformin for diabetes or ACE inhibitors for hypertension, this program provides financial assistance to improve access to healthier foods. By giving participants either $80 or $120 monthly on a reloadable card, adjusted for household size, the program aims to make nutritious food choices more affordable and accessible, potentially leading to better health outcomes without the side effects associated with medication.

What evidence suggests that this trial's treatments could be effective for diabetes and high blood pressure?

Research has shown that assisting with grocery costs can help manage diabetes and high blood pressure. One study found that food subsidies improved blood pressure control more effectively than other types of food support. Programs providing healthy groceries have reduced the top number of a blood pressure reading by an average of 5 to 7 points. In this trial, participants will receive either $120 or $80 in monthly grocery support. Specifically, providing more grocery support, such as $120 per month, has been linked to better outcomes. Another study found significant improvements in both blood pressure and blood sugar levels (measured by hemoglobin A1C) in people with diabetes. While studies with smaller subsidies, like $80, showed less impact on blood sugar, more support might offer greater benefits.13467

Who Is on the Research Team?

LM

Laura M Gottlieb, MD, MPH

Principal Investigator

University of California, San Francisco

DH

Danielle Hessler Jones, PhD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

This trial is for adults (18+) who are Covered California members, have diabetes or high blood pressure, and have a household income below 250% of the federal poverty level. People can't join if they are no longer Covered California members or didn't use any grocery support in year 1.

Inclusion Criteria

Income <250% FPL
I have been diagnosed with diabetes or high blood pressure.
Active Covered California member
See 1 more

Exclusion Criteria

No longer a Covered California member
I did not spend any money in the grocery support program during year 1.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either an $80 or $120 monthly grocery support cash card for 12 months

12 months
Monthly visits for card reloading

Follow-up

Participants are monitored for changes in food insecurity and health outcomes after the treatment period

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • $120 Grocery Support Monthly Program
  • $80 Grocery Support Monthly Program

Trial Overview

The study compares two monthly grocery support programs ($80 vs. $120 food card) to see which amount better helps low-income people with diabetes or hypertension manage their health and reduce food insecurity.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Monthly $80 grocery support programExperimental Treatment1 Intervention
Group II: Monthly $120 grocery support programActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

Covered California

Collaborator

Trials
2
Recruited
90,000+

Citations

DASH Diet Grocery Program Delivers Blood Pressure and ...

At three months, participants receiving grocery deliveries showed a significantly greater drop in systolic blood pressure compared with the ...

Grocery Support for Diabetes and High Blood Pressure

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Food Insecurity Interventions to Improve Blood Pressure - PMC

In this randomized comparative effectiveness trial including 458 participants, a food subsidy produced better blood pressure control than a delivered food box.

Grocery Prescription Program for Medicaid Adults With ...

The purpose of this study is to evaluate the effectiveness of a grocery prescription program in adults diagnosed with either Type 2 Diabetes Mellitus or ...

The Effect of Grocery Support Dose on Food Insecurity and ...

This pragmatic RCT will compare the efficacy of providing different benefit amounts ($80 vs. $120) via a monthly food card benefit for households where at least ...

DASH-Patterned Groceries and Effects on Blood Pressure

This randomized clinical trial investigates the effect of home-delivered Dietary Approaches to Stop Hypertension (DASH) low-sodium groceries ...

Healthy grocery deliveries may help lower blood pressure ...

Receiving deliveries of free healthy groceries helped Black adults being treated for hypertension lower their blood pressure.