Addressing Diabetes by Elevating Access to Nutrition

Inclusion Criteria:

   - For main study (index/intervention) participants:

      - Age at enrollment: 18+ years

      - Self-identified ethnicity: Hispanic, Latino, Chicano, or Spanish

      - Type 2 diabetes indicated in the electronic health record, e.g. as ICD-10
      (International Classification of Diseases) diagnosis code or HbA1c value

      - Have indicated food insecurity according to the screening 2-item Hunger Vital
      Sign questionnaire

      - Have a Body Mass Index (BMI) => 25

      - Receiving care at our partnering community health centers (e.g., Clinica de la
      Raza)

      - Currently residing in Alameda or Contra Costa County and not expecting to
      relocate in the next 6-12 months

      - Have access to phone or computer, email, and some internet for access to remote
      intervention and completion of follow-up measures

   - For household members:

      - Age at enrollment: 12+ years

      - Significantly involved in supporting nutrition in the home including food
      shopping, preparation, social support for healthy nutrition

      - Willing to complete some questionnaires and attend a single group session.

   - For all participants:

      - Able and willing to provide informed consent

Exclusion Criteria:

   - Unable to provide informed consent

   - Unable to speak, read, or understand English and/or Spanish

   - Active substance use or psychotic disorders that would impair participation in a group
   lifestyle intervention or interfere with follow-up assessments

   - Lacking mailing address for delivery of food box

   - Planning to relocate out of area within the next 12 months

   - Index participant only: Pregnant or planning to become pregnant within the next 12
   months