Trial reportPopulation health management2026
Feasibility of an Adaptive Food Insecurity Intervention for Patients with Uncontrolled Hypertension: A Pilot SMART.
Trial report in Population health management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Protocol for the sequential multiple assignment randomized trial to reduce food insecurity and improve adherence in patients with hypertension (SMART-FI).Contemporary clinical trials · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Health systems are integrating interventions to assist patients with food insecurity; however, people need varying levels of support. Rather than using a single intervention, adaptively providing interventions may be a more effective approach. The authors conducted a pilot, sequential, multiple-assignment randomized trial to determine the feasibility of an adaptive food insecurity intervention. Adults with uncontrolled hypertension who reported food insecurity were randomized to one of two interventions for 3 months in Stage 1: information about community resources or community health worker (CHW) support. Participants who did not have ≥10 mmHg improvement in systolic blood pressure at 3 months were re-randomized to CHW support or the delivery of medically tailored meals (MTM) in Stage 2 for an additional 3 months. We evaluated the proportion who enrolled, completed follow-up, and had an improvement in blood pressure. Sixty of 61 (98.3%) eligible patients enrolled. Four withdrew, 46 of 56 (82.1%) completed the 3-month follow-up, and 40 of 56 (71.4%) completed the 6-month follow-up. Of 27 randomized to resource information, 15 (55.6%) did not have ≥10 mmHg improvement and were re-randomized. Of 29 randomized to CHW support, 14 (48.3%) were re-randomized. The adaptive intervention that provided CHW support in Stage 1 and additional CHW support in Stage 2 resulted in 46.7% of participants with ≥10 mmHg improvement in systolic blood pressure at 6 months. The adaptive intervention that provided CHW support in Stage 1 and MTM in Stage 2 resulted in 66.7% of participants with ≥10 mmHg improvement. This study found that an adaptive food insecurity intervention was feasible to utilize.
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Registered trials
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