Evidence map›Paper›PMID 31959176›Full record

Trial reportBMC endocrine disorders2020

"I was able to eat what I am supposed to eat"-- patient reflections on a medically-tailored meal intervention: a qualitative analysis.

Seth A Berkowitz, Naysha N Shahid, Jean Terranova, Barbara Steiner, Melanie P Ruazol, Roshni Singh, Linda M Delahanty, Deborah J Wexler

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC endocrine disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% of its field
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.

NCT02426138 nacompletednot on this map

Community Servings: Food as Medicine for Diabetes

TypeinterventionalSponsorMassachusetts General HospitalRan2015 to 2017Enrolled44ConditionsDiabetesArmsMedically Tailored Meal Delivery (MTM), Usual Care + Choose MyPlate
NCT06460272 nacompletednot on this mapstarted 2024, after this paper: background citation

NOURISH HEARTS: Nutrition Outreach and Understanding: Research In Serving Hearts Through Healthy Eating And Tailored Support

TypeinterventionalSponsorAmanda ShallcrossRan2024 to 2025Enrolled75ConditionsHypertension, Type2diabetes, Metabolic Syndrome, ObesityArmsMedically Tailored Meals
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Food for cancer health: the impact of a culturally tailored food voucher intervention on food insecurity and quality of life among Latino/a/e/x patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Food is Medicine Initiative for Mitigating Food Insecurity in the United States.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024
    Review
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  19. Is that Hospital Food Pantry an Illegal Patient Inducement? Analysis of Health Care Fraud Laws as Barriers to Food and Nutrition Security Interventions.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 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

8 authors at 4 institutions in 1 country.

Seth A BerkowitzDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA. seth_berkowitz@med.unc.edu.ORCID http://orcid.org/0000-0003-1030-4297
Naysha N ShahidDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Jean TerranovaCommunity Servings, INC, Jamaica Plain, MA, USA.
Barbara SteinerDiabetes Unit, Massachusetts General Hospital, Boston, MA, USA.
Melanie P RuazolDiabetes Unit, Massachusetts General Hospital, Boston, MA, USA.
Roshni SinghDiabetes Unit, Massachusetts General Hospital, Boston, MA, USA.
Linda M DelahantyDiabetes Unit, Massachusetts General Hospital, Boston, MA, USA.
Deborah J WexlerDiabetes Unit, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · USCommunity Servings · USUniversity of North Carolina at Chapel Hill · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NIDDK NIH HHS K23 DK109200NIDDK NIH HHS K23DK109200NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundMedically-tailored meal programs that provide home-delivered medically-appropriate food are an emerging intervention when type 2 diabetes co-occurs with food insecurity (limited or uncertain access to nutritious food owing to cost). We sought to understand the experiences of medically-tailored meal program participants.

methodsWe conducted semi-structured interviews with participants in a randomized trial of medically-tailored meals (NCT02426138) until reaching content saturation. Participants were adults (age > 20 years) with type 2 diabetes in eastern Massachusetts, and the interviews were conducted from April to July 2017. Interviews were transcribed verbatim and coded by two independent reviewers. We determined emergent themes using content analysis.

resultsTwenty individuals were interviewed. Their mean age was 58 (SD: 13) years, 60.0% were women, 20.0% were non-Hispanic black, and 15.0% were Hispanic. Key themes were 1) satisfaction and experience with medically-tailored meals 2) food preferences and cultural appropriateness, 3) diabetes management and awareness, and 4) suggestions for improvement and co-interventions. Within these themes, participants were generally satisfied with medically-tailored meals and emphasized the importance of receiving culturally appropriate food. Participants reported several positive effects of medically-tailored meals, including improved quality of life and ability to manage diabetes, and stress reduction. Participants suggested combining medically-tailored meals with diabetes self-management education or lifestyle interventions.

conclusionsIndividuals with diabetes and food insecurity expressed satisfaction with the medically-tailored meal program, and reported that participation reduced stress and the burden of diabetes management. Suggestions to help ensure the success of medically-tailored meal programs included a strong emphasis on culturally acceptability and accommodating taste preferences for provided foods, and combining medically-tailored meals with diabetes education or lifestyle intervention.

trial registrationClinicalTrials.gov NCT02426138.

Indexed as

Quality of LifeCross-Over StudiesDiabetes Mellitus, Type 2Dietary ServicesDiet, DiabeticFemaleFollow-Up StudiesFood SupplyHealth BehaviorHumansLife StyleMaleMassachusettsMealsMiddle AgedOutcome Assessment, Health CareFood insecurityMedically-tailored mealsSocioeconomic factorsType 2 diabetes mellitus

Identifiers

PMID31959176
PMCPMC6971854
OpenAlexW3001232252

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.