Evidence map›Paper›PMID 41699557›Full record

Trial reportBMC public health2026

Food Rx + CHW: a community health worker-led medically tailored grocery intervention to address food insecurity and type 2 diabetes, a pilot randomized trial.

Kristina M Bridges, Jennifer Woodward, Megan Murray, Alyssa Leibengood, Leonidas Bantis, Leny Montero, Donna Young, Manuel Solano, Vanessa Camacho, Angela McCall and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06476990 (Food Rx + CHW), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06476990 nacompletednot on this map

Food Rx + CHW: a Community Health Worker-led Medically Tailored Grocery Intervention to Address Food Insecurity and Type 2 Diabetes

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2021 to 2022Enrolled47ConditionsDiabetes Type 2ArmsHealthy food box
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

12 authors.

Kristina M Bridges *Department of Family Medicine and Community Health, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66205, USA. kbridges@kumc.edu.
Jennifer Woodward *Department of Family Medicine and Community Health, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66205, USA.
Megan MurraySchool of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Alyssa LeibengoodSchool of Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Leonidas BantisDepartment of Biostatistics, University of Kansas Medical Center, Kansas City, KS, USA.
Leny MonteroDepartment of Family Medicine and Community Health, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66205, USA.
Donna YoungCommunity Health Council of Wyandotte County, Kansas City, KS, USA.
Manuel SolanoSamuel U. Rodgers Health Center, Kansas City, MO, USA.
Vanessa CamachoCommunity Health Council of Wyandotte County, Kansas City, KS, USA.
Angela McCallCommunity Health Council of Wyandotte County, Kansas City, KS, USA.
Debra K SullivanDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS, USA.
K Allen GreinerDepartment of Family Medicine and Community Health, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66205, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity increases an individual's risk of poor health outcomes from costly and preventable chronic diseases such as type 2 diabetes.

methodsIn this pilot study, primary care patients with self-reported food insecurity and a diagnosis of type 2 diabetes received 12 weekly home deliveries of fresh produce and shelf-stable foods. About half of the participants were also supported by a community health worker (CHW) providing nutrition education, cooking instruction, and resource linkages (Food + CHW). Participants (n=31) self-checked hemoglobin A1C, blood pressure, and weight on devices at home at three time points: baseline, three months, and six months.

resultsParticipants (84% female, 32% Black, 66% White, 22% Hispanic, and 58 years old on average) had an average HbA1c of 8%. For the Food-only group (n=15), there was no significant change in hemoglobin A1c at either time point. For the Food + CHW group (n=16), the mean change in HbA1c was -0.85 (95% CI, [-0.048, -1.66], P value = 0.039) from baseline to 3 months and -1.65 (95% CI, [-2.84 - 0.472], P value = 0.012) from baseline to 6 months and a majority of participants (81%) had a reduction in hemoglobin A1c at six months. Diastolic blood pressure for the Food-only group increased by an average of 6.5 mmHg (p= 0.02) between baseline and 3 months but remained stable for the Food + CHW group. In both groups, systolic blood pressure and weight did not change significantly. Participants in the Food + CHW group reported significant increases in daily servings of fruit, nutrition label reading, eating meals cooked from scratch, and farmer's market shopping while the Food-only group did not.

conclusionThese findings suggest that CHWs support a patient's ability to reduce hemoglobin A1c through dietary behavior changes and sustain this reduction over time.​ This trial was retrospectively registered at ClinicalTrials.gov (NCT06476990) on June 20, 2024.

Indexed as

Community Health WorkersDiabetes Mellitus, Type 2Food InsecurityBlood PressureCookingFemaleGlycated HemoglobinHumansMaleMiddle AgedPilot ProjectsPrimary Health CareGlycated HemoglobinCommunity health workerDiabetesFood insecurityFood is medicineMedically tailored groceries

Identifiers

PMID41699557
PMCPMC13015010

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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.