Evidence map›Paper›PMID 39754703›Full record

ArticleJournal of cancer survivorship : research and practice2026

Development and refinement of the Cardiovascular Health Equity through Food (CHEF) intervention for childhood cancer survivors.

Rahela Aziz-Bose, Emily Jones, Anna Revette, Lucille Lokko, Puja J Umaretiya, Colleen A Kelly, Leanne Duhaney, Lisa B Kenney, Fang Fang Zhang, Kira Bona

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  3. Food insecurity, dietary quality, and cardiovascular risk among early childhood cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. 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

10 authors.

Rahela Aziz-BoseDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. rahela_aziz-bose@dfci.harvard.edu.
Emily JonesDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Anna RevetteDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Lucille LokkoDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Puja J UmaretiyaDivision of Pediatric Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Colleen A KellyDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Leanne DuhaneyDivision of Cardiology, Boston Children's Hospital, Boston, MA, USA.
Lisa B KenneyDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Fang Fang ZhangFriedman School of Nutrition and Public Policy, Tufts University, Boston, MA, USA.
Kira BonaDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

Funding

Research Training in Pediatric OncologyT32CA136432 · NCI · DANA-FARBER CANCER INST · PI SCOTT A ARMSTRONG · 2009 to 2026
$7.9M
NCI NIH HHS T32 CA136432NIH HHS T32 CA136432-12
6 · The paper itself

Abstract

purposeThe aim of this study was to develop and refine Cardiovascular Health Equity through Food (CHEF), an intervention to address food insecurity (FI) in early childhood cancer survivors (CCS).

methodsSingle-center mixed-methods pilot study of a novel "food is medicine" intervention evaluating acceptability, satisfaction, and opportunities for refinement. CHEF participants were provided: (1) meal-kit delivery for 3 household meals/week for 3 months and (2) application assistance for federal nutrition benefits. Eligible participants were CCS < 1 year from cancer therapy completion, with self-reported FI or household income < 200% federal poverty level. Acceptability was defined as > 75% consent to participation, < 25% attrition, and > 75% program-component utilization. Surveys were completed at baseline and end-intervention, and semi-structured interviews were completed at months 1, 2, and 4.

resultsTen families (100%) consented to participation, with 0% attrition. Ninety-seven percent of meal kits were successfully received and > 90% cooked. Four families utilized study-team assistance in navigating benefits participation. One hundred percent of families would participate again, and 80% would recommend to others. Qualitative feedback supported CHEF's timing following treatment and positive impact on family cooking engagement. Broader non-English language accessibility, formalized benefits counseling, and extended duration were identified as refinement opportunities.

conclusionCHEF was highly acceptable among CCS in early survivorship. The next steps include proof-of-concept evaluation of the refined intervention's impact on cardiovascular-relevant outcomes among CCS with FI. IMPLICATIONS FOR CANCER SURVIVORS: Interventions directly addressing food insecurity, a known cardiovascular risk factor, have the potential to support well-being and address health disparities among childhood cancer survivors.

Indexed as

Cancer SurvivorsCardiovascular DiseasesFood InsecurityHealth EquityNeoplasmsAdolescentAdultChildChild, PreschoolFemaleHumansMalePilot ProjectsCardiovascular healthChildhood cancer survivorsFood insecuritySocial determinants of health

Identifiers

PMID39754703
PMCPMC12226726

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Registered trials

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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.