Evaluation of the 2021–2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes
Lauren R. Sastre, Brandon Stroud, Raven Breinholt, Alessio Fratacangeli, Sarah Elliott, Amy Turner, Bhibha M. Das, Sissy Lee-Elmore, Yolanda Cristiani, Jennifer A. Buxton, Belen Rogers · 2026
Read Evaluation of the 2021–2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes by Lauren R. Sastre, Brandon Stroud, Raven Breinholt, Alessio Fratacangeli, Sarah Elliott, Amy Turner, Bhibha M. Das, Sissy Lee-Elmore, Yolanda Cristiani, Jennifer A. Buxton, Belen Rogers (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13398303.txt.
Description
Lauren R Sastre and colleagues evaluate Fresh Start, a food-as-medicine programme for rural North Carolina adults with type 2 diabetes and thin insurance cover. Their 2026 report covers the 2021 to 2024 rollout across 15 eastern counties. The 20-week scheme handed participants 5 to 7 pounds of produce at each of nine group classes, plus phone coaching one to one.
Programme records measured whether delivery worked as planned, while surveys and interviews captured how participants received it. Before-and-after questionnaires tracked knowledge, skills and habits, and chart review followed blood sugar control through HbA1c readings. The mixed verdict (reach, response and early health shifts) aims to show funders what a produce prescription can and cannot do.
Catalog record
| CREATOR | Lauren R. Sastre, Brandon Stroud, Raven Breinholt, Alessio Fratacangeli, Sarah Elliott, Amy Turner, Bhibha M. Das, Sissy Lee-Elmore, Yolanda Cristiani, Jennifer A. Buxton, Belen Rogers |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 65387 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |