Evidence map›Paper›PMID 37024257›Full record

ArticleBMJ open2023

Addressing food insecurity and chronic conditions in community health centres: protocol of a quasi-experimental evaluation of Recipe4Health.

Lisa G Rosas, Steven Chen, Lan Xiao, Benjamin O Emmert-Aronson, Wei-Ting Chen, Elliot Ng, Erica Martinez, Mike Baiocchi, Ariana Thompson-Lastad, Elizabeth A Markle and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.9field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Effectiveness of Recipe4Health: A Quasi-Experimental Evaluation.American journal of preventive medicine · 2025
    Article
  7. Article
  8. Article
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

11 authors at 6 institutions in 1 country.

Lisa G RosasDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA lgrosas@stanford.edu.ORCID 0000-0003-4053-7972
Steven ChenRecipe4Health, Alameda County Health Care Services Agency, San Leandro, California, USA.
Lan XiaoDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Benjamin O Emmert-AronsonOpen Source Wellness, Oakland, California, USA.
Wei-Ting ChenDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Elliot NgCommunity Health Center Network, San Leandro, California, USA.
Erica MartinezDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Mike BaiocchiDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Ariana Thompson-LastadOsher Center for Integrative Medicine and Department of Family and Community Medicine, UC San Francisco School of Medicine, San Francisco, California, USA.
Elizabeth A MarkleOpen Source Wellness, Oakland, California, USA.
June TesterDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.
Stanford University · USOpen Source Science Project · USStanford Medicine · USUniversity of California, San Francisco · USAlameda County Public Health Department · USCommunity Health Center · US

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
The ADELANTE Trial: Testing a multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetesR01MD016738 · NIMHD · STANFORD UNIVERSITY · PI ROSAS, LISA GOLDMAN, TESTER, JUNE M · 2021 to 2025
$3.3M
Produce Prescriptions and Group Medical Visits: Addressing Food Insecurity and Social Isolation in Primary CareK01MD015766 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Ariana Lauren Thompson-Lastad · 2022 to 2026
$687k
NCATS NIH HHS UL1 TR003142NICHD NIH HHS K12 HD052163NIMHD NIH HHS K01 MD015766NIMHD NIH HHS R01 MD016738
6 · The paper itself

Abstract

introductionChronic conditions, such as diabetes, obesity, heart disease and depression, are highly prevalent and frequently co-occur with food insecurity in communities served by community health centres in the USA. Community health centres are increasingly implementing 'Food as Medicine' programmes to address the dual challenge of chronic conditions and food insecurity, yet they have been infrequently evaluated. METHODS AND ANALYSIS: The goal of this quasi-experimental study was to evaluate the effectiveness of Recipe4Health, a 'Food as Medicine' programme. Recipe4Health includes two components: (1) a 'Food Farmacy' that includes 16 weekly deliveries of produce and (2) a 'Behavioural Pharmacy' which is a group medical visit. We will use mixed models to compare pre/post changes among participants who receive the Food Farmacy alone (n=250) and those who receive the Food Farmacy and Behavioural Pharmacy (n=140). The primary outcome, fruit and vegetable consumption, and secondary outcomes (eg, food security status, physical activity, depressive symptoms) will be collected via survey. We will also use electronic health record (EHR) data on laboratory values, prescriptions and healthcare usage. Propensity score matching will be used to compare Recipe4Health participants to a control group of patients in clinics where Recipe4Health has not been implemented for EHR-derived outcomes. Data from surveys, EHR, group visit attendance and produce delivery is linked with a common identifier (medical record number) and then deidentified for analysis with use of an assigned unique study ID. This study will provide important preliminary evidence on the effectiveness of primary care-based strategies to address food insecurity and chronic conditions. ETHICS AND DISSEMINATION: This study was approved by the Stanford University Institutional Review Board (reference protocol ID 57239). Appropriate study result dissemination will be determined in partnership with the Community Advisory Board.

Indexed as

Delivery of Health CareObesityChronic DiseaseCommunity Health CentersFood InsecurityHumansNUTRITION & DIETETICSPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID37024257
PMCPMC10083738
OpenAlexW4362673283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.