A Study of Fresh Produce and AI-Enabled Nutrition Support in Adults With Diabetes in Rural Appalachia

This pilot study evaluated a 12-week program for adults with type 2 diabetes and food insecurity living in rural Tennessee. Participants were randomly assigned to one of two groups. The program provided fresh fruits and vegetables delivered to participants' homes and nutrition support through text messages. The text messages provided information and support related to healthy eating, using and preparing fresh produce, meal planning, goal setting, and community resources. The study examined whether the program was feasible and acceptable to participants and explored changes in diabetes management, food security, eating behaviors, and health outcomes.