%0 Journal Article
%T Primary Care and Food Bank Collaboration to Address Food Insecurity: A Pilot Randomized Trial
%A Gualberto L De Leon Garcia
%A Jasmine Rodriguez
%A Kristin Cuellar
%A Luz-Myriam Neira
%A Robert L Ferrer
%J Archive of "Nutrition and Metabolic Insights".
%D 2019
%R 10.1177/1178638819866434
%X Food insecurity is common in the United States and linked to poor control of conditions influenced by diet. We conducted a pilot randomized trial to test whether a novel partnership between a primary care practice and a municipal food bank would improve control of type 2 diabetes among patients with food insecurity. Participants received food bank produce delivered twice monthly to the practice site, brief teaching from a food bank dietitian, and home-based education from a community health worker. After 6£¿months, glycosylated hemoglobin decreased (absolute change) by 3.1% in the intervention group vs 1.7% in the control group (P£¿=£¿.012). Scores on Starting the Conversation¨CDiet, a brief dietary measure, improved in the intervention group by 2.47 on a 14-point scale (P£¿<£¿.001). Body mass indexes (BMIs) were unchanged. In this early-stage study, onsite collaboration between primary care and a regional food bank generated clinically meaningful reductions in HbA1c and improvements in diet
%K Food insecurity
%K primary health care
%K diabetes mellitus
%K type 2
%K vulnerable populations
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664622/