Addressing Diabetes by Elevating Access to Nutrition: the ADELANTE Study

What this Trial Is About

Researchers are evaluating whether a combined approach of improving household food security and providing lifestyle coaching can help Latino adults with type 2 diabetes better control their blood sugar levels. The study, called ADELANTE, aims to see if weekly healthy food deliveries plus a culturally tailored lifestyle program called Vida Sana improve blood sugar control at 6 months compared to usual care. It also examines effects on food insecurity, diet habits, psychosocial factors, and the potential to implement this approach in primary care. Participants and up to two household members are randomly assigned to either receive weekly deliveries of healthy food for 12 weeks plus the 12-month Vida Sana lifestyle intervention delivered remotely via Zoom, or to a waitlist control group that receives usual care with no intervention for 6 months followed by food box deliveries without Vida Sana. Vida Sana includes 23 group sessions focused on calorie reduction, increased physical activity, behavior change strategies, and stress management, all led by bilingual health coaches. During the 12-month study, participants will complete assessments such as blood tests measuring HbA1c and cholesterol, blood pressure, body measurements, surveys on stress, quality of life, diet, physical activity, and food security. Researchers will monitor changes over time to evaluate the impact of the interventions. Household members also participate in some questionnaires and a group session. The study includes safety monitoring and lasts up to 12 months post-enrollment.

Addressing Diabetes by Elevating Access to Nutrition