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Dietary HabitsCHATNCT05293340

Continuous Glucose Monitoring and Hass Avocado Trial ("CHAT")

A study testing Avocado Vouchers in people with Dietary Habits and Diabetes Mellitus, Type 2, run by Sansum Diabetes Research Institute at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Hispanic/Latino adults in the United States (U.S.) bear a disproportionate burden of type 2 diabetes (T2D). Dietary changes, facilitated by increased access and adherence to healthy foods, are necessary. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dietary Habits, Diabetes Mellitus, Type 2
What is being tested?
Avocado Vouchers
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteUnited States
Study dates
31 Mar 2022to 31 Jan 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults ≥ 18 years of age at enrollment.
  • Self-reported Hispanic/Latino heritage.
  • Self-reported diagnosis of T2D or self-reported as at risk for developing T2D using the American Diabetes Association diabetes risk assessment tool [25].

Who cannot join

  • Use of insulin
  • Pregnancy
  • Any active clinically significant disease or disorder which in the investigator's opinion could interfere with participation in the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Sansum Diabetes Research Institute

    Santa Barbara, California, 93105

Other trials in United States

About this study

Official title: Avocado Voucher Impact on Health Outcomes in Hispanic/Latino Adults With or At-risk of Type 2 Diabetes

Hispanic/Latino adults in the United States (U.S.) bear a disproportionate burden of type 2 diabetes (T2D). Dietary changes, facilitated by increased access and adherence to healthy foods, are necessary. In this study, continuous glucose monitoring (CGM) will be used to quantify changes in glycemic control in Hispanic/Latino (predominantly of Mexican origin) adults with or at-risk of T2D before and after receiving free avocados for 12 weeks. Beyond CGM-measured glycemic control, wearable activity and sleep monitors, physical exams, laboratory analyses, and questionnaires/logs will be used to track the impact of free avocado vouchers. The findings are anticipated to help clinicians provide new information to support positive behavior change to reduce the risk of T2D or progression from pre-diabetes to T2D and make it easier for patients to access healthier food, potentially leading to improved health.

Read the detailed description

In this study, continuous glucose monitoring (CGM) will be used to quantify changes in glycemic control in Hispanic/Latino adults with and at-risk of T2D before and after receiving free avocado vouchers. The impact of using CGM to determine the effect of improving access to avocados on glycemic profiles and food related-behaviors for Hispanic/Latino adults with or at risk of T2D is not known at present. To address this need, increased avocado consumption will be combined with CGM to assess post-prandial glucose responses. This is based on evidence showing that one half of a Hass avocado at lunch is associated with increased satisfaction and reduced desire to eat over the subsequent 3-5 hours in overweight or obese adults.

For CGM, there is a lack of prospective data on the relationship between derived metrics and complications for adults with non-insulin treated T2D or at-risk of T2D, but glucose profiles from non-diabetic subjects suggest very tight glycemic control, with only brief postprandial excursions >140 mg/dL. Cross-sectional data suggests more time spent between 140 and 180 mg/dl comparing predominantly Mexican American adults at risk of T2D to adults with pre-T2D and to adults with diagnosed T2D. Further, in a study examining the thresholds for CGM at which vascular disease can be detected, Lu and colleagues reported time in ranges above 140 mg/dL was associated with abnormal values for retinopathy and carotid intima-medial thickness, a measure of macrovascular disease risk. Hence, the focus in this study will be time in range between 140 and 180 mg/dl between 6 am and 12 am (waking hours).

Being tested
Avocado Vouchers
Keywords
Glycemic control, Minority Health, Plants, Edible, Food prescriptions, Food security, Time in Range
Medical subject headings
Feeding Behavior, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Avocado VouchersDietary supplement

    Food as Medicine to demonstrate clinically meaningful benefits for underserved communities. Avocados are fruits with fats, fiber, micronutrients, and bioactive phytochemicals.

Study groups in NCT05293340
Study groupRoleWhat they receive
Hispanic/Latino adults with or at risk of T2D- Active GroupExperimentalEligible participants receive vouchers for free avocados.
Receives: Dietary Supplement: Avocado Vouchers
Hispanic/Latino adults with or at risk of T2D- Control GroupNo interventionEligible participants will not receive vouchers for free avocados.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time in range (TIR) between 140 and 180 mg/dL [TIR (140-180)]- Change from Prior to Intervention, to Final Two Weeks of Intervention

    TIR (140 -180 mg/dL) between 6 am and 12 am (waking hours).

