Outcomes | Measures or source | Baseline | Follow-up | Food Farmacy | Food Farmacy+Behaviour Pharmacy | Control |
Primary outcome (survey) | After referral; before first delivery/visit* | 4 months | X | X | ||
Fruit and vegetable consumption | Dietary Screener Questionnaire (DSQ)-1026 | |||||
Secondary outcomes (survey) | ||||||
Physical activity | Exercise vital sign30 | |||||
Health-related quality of life | Healthy Days Core Module (CDC HRQOL-4)34 | |||||
Social isolation | UCLA loneliness 3-item31 | |||||
Food insecurity | Household food insecurity Short Form (6-item)22 | |||||
Depressive symptoms | Nine-item Patient Health Questionnaire (PHQ-9)32 | |||||
Anxiety symptoms | Generalised Anxiety Disorder 7-Item (GAD-7)33 | |||||
Secondary outcomes (EHR) | 4 months prior to referral and 1 month after | 6 months and 12 months with allowable window of 3 months prior and 3 month after each time point | ||||
HbA1c | EHR lab | X | X | X | ||
Microalbumin, urine | EHR lab | X | X | X | ||
Fasting glucose | EHR lab | |||||
Fasting insulin | EHR lab | |||||
HOMA-IR (calculated) | EHR lab | |||||
Total cholesterol | EHR lab | X | X | X | ||
HDL cholesterol | EHR lab | X | X | X | ||
LDL cholesterol | EHR lab | X | X | X | ||
Triglycerides | EHR lab | X | X | X | ||
Non-HDL cholesterol (calculated) | EHR lab | X | X | X | ||
BMI (calculated) | EHR vital signs | X | X | X | ||
Weight | EHR vital signs | X | X | X | ||
Systolic blood pressure | EHR vital signs | X | X | X | ||
Diastolic blood pressure | EHR vital signs | X | X | X | ||
Food insecurity | EHR vital signs Hunger vital sign8 | X | X | X | ||
Depressive symptoms | Nine-item Patient Health Questionnaire (PHQ-9) in EHR5 | X | X | X | ||
Two-item Patient Health Questionnaire (PHQ-2) in EHR5 | X | X | X | |||
Anxiety disorder | Generalised Anxiety Disorder 7-Item (GAD-7) scale in EHR6 | X | X | X | ||
Prescribed medications | EHR prescription | 12 months prior to referral | 12 months prior to referral | X | X | X |
Emergency department visits | EHR emergency visits | 12 months prior to referral | 12 months after referral | X | X | X |
Hospitalisation (acute and ICU) | EHR inpatient visits | X | X | X | ||
Potential modifiers | ||||||
Demographics | Age, race/ethnicity, clinic site | NA | X | X | X | |
Health status at baseline | Relevant conditions from EHR such as obesity, hypertension, diabetes, pre-diabetes, depression | NA | X | X | X | |
Intervention engagement | ||||||
Number of food bags delivered | DDF redemption records | Ongoing | X | X | ||
Session attendance | OSW attendance records (in-clinic or online) | Ongoing | X |
*If patient cannot be reached before the first delivery, research staff attempt to contact until the third delivery.
BMI, body mass index; EHR, electronic health record; HDL, high-density lipoprotein; ICU, intensive care unit; LDL, low-density lipoprotein.