Vida Sana y Completa Obesity and Food Insecurity Study

Exclusion Criteria

• •Previous diagnosis of diabetes (other than during pregnancy) or diabetes documented in the EHR
• •Diagnosis of cancer (other than non-melanoma skin cancer) that is/was active or treated with radiation or chemotherapy within the past 2 years
• •Serious medical condition anticipated to prevent person from walking
• •1 mile (e.g., severe pulmonary disease or aortic stenosis)
• •Severe medical comorbidities that require aggressive treatment: e.g., stage 4 or greater renal disease, class III or greater heart failure, unstable coronary artery disease, liver or renal failure;
• •Diagnosis of a terminal illness and/or in hospice care;
• •Diagnosis of bipolar disorder or psychotic disorder within the last 2 years, or currently taking a mood stabilizer or antipsychotic medication
• •Initiation or change in type or dosing of antidepressant medications within 2 months prior to enrollment (The patient will be re-contacted for a later cohort once his/her regimen has been stable for at least 2 months unless the person declines to participate altogether.)
• •Have had or plan to undergo bariatric surgery during the study period
• •Other exclusions:
• •Inability to speak, read or understand Spanish
• •Having no reliable telephone service
• •Having no regular Internet access via a computer and/or mobile device (e.g., smartphone)
• •Plan to move out of the area during the study period
• •Planned pregnancy
• •Family/household member of another study participant or of a study staff member
• •Investigator discretion for clinical safety or protocol adherence reasons