A pilot study of an online produce market combined with a fruit and vegetable prescription program for rural families

Burrington, Christine M.; Hohensee, Thomas E.; Tallman, Nancy; Gadomski, Anne

doi:10.1016/j.pmedr.2019.101035

Cited by 15 publications

(53 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent evidence suggests a limited uptake of online grocery shopping, especially among rural populations, even when financial incentives are provided [ 6 , 7 ]. However, there are strong indicators that those who shop online spend less overall, purchase less sugary snacks and candies, and purchase more fruits and vegetables [ 8 , 9 , 10 , 11 , 12 , 13 ]. Online grocery shopping has a strong potential to improve food access and dietary intake.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, there is a risk with unguided access to online grocery shopping as increased exposure to less healthy options could exacerbate diet-related disease [ 4 ]. Yet, there is strong evidence that online shopping can help to decrease impulse purchases [ 15 ], improve purchases of fruits and vegetables [ 10 ], and improve food security among lower-income residents [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Online Pilot Grocery Intervention among Rural and Urban Residents Aimed to Improve Purchasing Habits

Gustafson

Gillespie

DeWitt

et al. 2022

IJERPH

View full text Add to dashboard Cite

Online grocery shopping has the potential to improve access to food, particularly among low-income households located in urban food deserts and rural communities. The primary aim of this pilot intervention was to test whether a three-armed online grocery trial improved fruit and vegetable (F&V) purchases. Rural and urban adults across seven counties in Kentucky, Maryland, and North Carolina were recruited to participate in an 8-week intervention in fall 2021. A total of 184 adults were enrolled into the following groups: (1) brick-and-mortar “BM” (control participants only received reminders to submit weekly grocery shopping receipts); (2) online-only with no support “O” (participants received weekly reminders to grocery shop online and to submit itemized receipts); and (3) online shopping with intervention nudges “O+I” (participants received nudges three times per week to grocery shop online, meal ideas, recipes, Facebook group support, and weekly reminders to shop online and to submit itemized receipts). On average, reported food spending on F/V by the O+I participants was USD 6.84 more compared to the BM arm. Online shopping with behavioral nudges and nutrition information shows great promise for helping customers in diverse locations to navigate the increasing presence of online grocery shopping platforms and to improve F&V purchases.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Online Pilot Grocery Intervention among Rural and Urban Residents Aimed to Improve Purchasing Habits

Gustafson

Gillespie

DeWitt

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…This is important information for potential outreach programs, as ease of access to fruits and vegetables in rural areas may be more difficult than in highly populated areas for various reasons and, therefore, the outreach programs may need to adapt in order to be more effective. For instance, a recent pilot study [ 38 ] was able to increase fruit and vegetable intake by combining an online fruit and vegetable market with online family cooking class in upstate New York—a highly rural area.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Rurality on Fruit and Vegetable Intake and BMI: Findings in Mississippi Are Not Consistent with Those at the National Level

Fastring

Nadorff

DeShong

2021

IJERPH

View full text Add to dashboard Cite

Sixty percent of Americans have at least one chronic disease that is both diet-related and preventable. Those living in rural areas often experience a greater burden of disease than those who live near a city center. The purpose of this study is to determine the influence of rurality on fruit and vegetable (FV) consumption and BMI. Additionally, the study compares national results to those in Mississippi, a state with an aging population, and high rates of poverty, rurality, poor diet, and obesity. Data utilized were from the 2017 Behavioral Risk Factor Surveillance System. One-way analyses of covariance were performed to determine impact of rurality on nutritional intake and BMI, while controlling for age, income, education, race, and the presence of children in the home. At the national level, rurality had a significant impact on BMI, and the daily intake of fruit juice, fruits, dark green vegetables, French fries, potatoes, other vegetables, and total daily vegetable intake. BMI and nutritional intake of those living in Mississippi was significantly poorer than those living in other states. More research is needed to determine how to best facilitate access to healthy FVs for those living in rural communities.

show abstract

“…Others have documented the role FRx interventions play in reducing diabetes patients' HbA1c levels and subsequently increasing their healthcare savings by up to $24 000 per year (12) . While many FRx interventions target those with nutrition-related chronic conditions, others have included those with stroke, cancer, coeliac disease, metabolic disease and women who are pregnant (12,(15)(16)(17)(20)(21)(22)(23)(24) . Despite this evidence, the expansion of FRx interventions into mainstream primary care practice has been slow and uneven.…”

mentioning

confidence: 99%

“…Specifically, there is a wide range but no universally accepted method of screening patients for eligibility for participation in FRx interventions. Some healthcare providers screen patients for intervention placement by asking about their SES or food security status, others rely on a predetermined geographic location (typically food deserts), still others rely on health markers such as BMI or diabetes status (11)(12)15,18,(20)(21)24) . Additionally, there is no standard in terms of which clinician delivers or manages the intervention.…”

mentioning

confidence: 99%

An exploration of key barriers to healthcare providers’ use of food prescription (FRx) interventions in the rural South

Coward

Cafer

Rosenthal

et al. 2021

Public Health Nutr.

View full text Add to dashboard Cite

Objective: The purpose of this exploratory study was to examine the attitude towards food prescriptions (FRx) interventions among clinicians and identify potential barriers to their use in clinical practice. Design: The current study employed an exploratory research design using in-depth semi-structured interviews. Research participants were selected from primary care facilities, family practice offices and obesity clinics located in Mississippi and Louisiana. Setting: Providers selected for participation in the current study serve predominantly rural, low-income communities in the US South. Participants: From an original population of fifty healthcare providers that included physicians, registered dieticians and nurse practitioners, from Oxford, Tupelo, Batesville, Jackson, and Charleston, MS and New Orleans, LA. Fifteen healthcare providers agreed to participate, including three physicians, four registered dieticians, three nurses and three nurse practitioners. Results: The current study found that while healthcare providers expressed a desire to use FRx interventions, there was a universal lack of understanding by healthcare providers of what FRx interventions were, how they were implemented and what outcomes they were likely to influence. Conclusions: The current study identified key bottlenecks in the use of FRx interventions at the clinic level and data provided evidence for two key recommendations: (1) development and validation of a screening tool to be used by clinicians for enrolling patients in such interventions and (2) implementation of nutrition education in primary professional training, as well as in continuing education.

show abstract

A pilot study of an online produce market combined with a fruit and vegetable prescription program for rural families

Cited by 15 publications

References 13 publications

Online Pilot Grocery Intervention among Rural and Urban Residents Aimed to Improve Purchasing Habits

Online Pilot Grocery Intervention among Rural and Urban Residents Aimed to Improve Purchasing Habits

The Influence of Rurality on Fruit and Vegetable Intake and BMI: Findings in Mississippi Are Not Consistent with Those at the National Level

An exploration of key barriers to healthcare providers’ use of food prescription (FRx) interventions in the rural South

Contact Info

Product

Resources

About