Evidence map›Paper›PMID 29850526›Full record

ArticleBioMed research international2018

Machine Learning-Augmented Propensity Score-Adjusted Multilevel Mixed Effects Panel Analysis of Hands-On Cooking and Nutrition Education versus Traditional Curriculum for Medical Students as Preventive Cardiology: Multisite Cohort Study of 3,248 Trainees over 5 Years.

Dominique J Monlezun, Lyn Dart, Anne Vanbeber, Peggy Smith-Barbaro, Vanessa Costilla, Charlotte Samuel, Carol A Terregino, Emine Ercikan Abali, Beth Dollinger, Nicole Baumgartner and 28 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03443635 (Cooking for Health Optimization With Patients), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03443635 phase1 / phase2completednot on this map

Cooking for Health Optimization With Patients

TypeinterventionalSponsorTulane UniversityRan2018 to 2020Enrolled7,192ConditionsCardiovascular Diseases, Cardiovascular Risk Factor, Nutrition Disorders, DiabetesArmsTreatment
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Impact and evaluation of an online culinary nutrition course for health, education and industry professionals to promote vegetable knowledge and consumption.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors.

Dominique J MonlezunThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.ORCID 0000-0001-7671-1886
Lyn DartTexas Christian University, Fort Worth, TX, USA.
Anne VanbeberTexas Christian University, Fort Worth, TX, USA.
Peggy Smith-BarbaroTexas College of Osteopathic Medicine, Fort Worth, TX, USA.
Vanessa CostillaUniversity of Texas School of Medicine in San Antonio, San Antonio, TX, USA.
Charlotte SamuelUniversity of Texas School of Medicine in San Antonio, San Antonio, TX, USA.
Carol A TerreginoRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Emine Ercikan AbaliRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Beth DollingerLake Erie College of Osteopathic Medicine, Arnot Ogden Medical Center, Erie, PA, USA.
Nicole BaumgartnerLake Erie College of Osteopathic Medicine, Arnot Ogden Medical Center, Erie, PA, USA.
Nicholas KramerMeharry Medical College, Nashville, TN, USA.
Alex SeelochanMeharry Medical College, Nashville, TN, USA.
Sabira TaherUniversity of Illinois-Chicago College of Medicine, Chicago, IL, USA.
Mark DeutchmanUniversity of Colorado-Denver School of Medicine, Denver, CO, USA.
Meredith EvansUniversity of Colorado-Denver School of Medicine, Denver, CO, USA.
Robert B EllisWestern University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest, Lebanon, OR, USA.
Sonia OyolaUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Geeta Maker-ClarkUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Tomi DreibelbisPennsylvania State University College of Medicine, Hershey, PA, USA.ORCID 0000-0002-4766-2904
Isadore BudnickThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
David TranThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Nicole DeValleThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Rachel ShepardThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Erika ChowThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Christine PetrinThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Alexander RazaviThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Casey McGowanThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Austin GrantThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Mackenzie BirdThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Connor CarryThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Glynis McGowanThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Colleen McCulloughThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Casey M BermanThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Kerri DotsonThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Tianhua NiuTulane University School of Public Health & Tropical Medicine, New Orleans, LA, USA.ORCID 0000-0002-4488-0754
Leah SarrisThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
Timothy S HarlanThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.
On Behalf Of The Chop Co-InvestigatorsThe Goldring Center for Culinary Medicine, Tulane University School of Medicine, 300 N. Broad St., Suite 102, New Orleans, LA 70119, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) annually claims more lives and costs more dollars than any other disease globally amid widening health disparities, despite the known significant reductions in this burden by low cost dietary changes. The world's first medical school-based teaching kitchen therefore launched CHOP-Medical Students as the largest known multisite cohort study of hands-on cooking and nutrition education versus traditional curriculum for medical students.

methodsThis analysis provides a novel integration of artificial intelligence-based machine learning (ML) with causal inference statistics. 43 ML automated algorithms were tested, with the top performer compared to triply robust propensity score-adjusted multilevel mixed effects regression panel analysis of longitudinal data. Inverse-variance weighted fixed effects meta-analysis pooled the individual estimates for competencies.

results3,248 unique medical trainees met study criteria from 20 medical schools nationally from August 1, 2012, to June 26, 2017, generating 4,026 completed validated surveys. ML analysis produced similar results to the causal inference statistics based on root mean squared error and accuracy. Hands-on cooking and nutrition education compared to traditional medical school curriculum significantly improved student competencies (OR 2.14, 95% CI 2.00-2.28, DISCUSSION: This study provides the first machine learning-augmented causal inference analysis of a multisite cohort showing hands-on cooking and nutrition education for medical trainees improves their competencies counseling patients on nutrition, while improving students' own diets. This study suggests that the public health and medical sectors can unite population health management and precision medicine for a sustainable model of next-generation health systems providing effective, equitable, accessible care beginning with reversing the CVD epidemic.

Indexed as

CookingCurriculumHealth EducationMachine LearningMultilevel AnalysisPropensity ScoreStudents, MedicalAdultCardiologyCohort StudiesEducation, MedicalFemaleHumansMaleNutritional Physiological Phenomena

Identifiers

PMID29850526
PMCPMC5925138

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.