    Measured: Prior to Intervention (Week 0), and During Final 2 Weeks of Intervention (Week 13 or 14)

Secondary outcomes (27)
  1. Waist Circumference- Change from Enrollment Visit to Study Conclusion Visit

    Changes in waist circumference

    Measured: At Enrollment Visit and at 14 weeks from Enrollment Visit

  2. Blood Pressure- Diastolic and Systolic- Change from Enrollment Visit to Study Conclusion Visit

    Changes in blood pressure

    Measured: At Enrollment visit and at 14 weeks from Enrollment Visit

  3. HbA1c- Change from Enrollment Visit to Study Conclusion Visit

    Changes in HbA1c

    Measured: At Enrollment Visit and at 14 weeks from Enrollment Visit

  4. Insulin resistance- Change from Enrollment Visit to Study Conclusion Visit

    Changes in Insulin Resistance

    Measured: At Enrollment visit and at 14 weeks from enrollment visit

  5. Lipids- Change from Enrollment Visit to Study Conclusion Visit

    Changes in lipids

    Measured: At enrollment visit and at 14 weeks from enrollment visit

  6. Prescribed medicines for T2D and/or hypertension- Change from Enrollment Visit to Study Conclusion Visit

    Changes in prescribed medicines for T2D and/or hypertension

    Measured: At enrollment visit and at 14 weeks from enrollment visit

  7. Self-reported sleep, mood, and pain via 100 mm Likert scale questionnaire- Change from Enrollment, and to Final Visit

    Changes in self-reported sleep, mood, and pain (Best to Worst)

    Measured: At enrollment visit, and at 14 weeks from enrollment visit

  8. Self-reported Food security via United States Dept. of Agriculture U.S. Household Food Security Survey Module: Six-Item Short Form - Change from Enrollment, and at Final Visit

    Changes in Food Security

    Measured: At enrollment visit, and at 14 weeks from enrollment visit

  9. Depression via the Depression, Anxiety and Stress Scale (DASS-21)

    Change in depression score (0-42), with higher scores indicating higher levels of depression

    Measured: At enrollment visit, and at 14 weeks from enrollment visit

  10. Anxiety via the Depression, Anxiety and Stress Scale (DASS-21)

    Change in anxiety score (0-42), with higher scores indicating higher levels of anxiety

    Measured: At enrollment visit, and at 14 weeks from enrollment visit

  11. Stress via the Depression, Anxiety and Stress Scale (DASS-21)

    Change in stress score (0-42), with higher scores indicating higher levels of stress

    Measured: At enrollment visit, and at 14 weeks from enrollment visit

  12. Change in Eating Self-Efficacy Scale (ESES) score

    Change in Eating Self-Efficacy Scale (ESES) mean score (25-175), with higher scores indicating lower eating self-efficacy.

    Measured: Prior to intervention (Week 0), and during final 2 weeks of intervention (Week 13 or 14)

  13. Change in Self-Report Habit Index (SRHI) score

    Change in Self-Report Habit Index (SRHI) mean score (1-7), with higher scores indicating stronger habits.

    Measured: Prior to intervention (Week 0), and during final 2 weeks of intervention (Week 13 or 14)

  14. Change in Self-Regulation of Eating Questionnaire (SREBQ) score

    Change in Self-Regulation of Eating Behaviour Questionnaire (SREBQ) mean score (1-5), with higher scores indicating better self-regulation of eating behavior.

    Measured: Prior to intervention (Week 0), and during final 2 weeks of intervention (Week 13 or 14)

  15. Physical Activity- Daily step count, Changes from first to final Fitbit application

    Physical Activity- Daily step count averaged over ≤14 days, Change from first Fitbit application (pre-intervention) to second Fitbit application (in final 14 days of intervention).

    Measured: First Fitbit application (pre-intervention) to second Fitbit application (in final 14 days of intervention)

  16. Sleep Duration

    Change in Sleep Duration (in minutes) averaged over ≤14 days

    Measured: First Fitbit application (pre-intervention) to second Fitbit application (in final 14 days of intervention)

  17. Secondary Continuous Glucose Monitoring Endpoints- Time in Range (TIR) 140-180 mg/dl, Waking Hours

    Change in TIR between 140 and 180 mg/dL [TIR (140-180)] between 6 am and 12 am (waking hours), averaged over ≤14 days from first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

    Measured: first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

  18. Secondary Continuous Glucose Monitoring Endpoints- Average Glucose

    Change in Average Glucose averaged over ≤14 days from first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

    Measured: first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

  19. Secondary Continuous Glucose Monitoring Endpoints- Time in Range (TIR) 70-180 mg/dL

    Change in TIR 70-180 mg/dL averaged over ≤14 days from first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

    Measured: first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

  20. Secondary Continuous Glucose Monitoring Endpoints- Time >180 mg/dL

    Change in time >180 mg/dL averaged over ≤14 days from first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

    Measured: first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

  21. Secondary Continuous Glucose Monitoring Endpoints- Time <70 mg/dL

    Change in time <70 mg/dL averaged over ≤14 days from first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

    Measured: first CGM application (pre-intervention) to second CGM application (in final 14 days of intervention).

