Food and Produce
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Food and Produce
Food and produce to assist chronically ill enrollees in meeting nutritional needs may be covered as SSBCI. Plans may include items such as (but not limited to) produce, frozen foods, and canned goods. Tobacco and alcohol are not permitted.
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Assessing the role of socioeconomic factors-income, education, broadband access, and healthy foods on location-wise disparities in COVID-19 cases
Chakraborty, A; Shah, J| Archives of Public Health| PubMed| 10.1186/s13690-025-01510-w
Yes
Outcome type: Favorable
Higher income, education level and broadband speed each reduced the probability of violating recommended preventive measures, promoted health awareness, and lowered COVID-19 cases. Conversely, low access to healthy foods increased case counts. The study also reports findings on food habits, living conditions and the link between education and broadband access.
Linking Intervention and Impact
Thompson‐Lastad, Ariana; Chiu, Dorothy T; Ruvalcaba, Denise; Chen, Wei‐Ting; Tester, June; Xiao, Lan; Emmert‐Aronson, Benjamin O; Chen, Steven; Rosas, Lisa G
2025| Health Serv Res| Siren| 39775914| https://doi.org/10.1111/1475-6773.14431
Recipe4Health, a multisectoral social care partnership implementing produce prescriptions with or without group medical visits (GMVs).
Outcome type: Favorable
Among Food Farmacy‐only participants, post‐intervention depression and anxiety symptoms significantly improved only among those who did not have baseline depression/anxiety (PHQ9: −1.7 [95% CI: −2.8, −0.6]; GAD7: −1.8 [95% CI: −2.9, −0.8]). Among Food Farmacy +GMV participants, mental health symptoms improved regardless of baseline mental health; among those with baseline depression/anxiety: PHQ9: −2.4 (95% CI: −3.6, −1.2); GAD7: −0.9 (95% CI: −2.0, 0.1); among those without: PHQ9: −2.2 (95% CI: −3.2, −1.2); GAD7: −2.2 (95% CI: −3.1, −1.2).
Other
Peer Reviewed
Mental Health
Linking Intervention and Impact
Radtke, Marcela D; Tester, June M; Xiao, Lan; Chen, Wei-Ting; Emmert-Aronson, Benjamin O; Markle, Elizabeth A; Chen, Steven; Rosas, Lisa G
2025| Nutrition| Siren| 40132449| https://doi.org/10.1016/j.nut.2025.112734
16-weekly produce deliveries and behavioral intervention sessions.
Outcome type: Favorable
Food-insecure and food-secure patients both experienced significant improvements in loneliness, anxiety, and depressive symptoms from baseline (P < 0.01 for all). Between-group differences were observed only for anxiety, where patients with food security experienced significant improvements in anxious symptoms compared to food-insecure patients (-1.24 [-2.33, -0.14]; P = 0.03).
Other
Peer Reviewed
Mental Health
Linking Intervention and Impact
Fruin, Kaitlyn M; Tung, Elizabeth L; Franczyk, Jean M; James, Ketaurah; Koetz, Andrew J; Mason, Angela K; Detmer, Wayne M
2025| Health Affairs| Siren| 40193829| https://doi.org/10.1377/hlthaff.2024.01345
A VeggieRx produce prescription program that refers patients to the Farm on Ogden for free produce boxes, nutrition counseling, and cooking classes.
Outcome type: Favorable
At eighteen months, the VeggieRx group experienced a mean body weight difference of -6.71 pounds and percentage body weight difference of -4.7 percent relative to control.
Other
Peer Reviewed
Linking Intervention and Impact
Oluwadero, John; De Leon, Lydia; Falgowski, Megan; Holman, Eunice; Kennedy, Nicole; Norris-Bent, Maggie; Patosky, Heather; Richardson, Ruthann; Seibold, Mia; Tracy, Tara; Werner, Megan; VanHorne, Samuel; Karpyn, Allison
2025| Dela J Public Health .| Siren| 40331171| https://doi.org/10.32481/djph.2025.04.04
The FF program provided participants with nutrient-dense food, bi-weekly nutrition counseling, and behavioral support.
Outcome type: Favorable
Participants demonstrated significant reductions in BMI and improved dietary behaviors, including decreased consumption of sodium, sugar, and fats. While changes in A1C levels were not statistically significant, the overall trend indicated improvement.
Other
Peer Reviewed
Diabetes
Linking Intervention and Impact
Byker Shanks, Carmen; Park, Michelle S; Yaroch, Amy L; Short, Eliza; Seligman, Hilary K
2025| Annual Review of Nutrition| Siren| 40354556| 10.1146/annurev-nutr-111124-092627
The US Department of Agriculture's Gus Schumacher Nutrition Incentive Program (GusNIP) funds produce prescription (PPR) programs that allow healthcare to support patients in accessing fruits and vegetables.
