Study Title: Food Rx

Researchers are trying to determine if subjects with lack of access to healthy food and a long term health problem, are helped by a weekly box of healthy groceries and nutrition education.

Participants that have a chronic preventable disease and food insecurity will be offered enrollment in the study. Once all participants are enrolled, they will be given weekly boxes of food which includes materials for a nutritious recipe and extra fruit and vegetables for a total of 6 weeks. The SNAP-Ed Educator and SHIP Public health coordinator will be present at food pick up to answer questions about the boxes, food preparation, etc. They will be given the option of participating in grocery store and farmer's market tours, as well as sign up for text messaging of nutrition information and recipes. At the end of 6 weeks, they will be asked to participate in a focus group. At baseline, 3 months and 6 months, they will be asked to complete a survey on lifestyle behaviors and food choices.

Diabetes, High Blood Pressure, Obesity, Hypertension, Heart Diseases, Stroke, TIA, Osteoarthritis, Cancer

Subjects that have been identified as having food insecurity based on a two question screening tool, and also has one of more of the following chronic diseases Hypertension, Heart disease, Stroke/TIA, DM 2, Cancer/history of cancer, obesity or osteoarthritis will receive weekly nutrition educaiton

Weekly box of healthy groceries and nutrition education including a recipe, food to make the recipe, extra fruit and vegetables.

Change in number of days a week and minutes per day participants participate in physical activity and sedentary activity

Inclusion Criteria: Adult patients that have been identified as having food insecurity based on a two question screening tool, AND Also has one of more of the following chronic diseases: Hypertension, Heart disease, Stroke/TIA, DM 2, Cancer/history of cancer, obesity osteoarthritis Exclusion Criteria: Pregnant women Children