NCT04181424

Brief Summary

The objective of this protocol is to answer the questions: 1) Within food supplementation options, are mailed stock boxes superior to food vouchers in terms of achieving glycemic control? 2) Is the combination of mailed stock boxes and food vouchers superior to either food supplementation option alone? 3) Does providing diabetes education in combination with food supplementation lead to improved clinical outcomes compared to education alone? To address this gap in the literature, we propose a randomized controlled trial to test the separate and combined efficacy of monthly food vouchers to farmers market and monthly mailed food stock boxes layered upon diabetes education in improving glycemic control in low income, food insecure, AAs with Type 2 Diabetes (T2DM) using a 2x2 factorial design.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P75+ for not_applicable type-2-diabetes

Timeline
14mo left

Started Dec 2019

Longer than P75 for not_applicable type-2-diabetes

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress85%
Dec 2019Jun 2027

First Submitted

Initial submission to the registry

November 26, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

November 29, 2019

Completed
16 days until next milestone

Study Start

First participant enrolled

December 15, 2019

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Last Updated

August 6, 2025

Status Verified

August 1, 2025

Enrollment Period

6.5 years

First QC Date

November 26, 2019

Last Update Submit

August 4, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Glycemic control (HbA1c)

    Blood specimens (10cc of blood) will be obtained by trained phlebotomists or nurse for HbA1c.

    12-months post randomization

Secondary Outcomes (3)

  • Quality of Life as measured by the SF-12

    12-months post randomization

  • LDL-Cholesterol

    12-months post randomization

  • Blood Pressure

    12-months post randomization

Study Arms (4)

Group 1- Diabetes Education Only

ACTIVE COMPARATOR

Individuals assigned to this group will receive diabetes education and skills training but will not receive food supplementation.

Behavioral: Diabetes Education Only

Group 2 - Diabetes Education Plus Monthly Food Vouchers

EXPERIMENTAL

Individuals assigned to this group will receive diabetes education and skills training and monthly food vouchers for use at local Farmer's markets mailed to their home.

Behavioral: Diabetes Education Plus Monthly Food Vouchers

Group 3 - Diabetes Education Plus Monthly Stock Boxes

EXPERIMENTAL

Individuals assigned to this group will receive diabetes education and skills training and monthly stock boxes with diabetes appropriate food items mailed to their home.

Behavioral: Diabetes Education Plus Monthly Stock Boxes

Group 4 -- Diabetes Education Plus Combination of Monthly Food

EXPERIMENTAL

Individuals assigned to this group will receive diabetes education and skills training, monthly food vouchers for use at local Farmer's markets mailed to their home, and monthly stock boxes with diabetes appropriate food items mailed to their home.

Behavioral: Diabetes Education Plus Combination of Monthly Food Vouchers and Stock Boxes

Interventions

Individuals assigned to this group will receive diabetes education and skills training and monthly food vouchers for use at local Farmer's markets mailed to their home.

Group 2 - Diabetes Education Plus Monthly Food Vouchers

Individuals assigned to this group will receive diabetes education and skills training, monthly food vouchers for use at local Farmer's markets mailed to their home, and monthly stock boxes with diabetes appropriate food items mailed to their home.

Group 4 -- Diabetes Education Plus Combination of Monthly Food

Individuals assigned to this group will receive diabetes education and skills training but will not receive food supplementation.

Group 1- Diabetes Education Only

Individuals assigned to this group will receive diabetes education and skills training and monthly stock boxes with diabetes appropriate food items mailed to their home.

Group 3 - Diabetes Education Plus Monthly Stock Boxes

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

State University of New York at Buffalo

Buffalo, New York, 14203, United States

Location

Related Publications (1)

  • Walker RJ, Knapp RG, Dismuke-Greer CE, Walker RE, Ozieh MN, Egede LE. Lowering the impact of food insecurity in African American adults with type 2 diabetes mellitus (LIFT-DM) - Study protocol for a randomized controlled trial. Contemp Clin Trials. 2020 Dec;99:106206. doi: 10.1016/j.cct.2020.106206. Epub 2020 Nov 7.

    PMID: 33166622BACKGROUND

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Leonard E Egede, MD

    State University of New York at Buffalo

    PRINCIPAL INVESTIGATOR
  • Rebekah J Walker, PhD

    State University of New York at Buffalo

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor & Chair, Department of Medicine

Study Record Dates

First Submitted

November 26, 2019

First Posted

November 29, 2019

Study Start

December 15, 2019

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2027

Last Updated

August 6, 2025

Record last verified: 2025-08

Locations