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Record W4415269236 · doi:10.1093/tbm/ibaf060

Food is medicine programs for pregnant women in the United States: a systematic review

2025· article· en· W4415269236 on OpenAlex
Shelly Palmer, Carmen Byker Shanks, Laura E. Balis, Emily Shaw, P.L. Santos, Amy L. Yaroch

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueTranslational Behavioral Medicine · 2025
Typearticle
Languageen
FieldHealth Professions
TopicFood Security and Health in Diverse Populations
Canadian institutionsImpact
Fundersnot available
KeywordsFocus (optics)Public healthMEDLINEAlternative medicineHealth psychologyFocus group

Abstract

fetched live from OpenAlex

BACKGROUND: Approximately 12.5% of households with children in the United States are food insecure. As national priorities evolve to address food insecurity, food is medicine (FIM) programs may be a part of the solution. However, there is a gap in evidence on the maternal and birth outcomes of FIM programs. PURPOSE: The goal of this systematic review was to understand the overall public health impacts of FIM programs for pregnant populations. METHODS: This systematic review was conducted in accordance with PRISMA guidelines. A search strategy was used to locate peer-reviewed literature through EBSCOhost and PubMed, and grey literature (e.g. websites, reports, booklets, and presentations) through a custom Google search in October 2022 and again in October 2024. Sources were independently screened by two researchers. Data were extracted independently by two researchers according to the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. RESULTS: Nine peer-reviewed and 20 grey literature programs met inclusion criteria. Limited data made it difficult to determine FIM program reach (demographics) or maintenance. Effectiveness outcomes included fruit and vegetable intake, food security, and birth outcomes. Programs were adopted by healthcare providers across all regions of the United States. The core provisions and components implemented included fruits and vegetables or ready-to-eat meals, which were provided through vouchers, coupons, or prepackaged boxes. CONCLUSIONS: This review offers a timely summary of FIM programs for pregnant women. Future research should focus on consistent reporting of measures and metrics. Additionally, longer-term studies are needed to build evidence for program sustainability.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.779
Threshold uncertainty score0.542

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.323
GPT teacher head0.524
Teacher spread0.201 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it