Outcome type: Unfavorable
Fewer than half of the studies examining clinical values showed an association between PPR participation and improved health outcomes (for example, three of eight studies measuring weight or body mass index showed a statistically significant reduction, as well as two of the six studies measuring glycosylated hemoglobin).
Systematic Review
Peer Reviewed
Linking Intervention and Impact
Lara-Arevalo, Jonathan; Corvalan, Camila; Pemjean, Isabel; Montes de Oca, Daniela; Ng, Shu Wen; Smith Taillie, Lindsey
2025| Advances in Nutrition| Siren| https://doi.org/10.1016/j.advnut.2025.100530
Incentive programs that provide voucher benefits for healthy foods.
Outcome type: Neutral
Mixed results were found regarding diet quality indicators, physical health outcomes, and mental health.
Systematic Review
Peer Reviewed
Linking Intervention and Impact
Berkowitz, Seth A.; Ammerman, Alice S.; Knoepp, Patricia; et al.
2025| JAMA Intern Med| Siren| 10.1001/jamainternmed.2025.5287
Comparison of different intervention elements: type of food resources provided, whether to offer lifestyle counseling, and intervention duration. Food resources included healthy food subsidy redeemable at grocery stores vs biweekly healthy food box home delivery. The lifestyle intervention included either no intervention or offering telephone-based lifestyle counseling. The intervention duration included 6 months vs 12 months.
Outcome type: Neutral
A food subsidy produced better blood pressure control than a delivered food box. Offering lifestyle counseling and a longer benefit duration did not produce better blood pressure outcomes.
Peer Reviewed
Linking Gap and Impact
Shaw, Gina
2025| Neurology| Google Scholar| https://doi.org/10.1212/WNL.0000000000213979
Outcome type: Neutral
In unadjusted models, FD residence (vs non-FD) was associated with higher stroke incidence. After adjustment for age, sex, and race, this relationship was attenuated and no longer statistically significant.
Other
Peer Reviewed
Stroke
Linking Intervention and Impact
Zimmer, Rachel; Abdelfattah, Lindsey; Shenberger, Diane, Crotts, Charlotte; Birken, Sarah; Hanchate, Amresh
2026| Journal of General Internal Medicine| Siren| 41979725| https://doi.org/10.1007/s11606-026-10390-x
Weekly home-delivered produce, registered dietitian-led coaching, and education over 12 months.
Outcome type: Favorable
PRx was associated with greater improvements in FV intake and greater reductions in loneliness. Between-group differences for FI and moderate-to-severe depression favored PRx but were not statistically significant. At 12 months, no significant between-group differences in healthcare utilization and costs were observed. Among the 105 (84%) intervention participants who completed 12-month follow-up, between the pre- and post-intervention periods, FI declined by 17.1%, FV intake increased by 0.4 cups/day, fatigue improved by 3.1 points, and among participants with elevated baseline BP, systolic BP decreased by 8.6 mmHg.
Peer Reviewed
Linking Intervention and Impact
Drake, Connor; Buckman, Cierra; Brucker, Amanda; McPeek Hinz, Eugenia; Pignone, Michael; Shaikha, Huda; Rader, Abigail; Granados, Isa; Goldstein, Benjamin A; Chamorro, Ceci
2026| Journal of the American Medical Association, Internal Medicine| Google Scholar| doi:10.1001/jamainternmed.2025.8008
The PRx arm received a debit card loaded with $80 monthly for up to 12 months. The card was valid to purchase eligible fresh, frozen, or canned fruits, vegetables, and legumes from grocery retailers. Both arms received diabetes self-management educational materials.
Outcome type: Unfavorable
There were no clinically significant differences in cardiometabolic or health care utilization outcomes between patients who were randomized to receive the subsidy compared with a usual care control group.
Peer Reviewed
Diabetes
Linking Gap and Impact
Scott, La’Shardae; Cohen-Young, Jasmine
2025| Journal of Sickle Cell Disease| Google Scholar| https://doi.org/10.1093/jscdis/yoaf013.030
Outcome type: Favorable
Findings indicate that individuals with SCD in food deserts experience higher hospitalization rates due to complications related to poor nutrition, such as dehydration, anemia, and infections. 
Other
Peer Reviewed
Hematologic Disorders
Linking Intervention and Impact
Stein, Renee; Finnie, Ramona KC; Harmon, Stacy; Peng, Yinan; Pritchard, Chelsea; Vecsey, Heather; Emmons, Karen M; Hargarten, Stephen; Simon, Melissa A; Blanck, Heidi M
2025| American Journal of Preventive Medicine| Google Scholar| https://doi.org/10.1016/j.amepre.2024.11.016
This systematic review conducted in support of the Community Preventive Services Task Force examines the effectiveness of Fruit and Vegetable Incentive programs in reducing food insecurity, increasing fruit and vegetable consumption, and improving health outcomes among households with lower incomes.
