{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:08:11Z","timestamp":1789697291685,"version":"4.0.1"},"reference-count":32,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Community Food Centres Canada","award":["22-38"],"award-info":[{"award-number":["22-38"]}]},{"name":"Community Food Centres Canada","award":["185850"],"award-info":[{"award-number":["185850"]}]},{"name":"St. Michael\u2019s Foundation","award":["22-38"],"award-info":[{"award-number":["22-38"]}]},{"name":"St. Michael\u2019s Foundation","award":["185850"],"award-info":[{"award-number":["185850"]}]},{"DOI":"10.13039\/501100000241","name":"PSI Foundation","doi-asserted-by":"publisher","award":["22-38"],"award-info":[{"award-number":["22-38"]}],"id":[{"id":"10.13039\/501100000241","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000241","name":"PSI Foundation","doi-asserted-by":"publisher","award":["185850"],"award-info":[{"award-number":["185850"]}],"id":[{"id":"10.13039\/501100000241","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Canadian Institutes of Health Research","award":["22-38"],"award-info":[{"award-number":["22-38"]}]},{"name":"Canadian Institutes of Health Research","award":["185850"],"award-info":[{"award-number":["185850"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: The high cost of healthy foods makes it difficult for people with a low income to manage diabetes. This study examined the effects of a monthly grocery voucher on the dietary intake, assessed through the Canadian Diet History Questionnaire III, of diabetes patients facing food or financial insecurity. We also assessed the impact on levels of hemoglobin A1c, beta-carotene, and ascorbic acid. Methods: Participants were randomly selected from a larger clinical trial and completed the survey at 6-month follow-up. Results: Voucher recipients consumed more whole fruit (mean difference in daily servings, MD 0.8; 95% CI [0.1, 1.6]) and fewer refined grains (MD \u22121.0; 95% CI [\u22121.9, \u22120.1]). For other food groups, the confidence intervals for the difference included null effect. Mean HEFI-2019 score was 51.7 out of 80, with voucher recipients averaging 52.4 vs. 51.0 for controls (MD 1.4; 95% CI [\u22123.6, 6.1]). The voucher group showed a slight HbA1c decrease (MD \u22120.4; 95% CI [\u22121.4, 0.5]). Conclusions: A voucher providing access to healthy foods for people with diabetes or prediabetes slightly increased intake of fruits and decreased intake of refined grains. Larger interventional studies are needed to determine the effects of vouchers on dietary intake among this population.<\/jats:p>","DOI":"10.3390\/nu17172865","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T10:55:37Z","timestamp":1756983337000},"page":"2865","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing the Effect of a Food Voucher on the Dietary Intake of Patients with Diabetes Using the Canadian Diet History Questionnaire III: A Randomized Control Trial"],"prefix":"10.3390","volume":"17","author":[{"given":"Adelaide","family":"Buadu","sequence":"first","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6873-499X","authenticated-orcid":false,"given":"Moizza Zia","family":"Ul Haq","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavanya","family":"Sinha","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areesha","family":"Sabir","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enza","family":"Gucciardi","sequence":"additional","affiliation":[{"name":"School of Nutrition, Toronto Metropolitan University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3327-5580","authenticated-orcid":false,"given":"Nav","family":"Persaud","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael\u2019s Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, 500 University Ave, Toronto, ON M5G 1V7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.diabet.2019.11.001","article-title":"Socioeconomic Inequalities and Type 2 Diabetes Complications: A Systematic Review","volume":"46","author":"Tatulashvili","year":"2020","journal-title":"Diabetes Metab."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"258","DOI":"10.2337\/dci20-0053","article-title":"Social Determinants of Health and Diabetes: A Scientific Review","volume":"44","author":"Adler","year":"2021","journal-title":"Diabetes Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.2337\/dci23-0002","article-title":"Food Insecurity and Diabetes: Overview of Intersections and Potential Dual Solutions","volume":"46","author":"Levi","year":"2023","journal-title":"Diabetes Care"},{"key":"ref_4","unstructured":"(2025, July 07). 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