ArticleJournal of nutrition education and behavior2025
Frequency of Attendance to a Behavioral Intervention on Health-related Outcomes in a Multicomponent Food as Medicine Intervention.
Article in Journal of nutrition education and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDetermine whether the frequency of attendance to Recipe4Health was associated with improvements in health-related outcomes.
designSecondary analysis of the Recipe4Health quasi-experimental study.
settingFederally Qualified Health Centers in Alameda County, California.
participantsPatients with nutrition-related chronic conditions and/or food insecurity.
interventionSixteen weekly produce deliveries and behavioral intervention sessions.
main outcome measuresAttendance was categorized by percentage: low (< 50%), moderate (50% to < 75%), and high (≥ 75%), and outcomes included vegetable/fruit intake, physical activity (PA), mental health, and clinical biomarkers. ANALYSIS: Prepost changes were assessed using repeated measures linear mixed-effects models, adjusting for baseline values.
resultsOf the 199 patients, approximately one-third had low (36%), moderate (30%), and high (34%) attendance. Patients with high attendance had greater improvements in vegetable/fruit intake (0.3 cups/d; P = 0.03), PA (24.4 min/wk; P < 0.01), and depression symptoms (Patient Health Questionnaire score: -1.1; P < 0.01) compared with patients with low attendance. Patients with moderate attendance had greater improvements in PA compared with low attendance (15.1 min/wk; P = 0.03). Patients with high attendance had greater improvements in physically unhealthy days compared with moderate attendance (-2.4 d/mo; P < 0.01). Patients with high attendance had significant improvements in hemoglobin A1c from baseline (-0.7%; P = 0.02).
conclusionsStrategies to improve attendance should be prioritized in food as medicine interventions.
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