Impact of a Community Health Worker Strategy on Produce Prescription Program Uptake Among People With Diabetes

NCT ID: NCT06401668

Last Updated: 2026-02-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-08

Study Completion Date

2026-03-31

Brief Summary

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Produce prescription programs (PRx) are promising interventions for improving health outcomes for patients with both type 2 diabetes (T2D) and food insecurity, but uptake has been suboptimal. There is a critical need for scalable, evidence-based implementation strategies for improving PRx uptake and optimizing the effectiveness and cost-effectiveness of these interventions. This study will co-design and pilot a community health worker (CHW) strategy and test the effectiveness of the strategy compared to PRx participants without a CHW. The overall objective of this study is to test and evaluate a theory-informed, user-centered community health worker (CHW) implementation strategy to improve uptake of a PRx, among Hispanic Medicaid-eligible patients with T2D in Connecticut (CT). CHWs will offer participants personalized support by overcoming barriers and leveraging facilitators to PRx uptake.

Detailed Description

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This study will have a small pilot followed by a randomized controlled trial. The focus of this registration is the randomized controlled trial.

First, following community co-design of the CHW strategy, investigators will conduct a two-month pilot study with an anticipated 10 participants to test the CHW strategy, the produce prescription program Rx, and overall study procedures. All participants will receive the PRx program with CHW strategy for two months.

Second, a randomized controlled trial to evaluate the effectiveness of the CHW strategy on barriers to PRx uptake, level of PRx engagement, and short-term program, behavioral, and health outcomes will be conducted.

Investigators hypothesize that participants who receive added CHW support during their enrollment in the PRx program will have reduced barriers to PRx uptake, higher PRx uptake, and greater improvements in the defined short-term program outcomes compared with participants who do not receive the CHW support during their enrollment in the PRx.

Conditions

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Diabetes Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Eligible participants will include primary and specialty care patients who identify as Hispanic with T2D and low incomes.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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PRx with the CHW strategy

Participants in this group will have CHWs to offer participants personalized support by overcoming barriers and leveraging facilitators to PRx uptake.

Group Type EXPERIMENTAL

Community health worker (CHW) strategy

Intervention Type BEHAVIORAL

CHWs will offer participants personalized support to assist in overcoming barriers and leveraging facilitators to PRx uptake. CHWs are trained lay members of the communities they serve. The CHW strategy is an evidence-based.

PRx Program

Intervention Type BEHAVIORAL

The PRx Program provides free fruit and vegetables and nutrition education to patients with T2D and food insecurity.

PRx without the CHW strategy

Participants in this group will participate in the PRx without the use of CHWs

Group Type ACTIVE_COMPARATOR

PRx Program

Intervention Type BEHAVIORAL

The PRx Program provides free fruit and vegetables and nutrition education to patients with T2D and food insecurity.

Interventions

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Community health worker (CHW) strategy

CHWs will offer participants personalized support to assist in overcoming barriers and leveraging facilitators to PRx uptake. CHWs are trained lay members of the communities they serve. The CHW strategy is an evidence-based.

Intervention Type BEHAVIORAL

PRx Program

The PRx Program provides free fruit and vegetables and nutrition education to patients with T2D and food insecurity.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Be a current primary or specialty care patient at Hartford Hospital
* Live in Hartford County
* Identify as Hispanic
* Have a current diagnosis of Type II Diabetes
* Be eligible for Medicaid based on household income and size.

Exclusion Criteria

* Does not speak English or Spanish
* Has a diagnosis of gestational diabetes
* Individuals who are members of vulnerable populations, such as individuals who are incarcerated and individuals who are not able to consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Heart Association

OTHER

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rafael Perez-Escamilla, MD

Role: PRINCIPAL_INVESTIGATOR

Yale School of Public Health

Locations

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Hartford HealthCare/ St. Vincent Medical Center

Hartford, Connecticut, United States

Site Status

Countries

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United States

Other Identifiers

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24FIM1264456

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2000037606

Identifier Type: -

Identifier Source: org_study_id

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