  22. Adherence to the intervention

    Adherence to the intervention as measured via the daily avocado consumption log (DACL)

    Measured: 12-week intervention monitoring period running weeks 2-14

  23. Acceptability of the intervention

    Acceptability of the intervention as measured by the weekly avocado acceptability questionnaire (WAAQ)

    Measured: 12-week intervention monitoring period running weeks 2-14

  24. Regression analysis between avocado adherence measured as an average number of avocados consumed as reported via the daily avocado consumption log (DACL) and personality traits assessed via the Mini International Personality Item Tool.

    Each participant will fill out the Mini International Personality Item Tool (Mini-IPIP) at the start of the study. It comprises 20 items and assesses the five personality factors (Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Imagination). Scoring includes computing the mean score for each factor with a value ranging from 1 to 5 (very inaccurate to very accurate). Avocado adherence measured as the mean of the number of avocados consumed as reported via the daily avocado consumption log (DACL) will be computed. A regression analysis will be performed between the mean of the number of avocados consumed as the response variable and the five personality factors scores as the predictor variables. The coefficients of the regression analysis will be studied to evaluate if personality traits can predict avocado adherence.

    Measured: Average over 12 weeks

  25. Regression analysis between the average number of avocados consumed as reported via the daily avocado consumption log (DACL) and motives underlying the selection of food assessed by the Food Choice Questionnaire (FCQ)

    Each participant will fill out the Food Choice Questionnaire at the start of the study. It comprises 36 items and assesses the importance of 9 types of motives underlying food selection (Health, Mood, Convenience, Sensory Appeal, Natural Content, Price, Weight Control, Familiarity and Ethical Concern). Scoring includes computing the mean score for each type of motive ranging from 1-4 with higher values indicating higher importance. Avocado adherence measured as the mean of the number of avocados consumed as reported via the daily avocado consumption log (DACL) will be computed. A regression analysis will be performed between the mean of the number of avocados consumed as the response variable and the scores of the 9 types of motives underlying food selection as the predictor variables. The coefficients of the regression analysis will be studied to evaluate if food choice motives can predict avocado adherence.

    Measured: Average over 12 weeks

  26. Regression analysis between average composite acceptability score on the weekly Avocado Acceptability Questionnaire and Personality traits assessed via the Mini International Personality Item Tool.

    Each participant will fill out the Mini International Personality Item Tool at the start of the study. It comprises 20 items and assesses the five personality factors (Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Imagination). Scoring includes computing the mean score for each factor with a value ranging from 1 to 5 (very inaccurate to very accurate). The mean of the composite acceptability score on the weekly Avocado Acceptability Questionnaire (average taken over 12 weeks) will be computed. A regression analysis will be performed between the mean of the composite acceptability score as the response variable and the five personality factors scores as the predictor variables. The coefficients of the regression analysis will be studied to evaluate if personality traits can predict acceptability score.

    Measured: Average over 12 weeks

  27. Regression analysis between average composite acceptability score on the weekly Avocado Acceptability Questionnaire and motives underlying the selection of food assessed by the Food Choice Questionnaire (FCQ)

    Each participant will fill out the Food Choice Questionnaire at the start of the study. It comprises 36 items and assesses the importance of 9 types of motives underlying food selection (Health, Mood, Convenience, Sensory Appeal, Natural Content, Price, Weight Control, Familiarity, and Ethical Concern). Scoring includes computing the mean score for each type of motive ranging from 1-4 with higher values indicating higher importance. The mean of the composite acceptability score on the weekly Avocado Acceptability Questionnaire (average taken over 12 weeks) will be computed. A regression analysis will be performed between the mean of the composite acceptability score as the response variable and the scores of the 9 types of motives underlying food selection as the predictor variables. The coefficients of the regression analysis will be studied to evaluate if food choice motives can predict acceptability score.

    Measured: Average over 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Mar 2022
  2. Study start31 Mar 2022
  3. Primary completion31 Jan 2023
  4. Study completion31 Jan 2023

Why it stopped: Per discretion of Sponsor.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study will consist of two groups into which participants will be randomly assigned 1:1. One (active) group will receive vouchers for free avocados. The other (control) group will not receive avocado vouchers (to control for the impact of seasonal changes on diet that are outside the influence of the trial).
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05293340
Sponsor's protocol ID
C2021-0068
Acronym
CHAT
Status last verified
Nov 2023
First submitted
22 Dec 2021
Last updated
30 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Avocado Vouchers in people with Dietary Habits and Diabetes Mellitus, Type 2, run by Sansum Diabetes Research Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 30 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Per discretion of Sponsor.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time in range (TIR) between 140 and 180 mg/dL [TIR (140-180)]- Change from Prior to Intervention, to Final Two Weeks of Intervention (time frame: Prior to Intervention (Week 0), and During Final 2 Weeks of Intervention (Week 13 or 14)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2023; AzTrials last refreshed its copy on 7 Nov 2026.

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