A pilot randomized controlled trial of a fruit and vegetable prescription program at a federally qualified health center in low income uncontrolled diabetics

Preventive Medicine Reports

Nicki Milgrom¹  Julia A WolfsonBryce²  Sean Yaphe³  Alicia CohenBryce⁴  Richard Bryce⁵  Lisa R. Miller-Matero⁶  Felix Valbuena⁶  Danny Garcia⁷  Denise Pike⁸  Alicia Steele⁹ 

[1] Corresponding author at: Community Health and Social Services (CHASS) Center, 5635 W. Fort St, Detroit, MI 48209, United States.;Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, 540 E. Canfield St., Detroit, MI 48201, USA;Department of Family Medicine, Alpert Medical School, Brown University and Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI, USA;Department of Family Medicine, Henry Ford Health System, 2799 W. Grand Blvd., Detroit, MI 48202, USA;Community Health and Social Services (CHASS) Center, 5635 W. Fort St., Detroit, MI 48209, USA;Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, 540 E. Canfield St., Detroit, MI 48201, USA;Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, USA;Ecology Center, 339 E. Liberty St., Suite 300, Ann Arbor, MI 48104, USA;Providence VA Medical Center, Providence, RI, USA;

关键词: Fruit and vegetable prescription program;    Low-income diabetics;    Federally qualified health center;   

DOI  :  

来源: DOAJ

【 摘 要 】

Eating a healthy diet is important for managing diabetes. Although there are high rates of diabetes in low-income urban areas, these patients often have limited access to fruits and vegetables. The 15-week Fresh Prescription (Fresh Rx) program was designed to improve access and consumption of fruits and vegetables among low-income patients with diabetes in Detroit, MI. The purpose of this study was to evaluate the effects of a fruit and vegetable prescription program on changes in hemoglobin A1C (HbA1C), blood pressure (BP), and body mass index (BMI) in patients with diabetes in a randomized controlled trial at a federally qualified health center (FQHC). Patients randomized to the Fresh Rx group (n = 56) were allotted up to $80 ($10 for up to eight weeks) for purchase of produce from a farmers market based at the FQHC. The control group (n = 56) received standard treatment plus information on community resources to improve health. Outcomes were compared at baseline and within three months of program completion. There were no significant between-group differences for any of the outcomes at program completion (p > .05); however, there was a small effect size for HbA1c (partial η2 = 0.02).Within the Fresh Rx group, HbA1c significantly decreased from 9.64% to 9.14% (p = 0.006). However, no changes were noted within the control group (9.38 to 9.41%, p = 0.89). BMI and BP did not change from pre- to post-study in either group (p > .05). Results from this study offer preliminary evidence that produce prescription programs may reduce HbA1C in low-income patients with diabetes.

【 授权许可】

Unknown