Impact of a Health Coaching Program to Improve the Health of Food-Insecure Adults with Cardiovascular Disease

Catheryn Orihuela, Ph.D.
University of Alabama at Birmingham

Project Goals and Relevance

An estimated 17% of Alabama adults face food insecurity, exceeding the national average of 12%. Among these, adults with CVD are particularly susceptible to its adverse effects, including poor diet quality, elevated stress, and worsening cardiovascular outcomes. This project tests a 12-week health-coaching program designed to improve nutritional quality and cardiovascular outcomes among food-insecure adults in Alabama. Conducted in partnership with a local food pantry, the study addresses nutritional obstacles and psychological factors like self-efficacy and social stigma.

Intervention/Approach

Participants complete individualized coaching sessions focused on nutrition, stress management, and goal-setting. The program evaluates effects on food insecurity, nutritional quality, mental health, and cardiovascular indicators such as blood pressure.

Expected Outcomes

• Improved Food Security: Greater access to nutritional foods and improved meal planning skills.
• Better Heart Health: Reduced blood pressure and improved dietary quality.
• Patient Empowerment: Increased confidence in planning and preparing nutritional meals for heart health.

Recruitment Details

Eligibility Criteria:

Participants aged 19 years or older who previously received food from local food pantry or screened positive for food insecurity at an ambulatory clinic.

Practical Tips for Everyday Health

Not part of the study or don’t meet eligibility criteria? You can still take steps to support your health, even when access to healthy food feels challenging.

Small actions can make a big difference.

Stretch What You Have
Plan meals around affordable staples like beans, rice, oats, and frozen vegetables. These options are nutrient-rich, budget-friendly, and can be used in many ways.

Shop Smart
Look for store brands, compare unit prices, and buy items in bulk when possible. If fresh produce is expensive, choose frozen or canned fruits and vegetables packed in water or their own juice.

Use Community Resources
Connect with local food pantries, community gardens, or farmers markets that accept SNAP or WIC benefits. Some health centers and faith-based organizations also provide produce boxes or healthy cooking demonstrations.

Find Help Near You:

• Feeding America Food Bank Finder (https://www.feedingamerica.org/find-your-local-foodbank)
• Dial 211 to locate local food resources and community programs.

Healthy habits are worth sharing, pass these tips along and help others find ways to eat well and thrive.