Outcome type: Favorable
The findings from this systematic review formed the basis for the CPSTF recommendation of FVI programs for households with lower incomes due to their strong effectiveness in reducing household food insecurity, increasing FV consumption, and improving blood glucose levels among participants at risk for or with diet-related health conditions. 
Systematic Review
Peer Reviewed
Linking Intervention and Impact
Valentine, Heather; Cunningham, Alissa; Martin, Donna; Rush, Jessi; Lee, Jaehoon; Gibson, Cheryl A
2025| Cardiovascular Quality and Outcomes| Google Scholar| https://doi.org/10.1161/CIRCOUTCOMES.122.009520
Programs provided financial incentives to purchase fruits and vegetables at grocery stores or farmers markets (median, $63/month; duration, 4–10 months).
Outcome type: Favorable
Odds of improving 1 level in self-reported health status increased for adults and children. Among adults with glycated hemoglobin ≥6.5%, glycated hemoglobin declined by −0.29% age points; among adults with hypertension, systolic and diastolic blood pressures declined by −8.38 mm Hg and −4.94 mm Hg; and among adults with overweight or obesity, BMI decreased by −0.36 kg/m2 . Child BMI z-score did not change −0.01.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Persaud, Nav; Zia Ul Haq, Moizza; Buadu, Adelaide
2025| Journal of the American Medical Association Internal Medicine| PubMed| 10.1001/jamainternmed.2025.5420
Patients with type 2 diabetes experiencing food insecurity were randomly allocated to a monthly voucher or usual access to healthy foods. 
Outcome type: Neutral
In this randomized clinical trial, a monthly food voucher did not have an effect on HbA1c control or objective measures of diet quality but the voucher did increase self-reported vegetable and fruit consumption.
Peer Reviewed
Diabetes
Linking Intervention and Impact
Ronis, Sarah D; Hartman, Holly; Neeland, Ian J; Leach, Anne; Cunanan, Celina
2025| American Journal of Managed Care| PubMed| 40080650| https://doi.org/10.37765/ajmc.2025.89706
An unincentivized medically tailored grocery intervention through a regional health system.
Outcome type: Neutral
MTG program attendance was associated with favorable changes in market attendees vs nonusers in diastolic BP after 3 years from baseline, after accounting for confounders. No significant differences were observed in systolic BP, HbA1c, or weight.
Case Study
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Byker Shanks, Carmen; Fung Uy, Whitney; Zhang, Nanhua; Fricke, Hollyanne; Resnicow, Kenneth; Budd Nugent, Nadine; Yaroch, Amy L
2025| American Journal of Preventive Medicine| PubMed| https://doi.org/10.1016/j.focus.2025.100348
The Gus Schumacher Nutrition Incentive Program supports grantees to implement nutrition incentive projects nationwide to provide individuals participating in the Supplemental Nutrition Assistance Program with incentives to facilitate the purchase and consumption of fruits and vegetables.
Outcome type: Favorable
Participants in nutrition incentives at >6 months demonstrated significantly higher fruit and vegetable intake than first-time participants and those ≤6 months. Significance was observed for reduced food insecurity and better perceived health.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Gap and Impact
Paik, Annette; Henry, Linda; de Avila, Leyla; AlQahtani, Saleh; Nader, Fatema; Paik, James M; Younossi, Zobair M
2025| Clinical Gastroenterology and Hepatology| PubMed| https://doi.org/10.1016/j.cgh.2024.08.053
Outcome type: Favorable
After adjusting for county sociodemographic and clinical factors and regions, mixed-effects linear regression models showed significant differences in mortality rates (per 100,000) between counties with the highest vs lowest quartiles of food deserts and food swamps.
Other
Peer Reviewed
End-Stage Liver Disease
Linking Intervention and Impact
Wang, Shuqi; Lightner, Alexis; Williamson, Stacey; Fan, Wenxuan; Poirier, Lisa; Lewis, Emma C; Jiao, Keyi; Reznar, Melissa M; Neff, Roni A; Kravitz, Julia
2025| Current Developments in Nutrition| Google Scholar| https://doi.org/10.1016/j.cdnut.2025.106339
The study assessed clients across pre-packed, client-choice, and multiple-option food pantries.
Outcome type: Favorable
This study identified a notable relation among eating more pantry-source foods at home, multiple food distribution methods, and having lower SP/DP in a sample of low-income Baltimore adults, suggesting consistent access to pantry foods may be vital in regulating HTP risk for those experiencing food insecurity.
Other
Peer Reviewed
Linking Intervention and Impact
Prideaux, Melissa; De La Cruz, Maria; Rahman, Himika; LaRue, Denise; Galvan, Esperanza; Bachireddy, Chethan
2025| Google Scholar| https://doi.org/10.1111/1475-6773.14565
Participants receive up to 18 biweekly visits and obtain 20 to 30 pounds of fresh produce along with diabetes self- management education per visit. Patients are also enrolled in Culinary Medicine to increase produce utilization.
