Evidence map›Paper›PMID 42125427›Full record

ArticleHealth affairs scholar2026

Comparing patient and provider perspectives on a rural, multilevel, community-engaged Food is Medicine intervention.

Danielle M Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, Kenneth Chui, Sujata Dixit-Joshi, Fang Fang Zhang, Cassandra Hawkins, Erin Hennessy, Lawren Long, Julian D Miller and 3 more

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Danielle M KrobathDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.ORCID https://orcid.org/0000-0003-2607-5302
Vanessa Nicholson-RobinsonDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, United States.ORCID https://orcid.org/0000-0002-4320-1895
Yarisbel Melo HerreraFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.ORCID https://orcid.org/0000-0002-4075-7361
Kenneth ChuiDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, United States.ORCID https://orcid.org/0000-0002-8063-8631
Sujata Dixit-JoshiFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.ORCID https://orcid.org/0000-0002-2458-7948
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.
Cassandra HawkinsJackson State University, Jackson, MS, United States.ORCID https://orcid.org/0000-0003-4360-0164
Erin HennessyFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.ORCID https://orcid.org/0000-0001-9464-4947
Lawren LongDepartment of Social Science/Political Science, Tougaloo College, Jackson, MS, United States.ORCID https://orcid.org/0009-0008-7234-2823
Julian D MillerReuben V. Anderson Institute, Tougaloo College, Jackson, MS, United States.ORCID https://orcid.org/0009-0007-4818-2738
Anastassios G PittasDivision of Endocrinology, Diabetes and Metabolism, Tufts Medical Center, Boston, MA, United States.
Daniel J SchultzFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.ORCID https://orcid.org/0000-0001-7330-8370
Christina D EconomosFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States.ORCID https://orcid.org/0000-0002-0410-5294

Funding

A multilevel community engaged intervention to build a sustainable and food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparitiesR01MD018208 · NIMHD · TUFTS UNIVERSITY BOSTON · PI CHRISTINA D ECONOMOS, Julian D. Miller · 2022 to 2026
$6.2M
NIMHD NIH HHS R01 MD018208
6 · The paper itself

Abstract

Introduction: Community engagement and multistakeholder alignment are critical for implementing effective Food is Medicine (FIM) programs. Together with the Delta Health Center and regional farmers in the Mississippi Delta, the Delta GREENS (Growing a Resilient, Enriching, Equitable, Nourishing food System) FIM Project is testing the effects of a multilevel, community-engaged intervention that provides weekly locally-grown produce boxes over 12 months on adult cardiometabolic outcomes. Methods: We conducted 3 focus groups with low-income patients with chronic disease risk ( Results: Patients emphasized macro-level structural benefits (ie, increasing household purchasing power, boosting local economies) while providers emphasized individual-level benefits (ie, nutrition education) of Delta GREENS. Patients wanted box quantities scaled to household sizes, while providers voiced concerns about healthcare-related frustrations, such as patient non-adherence and attrition. Both groups agreed that produce boxes could support healthy eating. Conclusion: This study provides critical insights to better align stakeholder priorities to guide the design of culturally responsive FIM programs.

Indexed as

cardiometabolic diseaseschronic disease preventioncommunity-based participatory researchfood insecurityfood is medicinehealthcare provider attitudeshealthcare related frustrationshealth equitypatient-centered careproduce prescription programsprogram implementationqualitative researchrural health servicessocial determinants of healthstakeholder engagement

Identifiers

PMID42125427
PMCPMC13160426

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.