Evidence map›Paper›PMID 38696724›Full record

Trial reportThe Journal of infectious diseases2025

Food Is Medicine for Human Immunodeficiency Virus: Improved Health and Hospitalizations in the Changing Health Through Food Support (CHEFS-HIV) Pragmatic Randomized Trial.

Kartika Palar, Lila A Sheira, Edward A Frongillo, Asher A O'Donnell, Tessa M Nápoles, Mark Ryle, Simon Pitchford, Kim Madsen, Beth Phillips, Elise D Riley and 1 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03191253 (Changing Health Through Food Support), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

NCT03191253 nacompletednot on this map

Changing Health Through Food Support (CHEFS): Pilot RCT to Identify Potential Health Impacts of Providing Comprehensive, Medically-appropriate Food Support to Low-income Urban Adults Living With HIV (PLHIV)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2017Enrolled191ConditionsHIV/AIDSArmsMedically-appropriate meals and groceries
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  3. Article
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  8. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Kartika PalarDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.ORCID 0000-0002-1184-4941
Lila A SheiraDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia.
Asher A O'DonnellDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.
Tessa M NápolesDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.
Mark RyleProject Open Hand, San Francisco, California.
Simon PitchfordProject Open Hand, San Francisco, California.
Kim MadsenProject Open Hand, San Francisco, California.
Beth PhillipsDepartment of Family and Community Medicine, University of California, San Francisco.
Elise D RileyDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.
Sheri D WeiserDivision of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco.

Funding

Mentoring patient-oriented research on the health consequences of polydrug useK24DA039780 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2015 to 2025
$1.9M
Identifying barriers to diabetes and HIV co-management in vulnerable populationsK01DK107335 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALAR, KARTIKA · 2015 to 2019
$787k
Kaiser Community BenefitsNIDA NIH HHS K24 DA039780NIDDK NIH HHS K01 DK107335NIDDK NIH HHS K01DK107335)
6 · The paper itself

Abstract

backgroundPolicy support for "food is medicine"-medically tailored meals or groceries to improve health-is rapidly growing. No randomized trials have heretofore investigated the benefits of medically tailored food programs for people with human immunodeficiency virus (PWH).

methodsThe CHEFS-HIV pragmatic randomized trial included PWH who were clients of Project Open Hand (POH), a San Francisco-based nonprofit food organization. The intervention arm (n = 93) received comprehensive medically tailored meals, groceries, and nutritional education. Control participants (n = 98) received less intensive (POH "standard of care") food services. Health, nutrition, and behavioral outcomes were assessed at baseline and 6 months later. Primary outcomes measured were viral nonsuppression and health-related quality of life. Mixed models estimated treatment effects as differences-in-differences between arms.

resultsThe intervention arm had lower odds of hospitalization (odds ratio [OR], 0.11), food insecurity (OR, 0.23), depressive symptoms (OR, 0.32), antiretroviral therapy adherence <90% (OR, 0.18), and unprotected sex (OR, 0.18), as well as less fatty food consumption (β = -.170 servings/day) over 6 months, compared to the control arm. There was no difference between study arms in viral nonsuppression and health-related quality of life over 6 months.

conclusionsA "food is medicine" intervention reduced hospitalizations and improved mental and physical health among PWH, despite no impact on viral suppression. CLINICAL TRIALS REGISTRATION: NCT03191253.

Indexed as

Food ServicesHIV InfectionsHospitalizationAdultFemaleFood InsecurityHumansMaleMiddle AgedQuality of LifeSan FranciscoART adherencedepressionfood is medicinefood securityHIVhospitalizationsnutritionrandomized controlled trial

Identifiers

PMID38696724
PMCPMC11911788

What OpenQuestion holds

Textmetadata
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.