Outcome type: Favorable
Graduates have an average HbA1C reduction of 1.09 percentage points compared to their baseline (n = 736, p < 0.00). Of graduates with an initial HbA1C ≥ 9%, HbA1C decreased by an average of 2.22 percentage points (n = 353, p < 0.00) from baseline. LDL levels de clined by 6.07 points (n = 315, p = 0.0038) from baseline. Graduates' average fruit and vegetable consumption increased 20.1% from baseline (n = 708, p < 0.00). Nutrition knowledge improved by 10.6% from baseline to the latest survey (n = 710, p < 0.00).
Other
Peer Reviewed
Diabetes
Linking Intervention and Impact
Juraschek, Stephen P.; Col, Hannah; Ferro, Kayla; Turkson-Ocran, Ruth-Alma N.; Cluett, Jennifer L.; Davis, Roger B.; Kraemer, Kristen M.; McManus, Kathy; Mukamal, Kenneth J.; Aidoo, Emily L.; Kwapong, Fredrick Larbi; Budu, Marian; Patil, Dhrumil; Nartey, Sarah; Michetti, Jacqueline; Allison, Sofia; Mate-Kole, Manfred; Cao, Jingyi; Grobman, Benjamin; Seager, Reva; Hines, Anika L.; Miller III, Edgar R.; Crews, Deidra C.; Fitzpatrick, Stephanie L.
2026| Journal of the American Medical Association| Google Scholar| doi:10.1001/jama.2025.21112
Participants were randomly assigned to 12 weeks of home-delivered, DASH-patterned groceries ordered weekly with dietitian counseling without emphasizing cost or three $500 stipends every 4 weeks intended for self-directed grocery shopping.
Outcome type: Favorable
In this study, a program of home-delivered, DASH-style groceries plus dietitian counseling decreased BP and LDL cholesterol levels beyond comparable monetary compensation. However, effects were not maintained after the intervention ended.
Peer Reviewed
Linking Gap and Impact
Fox, Cameron; Milton, Arissa; Jordan, Lewis; Anderson, Jade; LoConte, Noelle; Narayan, Anand
2025| Cancer Epidemiology, Biomarkers & Prevention (meeting abstract)| PubMed| 10.1158/1538-7755.DISP25-C144
Outcome type: Unfavorable
Breast screening: of 8,392 weighted eligible female respondents, 74.6% reported mammography within two years. In both unadjusted and adjusted analyses, food insecurity, lack of internet access, trouble with housing costs, lack of health insurance and transportation difficulties were each associated with significantly lower mammography rates (p<0.01); employment status was not (p>0.10). Colorectal screening: of 14,765 weighted eligible respondents, 69.0% were screened. Unadjusted, food insecurity, lack of college education, lack of internet access, trouble with housing costs, lack of health insurance, employment status and transportation difficulties all showed significantly lower screening (p<0.001); after adjustment only internet access, lack of health insurance, lack of college education and employment status remained significant (all p<0.001), while food insecurity (p=0.224), housing costs (p=0.628) and transportation delays (p=0.090) did not. Authors conclude lack of internet access, health insurance and formal education were independently associated with lower screening and call for targeted SDOH interventions.
Other
Age > 65
Age ≤ 65
Cancer
Linking Gap and Impact
Lei, Yixian; Bai, Haixin; Kang, Hongna; Xin, Qi; Li, Tingting; Yang, Tinghui; Li, Jianan; Meng, Lina
2025| Frontiers in Public Health, Vol. 13, Article 1677690| Google Scholar| 10.3389/fpubh.2025.1677690
Outcome type: Favorable
Nutritional status had a significant total effect on post-stroke cognitive function (Estimate = 0.026, 95% CI 0.022–0.030, p < 0.001) among 284 ischemic stroke patients aged 60 and older followed at 3, 6 and 9 months post-stroke. A significant indirect effect through life-space mobility accounted for 24.94% of the total effect (Estimate = 0.006, 95% CI 0.004–0.008, p < 0.001), with the direct effect remaining significant (Estimate = 0.019, 95% CI 0.015–0.023, p < 0.001), indicating partial mediation. The cross-lagged panel model showed complete mediation for the T2–T3 pathway (β = 0.029, 95% CI 0.004–0.061, p < 0.05). The authors concluded that malnutrition can indirectly worsen post-stroke cognitive impairment via limited life-space mobility, underscoring the value of early malnutrition identification and mobility improvement.
Peer Reviewed
Age > 65
Age ≤ 65
Stroke
Linking Intervention and Impact
Ainooson, Jessica; Gregory, Blake, Sherwin, Elizabeth B.; Lemke, Grace; Narkhede, Anita; Fok, Cynthia L.; Dokanchi, Jack; Flores Crisostomo, Amihan; Khoong, Elaine C.
