Evidence map›Paper›PMID 35255887›Full record

ArticleBMC public health2022

A nutrition and lifestyle-focused shared medical appointment in a resource-challenged community setting: a mixed-methods study.

Nazleen Bharmal, Michelle Beidelschies, Marilyn Alejandro-Rodriguez, Kayla Alejandro, Ning Guo, Tawny Jones, Elizabeth Bradley

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06460272 (NOURISH HEARTS), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% 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.

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

11 citing papers in PubMed, 12 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Nazleen BharmalCommunity Health & Partnerships, Cleveland Clinic Community Care, Cleveland Clinic, Ohio, Cleveland, USA. bharman2@ccf.org.ORCID 0000-0003-0663-2140
Michelle BeidelschiesCenter for Functional Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Marilyn Alejandro-RodriguezCenter for Functional Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Kayla AlejandroCenter for Functional Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Ning GuoQuantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio, USA.
Tawny JonesCenter for Functional Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Elizabeth BradleyCenter for Functional Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to address disparities in preventable chronic diseases, we adapted a nutrition and lifestyle-focused shared medical appointment (SMA) program to be delivered in an underserved community setting. The objective was to evaluate a community-based nutrition and lifestyle-focused SMA as it relates to acceptability and health and behavior-related outcomes.

methodsA mixed-methods study was performed to evaluate pre-post changes in wellness indices, biometrics, self-efficacy, and trust in medical researchers as part of a community-based SMA. To understand program acceptability including barriers and facilitators for implementation and scalability, we conducted two participant focus groups and five stakeholder interviews and used content analysis to determine major themes.

resultsFifteen participants attended 10 weekly sessions. The majority were older adult, African American women. There were pre-post improvements in mean [SD] systolic (-10.5 [7.7] mmHg, p = 0.0001) and diastolic (-4.7 [6.7] mmHg, p = 0.17) blood pressures and weight (-5.7 [6.3] pounds, p = 0.003) at 3 months though these were not significant at 6 months. More individuals reported improvements in health status, daily fruit and vegetable intake, and sleep than at baseline. There were no significant pre-post changes in other wellness indices, self-efficacy, trust in medical researchers, hemoglobin A1c, insulin, or LDL cholesterol. Participants discussed positive health changes as a result of the SMA program, program preferences, and facilitators and barriers to continuing program recommendations in focus groups. SMA implementation was facilitated by clinical staff who adjusted content to a low health literacy group and partnership with a trusted community partner. Sustainability barriers include heavy personnel time and in-kind resources to deliver the program.

conclusionsNutrition and lifestyle-focused SMAs in a resource-challenged community setting may be an acceptable intervention for underserved patients.

Indexed as

Shared Medical AppointmentsAgedChronic DiseaseFemaleGlycated HemoglobinHumansLife StyleNutritional StatusGlycated HemoglobinDietary interventionDisparitiesLifestyle interventionLow-income participantsShared medical appointments

Identifiers

PMID35255887
PMCPMC8900391
OpenAlexW4220677629

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.