The CARING Study: Creating and Restoring Health Through Nutrition Guidance

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPhysicians Committee for Responsible Medicine

About this trial

The CARING study assesses the health benefits of nutrition education for Blue Cross Blue Shield subscribers, as well as potential healthcare cost savings to subscribers and the insurance company.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Blue Cross Blue Shield subscriber continuously enrolled for the prior 12 months

Male or female

Age at least 18 years

Have a diagnosis of type 2 diabetes

Disqualifiers

Diabetes mellitus type 1 or history of any endocrine condition that would affect body weight, such as a pituitary abnormality or Cushing's syndrome

Smoking during the past six months

Alcohol consumption of more than 2 drinks per day or the equivalent, episodic increased drinking (e.g., more than 2 drinks per day on weekends), or a history of alcohol abuse or dependency followed by any current use

Current or unresolved past drug abuse

Trial design

Design model

Parallel

Treatments tested in this trial

  • Low-fat, vegan diet

    Behavioral

    The intervention diet consists of whole grains, vegetables, legumes, and fruits, with no restriction on energy intake. Participants will also be guided to favor foods with a low glycemic index. Animal products and added oils will be excluded. The diet is designed to derive approximately 10% of energy from fat, approximately 10-15% of energy from protein, and the remainder from mostly complex carbohydrates. The diet will also provide approximately 40 g of fiber per day.

Treatment groups

700 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Medical Utilization

This study will assess the effectiveness of a series of plant-based nutrition classes on health changes, measured by combined subscriber and insurance total cost of care (healthcare and health benefits).

Time frame
16 weeks, 1 year, and 2 years
2

Body Weight

This study will assess the association of attending a series of plant-based nutrition classes with pre-post changes in body weight.

Time frame
16 weeks, 1 year, and 2 years
3

Plasma Lipid Concentrations

This study will assess the association of attending a series of plant-based nutrition classes with pre-post changes in plasma lipid concentrations.

Time frame
16 weeks, Every 6 months during the 2-year follow-up period
4

HbA1C

This study will assess the association of attending a series of plant-based nutrition classes on with pre-post changes in glycemic control in individuals with type 2 diabetes as assessed by hemoglobic A1c (HbA1c) and use of medications.

Time frame
16 weeks, Every 6 months during the 2-year follow-up period

Secondary outcomes

1

Diet Acceptability

In addition, this study will assess the impact of association of attending a series of plant-based nutrition classes on pre-post changes in diet acceptability. Diet acceptability will be determined using the Food Acceptability Questionnaire (FAQ), asking participants to think about foods they have consumed in the prior two weeks to taking the FAQ, where higher scores indicate greater acceptability. There are eleven questions ranking answers on a scale of 1-7, and one question ranking answers on a scale from 1-13.

Time frame
16 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Physicians Committee for Responsible Medicine

Lead sponsor

Blue Cross Blue Shield

Collaborator

Mayo Clinic

Collaborator