2026| J Nutr Educ Behav| Siren| 41817481| https://doi.org/10.1016/j.jneb.2026.01.016
Six-month program including pharmacist and nutritionist visits, transportation assistance, and smoking cessation resources, plus $160 per month of grocery and produce vouchers.
Outcome type: Neutral
Uncontrolled hypertension (≥ 140/90 mmHg) decreased significantly from 45.9% to 21.6% (P = 0.007, n = 41). There was no statistically significant change in mean hemoglobin A1c from baseline to program end (10.1% vs 9.7%; P = 0.17). Mean low-density and body mass index were not significantly different.
Other
Peer Reviewed
Diabetes
Linking Intervention and Impact
Bridges, Kristina M; Woodward, Jennifer; Murray, Megan; Leibengood, Alyssa; Bantis, Leonidas; Montero, Leny; Young, Donna; Solano, Manuel; Camacho, Vanessa; McCall, Angela; Sullivan, Debra K; Greiner, K Allen
2026| BMC Public Health| Siren| 41699557| 10.1186/s12889-026-26567-2
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.
Outcome type: Neutral
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.
Peer Reviewed
Diabetes
Linking Gap and Impact
Dhakal, Usha; El Asmar, Khalil; Mendes deLeon, Carlos F.
2025| PLoS One| Siren| https://doi.org/10.1371/journal.pone.0339720
Outcome type: Favorable
Food insecurity is associated with poorer physical and cognitive functioning in older adults.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Plencner LM; Kelty K; Demaestri S; Krager M; Marein P; Erbert G; Colvin JD
2025| J Ambul Care Manage| Siren| 10.1097/JAC.0000000000000544
An urban children's hospital established an on-site food pantry within the primary care building.
Outcome type: Unfavorable
Participants reported limited impact on diet and health due to the similarity of the food to their usual diet. Additional themes included the perceived benefit of food pantries within health care as a "one stop shop" and the importance of language concordance and being treated respectfully within the pantry.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
Rosas L, Chen S, Xiao L, Baiocchi M, Ng E, Emmert-Aronson B, Chen W, Thompson-Lastad A, Martinez E, Perez J, Melendez E, Markle E, Radtke M, Tester J
2025| Am J Prev Med| Google Scholar| 10.1016/j.amepre.2024.10.020
Recipe4Health had three components: (1) Training and workflow integration for community health centers; (2) Food Farmacy, with 16 weekly doorstep deliveries of produce; (3) Behavioral Pharmacy, with up to 16 weekly group medical visits.
Outcome type: Favorable
R4H resulted in improvements in diet and multiple clinical health outcomes, such as non-HDL cholesterol and HbA1c.
Other
Peer Reviewed
Linking Gap and Impact
Connor A, Ho K, Dibble K, Visvanathan K
2024| Cancer Res| Google Scholar| 10.1158/1538-7445.SABCS23-PO3-27-07
Outcome type: Favorable
Women living in counties with a Food Environment Index ≥8.8 (indicating greater access to healthy foods) were significantly less likely to experience weight gain.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
Short E, Selig JP, Felix HC, Painter J, McElfish PA, Rowland B, Ammerman AS, Bounds K, Henske J, Hudson JS, Li J, Young SG, Long CR.
2024| Contemp Clin Trials| PubMed| 38458560| 10.1016/j.cct.2024.107491
This study looked at the impact of a delivered food box that is specific for individuals with type 2 diabetes melllitus. The intervention included 3 months of delivered meals and a 60 minute vitual consultation.
Outcome type: Favorable
The study does not currently have findings on HbA1c changes or diet quality.
Randomized Controlled Trial
Peer Reviewed
Dementia
Linking Intervention and Impact
Mayfield, C., Robinson-Taylor, T., Rifkin, D., Harris, ME.
2024| Journal of Public Health Management and Practice| Google Scholar| 37646558| 10.1097/PHH.0000000000001821
This study looked at the impact of a food prescription program.
Outcome type: Favorable
The study found that the intervention led to a decrease in nonadmission ED utilization,
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
Feldman-Hunt, C., & Clairmont, E.
2022| Conference: International Congress on Integrative Health and Medicine| Google Scholar|
The 13-week intervention consisted of provision of an Anti-Inflammatory Pantry Kit to participants, containing health and nutritious foods and meetings with registered dieticians.
Outcome type: Favorable
This intervention resulted in modifications to participant diets to increase whole food sources of essential nutrients that are evidenced to affect inflammation and immune system function among people with chronic pain.
Prospective Cohort Study
Linking Intervention and Impact
Collins, N., Krutee, L., Bidaisee, S.
2022| International Public Health Journal| Google Scholar|
This study looked at the literature to understand the impact of food pantries on diabetes mellitus self-management.
