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Produce prescription (PRx) interventions pair access to produce with education, but evidence among Medicaid-insured adults remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Evaluate the impact of PRx on FI, fruit and vegetable (FV) intake, and psychosocial and clinical outcomes among adults with chronic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, non-randomized cohort study with a matched comparison group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 125 Medicaid-insured, food-insecure adults with chronic metabolic conditions were enrolled in the intervention cohort and 92 matched to the Supplemental Nutrition Assistance Program (SNAP)-only cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Weekly home-delivered produce, registered dietitian-led coaching, and education over 12\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>FI (USDA 10-item Food Security Survey Module), FV intake (National Cancer Institute screener), depression (PHQ-9), loneliness (UCLA 3-item), fatigue (FACIT-F), healthcare utilization and costs, and blood pressure (BP). For the comparison cohort, some measures were obtained for 6\u00a0months of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>\n                      At 6 months, based on between-group differences, PRx was associated with greater improvements in FV intake (difference in change:\u2009+\u20090.3 vs.\u2009+\u20090.03 cups\/day,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and greater reductions in loneliness (difference in change: \u22120.6 points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022). Between-group differences for FI (\u22128.2 percentage points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.26) and moderate-to-severe depression (\u221210.8 percentage points,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.07) favored PRx but were not statistically significant. At 12\u00a0months, 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% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), FV intake increased by 0.4 cups\/day (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), fatigue improved by 3.1 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019), and among participants with elevated baseline BP (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973), systolic BP decreased by 8.6\u00a0mmHg (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In this study, PRx was associated with improved diet quality and loneliness compared with a SNAP-only comparison. Within-group analyses demonstrated improvements across dietary, psychosocial, and BP outcomes, supporting further evaluation using randomized or comparative designs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10390-x","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T13:15:22Z","timestamp":1776172522000},"page":"4034-4045","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impacts of a Produce Prescription Program on Food Security, Diet Quality, and Psychosocial Health of Adults with Medicaid and Chronic Health Conditions: A 12-Month Longitudinal Evaluation"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1037-069X","authenticated-orcid":false,"given":"Rachel","family":"Zimmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Abdelfattah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Shenberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Crotts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Birken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amresh","family":"Hanchate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"10390_CR1","doi-asserted-by":"publisher","unstructured":"Rabbitt MP, Reed-Jones M, Hales LJ, Burke MP. 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