Food Bank–Based Diabetes Prevention Intervention to Address Food Security, Dietary Intake, and Physical Activity in a Food-Insecure Cohort at High Risk for Diabetes
IMPLEMENTATION EVALUATION — Volume 17 — January 9, 2020
PEER REVIEWED
The flow chart shows that 462 clients aged 18 or older were screened for eligibility. Of these, 40 were excluded for the following reasons: 32 had a previous diabetes diagnosis, 2 were pregnant or less than 6 weeks postpartum, and 6 discontinued the screening. After exclusion, 422 clients completed the Prediabetes Risk Test. Of these, 123 were excluded because of low score (less than 9) on the Prediabetes Risk Test; 299 clients scored 9 or greater on the Prediabetes Risk Test. At that point, 50 clients declined to participate, and 249 consented to participate. Five clients were lost to follow-up, and 244 clients completed the baseline assessment and enrolled; 52 clients were lost to follow-up, and 192 completed the 6-month assessment. The following intervention components were provided between baseline and 6-month assessment: health care referrals, diabetes-appropriate food packages, text-based physical activity education, and text-based administrative reminders.
Figure.
Pilot project enrollment and implementation from baseline to 6 months, food bank–based diabetes prevention intervention, Alameda, California, 2017–2019. The Prediabetes Risk Test is available from the Centers for Disease Control and Prevention at https://www.cdc.gov/prediabetes/takethetest.