Outcome type: Favorable
The literature review found a relationship between food insecurity and diabetes mellitus management and glycemic control. The review found mixed results for the impact of interventions on self-management.
Other
Peer Reviewed
Linking Intervention and Impact
Dikmen, D.
2023| Komp Nutr Diet| Google Scholar| https://doi.org/10.1159/000529397
The study looked at food insecurity interventions and their impact on cancer outcomes. The intervention included a hospital cancer clinic–based food pantry, food voucher plus pantry, and home grocery delivery plus pantry.
Outcome type: Favorable
The study found the voucher plus pantry to be most effective for treatment completion. All three interventions were promising in improving food insecurity in the patient population.
Randomized Controlled Trial
Peer Reviewed
Cancer
Linking Intervention and Impact
Holzum, H., Nelson, K., Granneman, J., Acton, J., & Nevel, R.
2021| Journal of Cystic Fibrosis| Google Scholar| PMC8518436| 10.1016/S1569-1993(21)01767-7
The study analyzed the impact of a food pantry for families in a pediatric CF center to understand the impact on food insecurity.
Outcome type: Favorable
The food pantry led to a decrease from 27% to 13% in at-risk nutritional status in the study participants.
Other
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
Geraghty, B., AE-C, M. B., Lewis, S., Charters, M., Romero, M., Maduka, J., Angeles, N., Olivares, P., & Sheely, S.
2019| APHA's 2019 Annual Meeting and Ecpo| Google Scholar|
This study analyzed the impact of an adapted CHANGE tool to improve the nutritional content of a food pantry, and its impact on individuals with, or at risk of, diabetes.
Outcome type: Favorable
The study found that pantry staff chose healthier options than clients and did not believe in the client's ability to choose healthier options. They also found that most clients would choose healthier options if they were offered.
Other
Diabetes
Linking Intervention and Impact
Wang, E. Gilbert, A., Mueller, S., Wessels, A.
2019| Curr Dev Nutr| Google Scholar| https://doi.org/10.1093/cdn/nzz051.OR02-08-19
This study analyzed the impact of "The Food Pharmacy Network" intervention that provides free fresh produce in health clinics on food security.
Outcome type: Favorable
The study found that The Food Pharmacy Network participants were less likley to experience very low food securty, increased self suffiency and increased fruits and vegetable serving sper day versus the control group.
Other
Peer Reviewed
Linking Intervention and Impact
Lowrey, J., Chandrasekaran, A., Headings, A., Hyder, A.
2021| Google Scholar|
This study looked at the impact of the Mid-Ohio Farmacy program on health quality and cost. The intervention assesses the food status of patients to help refer them to food pantries.
Outcome type: Favorable
The study found the intervention let to a 3% decrease in weight and 10% reduction in costs.
Other
Linking Intervention and Impact
Ranjit, N., McWhorter, J., Boyer, P., & Sharma, S.
2022| APHA 2022 Annual Meeting and Expo| Google Scholar|
The study looked at the impact of a food prescription program on cardiometabolic measures.
Outcome type: Favorable
The study found that the intervention led to a decline in HbA1c in participants. There were also differences seen in systolic and diastolic blood pressure between the study groups.
Other
Linking Intervention and Impact
Comerford, B., Doughty, K., Njike, V., Ayettey, R., Weisel, A., Katz, D., & Costales, V.
2019| BMC Public Health| Google Scholar| https://doi.org/10.1093/cdn/nzz051.OR16-07-19
This study looked at the impact of the Fruit and Vegetable "Presciption" (FVRx) intervention. The intervention included 45-minute cooking and nutrition education sessions and a $15-25 voucher for fruit and vegetables.
Outcome type: Neutral
The study found that the FVRx intervention led to an increase in HEI-2010 scores (vegetable intake) and reduced HE-2010 scores (empty calories). There was no significant difference in body composition, HbA1c blood lipids, or blood pressure.
Randomized Controlled Trial
Peer Reviewed
Age ≤ 65
Diabetes
Linking Intervention and Impact
Greatorex Brooks E, McInerney M.
2023| J Nutr Sci| PubMed| 37744640| 10.1017/jns.2023.81
The study intervention of interest is a community-based fruit and vegetable prescription boxes program, and its impact on various measures.
Outcome type: Favorable
Studies found diet quality, health outcomes, and food insecurity status imroved.
Other
Peer Reviewed
Linking Intervention and Impact
Martinez SM, Chodur GM, Esaryk EE, Kaladijian S, Ritchie LD, Grandner M.
2022| J Nutr Educ Behav| PubMed| 35618403| 10.1016/j.jneb.2022.03.001
The study looked at the impact of a campus food pantry (CFP) intervention on college students.
Outcome type: Favorable
The study measured sleep, mental health, and physical health outcomes. They found decreased depression symptoms, improved sleep sufficiency, and improved percieved health.
