Primary care and food bank collaboration to address food insecurity: A pilot randomized trial
Food insecurity is common in the United States and linked to poor control of conditions influenced by diet. We conducted a pilot randomized trial to test whether a novel partnership between a primary care practice and a municipal food bank would improve control of type 2 diabetes among patients with food insecurity. Participants received food bank produce delivered twice monthly to the practice site, brief teaching from a food bank dietitian, and home-based education from a community health worker. After 6 months, glycosylated hemoglobin decreased (absolute change) by 3.1% in the intervention group vs 1.7% in the control group (P = .012). Scores on Starting the Conversation-Diet, a brief dietary measure, improved in the intervention group by 2.47 on a 14-point scale (P < .001). Body mass indexes (BMIs) were unchanged. In this early-stage study, onsite collaboration between primary care and a regional food bank generated clinically meaningful reductions in HbA1c and improvements in diet.
Ferrer RL, Neira LM, De Leon Garcia GL, Cuellar K, Rodriguez J. Primary care and food bank collaboration to address food insecurity: A pilot randomized trial. Nutr Metab Insights. 2019;12:1178638819866434.PMID: 31384130. DOI: 10.1177/1178638819866434.