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Merge pull request 'extract: 2024-12-01-jama-internmed-maryland-mtm-pilot-rct' (#1264) from extract/2024-12-01-jama-internmed-maryland-mtm-pilot-rct into main

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inbox/queue/.extraction-debug/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.json Normal file
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@ -0,0 +1,25 @@
{
"rejected_claims": [
{
"filename": "medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md",
"issues": [
"missing_attribution_extractor"
]
}
],
"validation_stats": {
"total": 1,
"kept": 0,
"fixed": 2,
"rejected": 1,
"fixes_applied": [
"medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:set_created:2026-03-18",
"medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau"
],
"rejections": [
"medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:missing_attribution_extractor"
]
},
"model": "anthropic/claude-sonnet-4.5",
"date": "2026-03-18"
}

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inbox/queue/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.md
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@ -7,9 +7,13 @@ date: 2024-12-01
domain: health
secondary_domains: []
format: journal-article
status: unprocessed
status: null-result
priority: high
tags: [medically-tailored-meals, mtm, rct, hba1c, null-result, diabetes, food-as-medicine, pilot-trial]
processed_by: vida
processed_date: 2026-03-18
extraction_model: "anthropic/claude-sonnet-4.5"
extraction_notes: "LLM returned 1 claims, 1 rejected by validator"
---
## Content
@ -66,3 +70,13 @@ Pilot randomized trial of medically tailored meals for low-income adults with ty
PRIMARY CONNECTION: Food-as-medicine clinical evidence — the most intensive intervention type (MTM + dietitian) also shows null HbA1c result
WHY ARCHIVED: Critical new evidence that the simulation-vs-RCT gap persists even for the "best" FIM intervention — changes the confidence level for food-as-medicine clinical outcome claims
EXTRACTION HINT: Pair with the JAMA Doyle RCT null result. Two controlled trials, two intervention types (food pharmacy vs. MTM), same null HbA1c finding. This is a pattern, not a single study artifact.
## Key Facts
- Maryland pilot RCT enrolled 74 adults with type 2 diabetes, 77% completed data collection
- Study demographics: mean age 48 years, 40% male, 77% Black, mean baseline HbA1c 10.3%
- Intervention: 12 medically tailored frozen meals + fresh produce bag weekly for 3 months, plus monthly dietitian calls for 6 months
- Treatment group HbA1c change: -0.7%, Control group: -0.6% (not statistically significant)
- Control group reported more favorable diabetes medication changes than treatment group
- Study funded by Robert Wood Johnson Foundation
- Published in Journal of General Internal Medicine 2024