Other
Peer Reviewed
Age ≤ 65
Mental Health
Linking Gap and Impact
Bangham C, Zack RM, Nelson E, Liu X, Codner A, Hicks JM, Greece JA.
2023| Front Public Health| PubMed| 38026276| 10.3389/fpubh.2023.1286094
Outcome type: Favorable
Hunger was found to be associated with increased medical expenses, job loss, pay reduction, increased debt, and death of a family member
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Dunn CG, Vercammen KA, Bleich SN, Mulugeta W, Granick J, Carney C, Zack RM.
2021| J Nutr Educ Behav| PubMed| 34246412| 10.1016/j.jneb.2021.03.012
This study looked at a free, monthly produce market intervention to understand its impact and barriers to access.
Outcome type: Favorable
Participants reported facilitators or the market were accessibility program experience, and the qualities of goods and servcies. Reported barriers included transportation challenes, weather, and not enough produce. They reported the market improved diet and finances.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Cook M, Ward R, Newman T, Berney S, Slagel N, Bussey-Jones J, Schmidt S, Sun Lee J, Webb-Girard A.
2021| J Nutr Educ Behav| PubMed| 34509277| 10.1016/j.jneb.2021.06.010
The study looked at a six-month intervention for group-based nutrition and cooking education. Additionally, it included subsidies for fresh produce.
Outcome type: Favorable
The study found a significant decrease of food insecurity and blood pressure from participation in the program.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Hu D, Cherian A, Chagin K, Bier J, Einstadter D, Gunzler D, Glenn A, McLaughlin E, Cook K, Misak J, Bolen SD.
2022| Cureus| PubMed| 36579189| 10.7759/cureus.31912
The study analyzed the impact of a hospital-based food pantry clinic, which included a 3-day supply of food up to 2 times a month, up to 12 months. The impacts observed included self-reported dietary changes, health outcomes, and resource utilization.
Outcome type: Neutral
The program led to self-reported improvement in dietary behavior but did not have significant changes in clinical or healthcare utilization measures.
Other
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Doyle J, Alsan M, Skelley N, Lu Y, Cawley J.
2024| JAMA Intern Med| PubMed| 38147326| 10.1001/jamainternmed.2023.6670
This study looked at the food-as-medicine program to understand its impact on a patients with diabetes.
Outcome type: Neutral
The study measures outcomes including HbA1c level at 6 months, other biometric measures, health care use, self-reported diet, and healthy behaviors. The study found increased engagement with preventive health care, but did not find a significant difference in HbA1c levels. but no improvement in glycemic control
Peer Reviewed
Age > 65
Age ≤ 65
Linking Intervention and Impact
Sadeghzadeh C, Sheppard B, de Groot J, De Marco M.
2022| Health Educ Behav| PubMed| 34963366| 10.1177/10901981211058075
Study to understand the impact of a community garden program funded by SNAP-Edusing the Ripple Effect Mapping (REM) method.
Outcome type: Neutral
The study takeaway was on the REM method and found it was a useful way to study the impact of programs such as SNAP-Ed.
Other
Peer Reviewed
Linking Intervention and Impact
Cavanagh M, Jurkowski J, Bozlak C, Hastings J, Klein A.
2017| Public Health Nutr| PubMed| 27539192| 10.1017/S1368980016002081
This study evaluates the Veggie Rx intervention which is a healthy food incentive program in upstate New York.
Outcome type: Favorable
The Veggie Rx program showed a statistically significant improvement in mean BMI between study groups.
Other
Peer Reviewed
Linking Intervention and Impact
Lyonnais MJ, Kaur AP, Rafferty AP, Johnson NS, Jilcott Pitts S.
2022| J Public Health Manag Pract| PubMed| 35121710| 10.1097/PHH.0000000000001490
The study looked at the impact of produce prescription vouchers.
Outcome type: Favorable
The study found that the voucher initiative resulted in increased fruit and vegetable purchasing and consumption.
Other
Peer Reviewed
Linking Intervention and Impact
Smith-Drelich N.
2016| Public Health Nutr| PubMed| 26054549| 10.1017/S1368980015001469
The study looked at the impact of a reimbursement-based consumer subsidy. Outcomes measures included vegetable expenditures, consumption and waste.
Outcome type: Unfavorable
The study found that the intervention increased vegetable expenditure but did not have an impact on vegetable consumption.
Randomized Controlled Trial
Peer Reviewed
Age ≤ 65
Linking Intervention and Impact
Baldwin C.
2015| Proc Nutr Soc| PubMed| 26087760| 10.1017/S0029665115002311
The purpose of this study was to understand the current oral nutritional interventions related to weight loss in cancer patients.
Outcome type: Neutral
The study found that existing oral nutritional intervention studies have had limited evidence on the benefit to clinical outcomes from these interventions. They have shown increases in quality of life.
