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

Completed · Not applicable

Conditions studied: Diabetes Type 2

In brief

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.

Key facts

Study ID

NCT06401668

Run by

Yale University

People needed

104

Starts

2025-04-08

Expected to finish

2026-03-31

Last updated by the study team

2026-06-03

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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.
• Participants who are pregnant will be eligible for the study if they meet all of the inclusion criteria and do not have any of the exclusion criteria, as the study activities (additional funds to purchase fruits and vegetables, nutrition education, and support from a Community Health Worker) does not pose any additional risk to this group.

Where it is running

• Hartford HealthCare/ St. Vincent Medical Center — Hartford, Connecticut, United States

Full record on ClinicalTrials.gov

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