Healthy Foods and Education to Treat Diabetes
2019年11月8日 更新者：Johns Hopkins University
Farm to Clinic Vegetable Initiative at East Baltimore Medical Center
The investigators will study a program that delivers weekly community-supported agriculture shares to patients of East Baltimore Medical Center in order to increase access to healthy foods.
The investigators will provide adult patients with uncontrolled diabetes with healthy foods including fresh vegetables and shelf-stable pantry items (e.g., canned beans) every week over the course of 6 weeks.
The investigators will also collect demographic data and food insecurity status of participants via survey.
This program will also conduct weekly cooking and nutrition classes at East Baltimore Medical Center.
The investigators will conduct a survey of participants' experiences each time participants pick up a vegetable bag and at the end of the cooking classes.
In addition, a focus group of participants will be held to gather qualitative data regarding the vegetable initiative.
研究概览
研究类型
介入性
注册 (实际的)
29
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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Maryland
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Baltimore、Maryland、美国、21202
- Johns Hopkins Community Physicians at East Baltimore Medical Center
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Patients with uncontrolled diabetes mellitus (defined as a glycosylated hemoglobin >8%)
- 18 years age of and over
- Living within the geographical region of East Baltimore Medical Campus
Exclusion Criteria:
- Current participation in Five Plus Nuts and Beans Study or other program that provides diet-based food
- Non-English speaking
- On hospice or palliative care
- Acute or chronic psychosis
- Active substance or alcohol use disorder
- Another active medical disorder that would preclude participation in weekly food pick-up or classes including: active treatment of cancer, steroid dependent asthma/chronic obstructive pulmonary disease/emphysema, steroid dependent colitis; chronic kidney disease with an estimated glomerular filtration rate less than 30mg/mmol, venous thromboembolic disease with current treatment with vitamin K antagonist, Celiac disease, cirrhosis or steroid dependent arthritis
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Healthy food and Education/Cooking Classes
At consent, participant will complete the baseline survey.
Baseline survey will collect information like vegetable consumption, healthy eating attitudes, and demographics.
Every week for 6 weeks, participants will pick-up a healthy food bag (e.g.
fresh vegetables) for a $3 co-pay and attend an hour-long education classes at East Baltimore Medical Center.
All participants will complete a survey at healthy food bag pick-up or an education class.
Surveys at bag pick-up will ascertain outcomes like vegetable consumption.
Surveys at education classes will ascertain outcomes like healthy eating attitudes.
At 6 weeks, all participants will complete a follow-up survey equivalent to the baseline survey.
The follow-up survey will be completed again at 10 weeks, 18 weeks, and 30 weeks.
Participants will also be weighed at each bag pick-up (participants may decline) and relevant health information like blood pressure will be obtained from the EMR from an associated office visit.
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The intervention includes providing weekly seasonal produce and healthy foods to participants in addition to an education/cooking class that will be tailored to Diabetes Mellitus, Type II.
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无干预：Control Group
At consent, participant will complete the baseline survey.
Baseline survey will collect information like vegetable consumption, cooking habits, food security, healthy eating attitudes, and demographics.
As a control group, participants will not partake in the healthy food bag pick-ups or cooking classes therefore they will not fill out those associated surveys.
After the 6 weeks of the intervention, control participants will be given the follow-up survey equivalent to the baseline survey.
The follow-up survey will be completed again after 10 weeks, 18 weeks, and 30 weeks.
Participants will also be weighed at each bag pick-up (participants may decline) and relevant health information like blood pressure will be obtained from the EMR from an associated office visit.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in amount of vegetables eaten
大体时间：Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Self-reported number of vegetables eaten per day (e.g. 2 vegetables/day) will be obtained by the survey.
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Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Change in weight (kg)
大体时间：Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Recorded from Electronic Medical Record (EMR) or weighed at weekly bag pick-up.
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Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Change in Body mass index (kg/m^2)
大体时间：Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Recorded from EMR or calculated with height of record.
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Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Change in Glycosylated Hemoglobin level (percent of mmol/mol)
大体时间：Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Recorded from EMR.
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Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Change in Blood pressure (mmHg)
大体时间：Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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Recorded from EMR.
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Baseline, at 6 weeks, 10 weeks, 18 weeks and 30 weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Donald RB Miles, MD、Johns Hopkins Community Physicians
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2019年6月18日
初级完成 (实际的)
2019年9月26日
研究完成 (实际的)
2019年9月26日
研究注册日期
首次提交
2019年6月18日
首先提交符合 QC 标准的
2019年6月18日
首次发布 (实际的)
2019年6月19日
研究记录更新
最后更新发布 (实际的)
2019年11月12日
上次提交的符合 QC 标准的更新
2019年11月8日
最后验证
2019年11月1日
更多信息
与本研究相关的术语
其他研究编号
- IRB00164545
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
不
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
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