Systematic Review
Peer Reviewed
Linking Intervention and Impact
An R, Wang J, Liu J, Shen J, Loehmer E, McCaffrey J.
2019| Public Health Nutr| PubMed| 30834852| 10.1017/S1368980019000144
The purpose of this study was to understand the literature on food-pantry-based interventions and the effect of this type of program in the US.
Outcome type: Favorable
Articles used in the study found that food pantry interventions did have a positive impact on diet-related outcomes.
Systematic Review
Peer Reviewed
Linking Intervention and Impact
Gany F, Melnic I, Wu M, Li Y, Finik J, Ramirez J, Blinder V, Kemeny M, Guevara E, Hwang C, Leng J.
2022| J Clin Oncol| PubMed| 35709430| 10.1200/JCO.21.02400
This study looked at the impact of food insecurity interventions on cancer outcomes
Outcome type: Favorable
The study found the voucher plus pantry intervention had the highest treatment completion rate and was most effective at improving treatment completion. The three interventions also indicated a potential to improve food security among the medically underserved.
Randomized Controlled Trial
Peer Reviewed
Age > 65
Age ≤ 65
Cancer
Linking Intervention and Impact
Jd Steer K, Olstad DL, Jt Campbell D, Beall R, Anstruther SM, Caron-Roy S, Spackman E.
2023| Adv Nutr| PubMed| 37245685| 10.1016/j.advnut.2023.05.012
This study looked at how material food benefits impacted access, dietary intake, and food insecurity for individuals with diabetes and any relevant economic evidence.
Outcome type: Neutral
Literature showed improved household food insecurity, fruit and vegetable intake, and overall diet quality with interventions aimed at improving access to food for people with diabetes. It was not clear if it impacted clinical parameters and whole grain intake.
Systematic Review
Peer Reviewed
Diabetes
Linking Intervention and Impact
Maurer T, Belau MH, von Grundherr J, Schlemmer Z, Patra S, Becher H, Schulz KH, Zyriax BC, Schmalfeldt B, Chang-Claude J.
2022| BMJ Open| PubMed| 35197344| 10.1136/bmjopen-2021-054091
The study looked at a nutrition and exercise intervention to determine its safety and efficacy for patients with ovarian cancer.
Outcome type: Favorable
The study showed that the intervention was safe and will analyze the effectiveness of the intervention in a future RCT.
Randomized Controlled Trial
Peer Reviewed
Age ≤ 65
Cancer
Linking Intervention and Impact
Zhou C, Wang S, Sun X, Han Y, Zhang L, Liu M.
2023| BMC Cardiovasc Disord| PubMed| 36765270| 10.1186/s12872-023-03072-7
This study analyzes a home-based nutritional intervention for elderly patients with chronic heart failure and its impact on nutritional status.
Outcome type: Favorable
This study found that the intervention positively impacted the nutritional status of individuals with CHF. There was significant and positive impact on nutritional indexes and cardiopulmonary function indexes for the experimental group.
Randomized Controlled Trial
Peer Reviewed
Age > 65
Chronic Heart Failure
Linking Intervention and Impact
Sadeghi F, Mockler D, Guinan EM, Hussey J, Doyle SL.
2021| Nutrients| PubMed| 34445002| 10.3390/nu13082842
The study aimed to understand the impact of combined nutritional and exercise interventions on patients with GI cancer.
Outcome type: Neutral
Studies showed promising but insignificant effects on physical functioning and conflicting results on muscle mass and improving health-related quality of life from nutrition and exercise interventions.
Systematic Review
Peer Reviewed
Age ≤ 65
Cancer
Linking Intervention and Impact
Whitehouse CR, Akyirem S, Petoskey C, Huang S, Lendvai D, Batten J, Whittemore R.
2024| Sci Diabetes Self Manag Care| PubMed| 38545669| 10.1177/26350106241232649
This study looked at two interventions (a medically tailored meal/grocery program and produce prescriptions/vouchers and their impact on food insecurity for individuals with prediabetes or T2D.
Outcome type: Favorable
Studies showed a decrease in A1C, improved self-management, self-efficacy, depressive symptoms/diabetes distress, and quality of life. Some studies reported statistically significant improvements in food insecurity.
Systematic Review
Peer Reviewed
Age ≤ 65
Diabetes
Linking Intervention and Impact
Seligman HK, Smith M, Rosenmoss S, Marshall MB, Waxman E.
2018| Am J Public Health| PubMed| 30024798| 10.2105/AJPH.2018.304528
The purpose of this study was to understand the impact of food bank provision of self-management support and diabetes-appropriate on glycemic control for individuals with diabetes.
Outcome type: Favorable
Food security, food stability, and fruit and vegetable intake significantly improved in participants, but there was no significant difference in self-management or HbA1c.
Randomized Controlled Trial
Peer Reviewed
Age ≤ 65
Diabetes