Outcomes of a randomized controlled trial of nutrition education to promote farmers’ market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Noia, Jennifer Di; Monica, Dorothy; Sikorskii, Alla; Cullen, Karen Weber

doi:10.1186/s40795-017-0172-0

Cited by 10 publications

(7 citation statements)

References 36 publications

(38 reference statements)

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“…Nevertheless, the observed difference is practically meaningful considering the modest scope of the project. The fifty CVV redeemed at the on-site market is noteworthy, exceeding the number redeemed in our earlier intervention research examining the effects of nutrition education on the redemption CVV at farmers' markets (32) . The higher number of CVV redeemed in the present study highlights the promise of combining nutrition education with improved access via the WIC-based market.…”

Section: Discussioncontrasting

confidence: 54%

“…1. Our earlier research with women served by the collaborating agency revealed that participants' vegetable (but not fruit) intake was below recommended levels (32,36,37) . Therefore, the focus of intervention was promoting vegetable intake.…”

Section: Guiding Theoretical Framework and Intervention Componentsmentioning

confidence: 92%

“…The intervention was evaluated in a randomized, longitudinal design. Although exposure to the lesson was associated with improvements in targeted knowledge and skills, there was a lack of programme effects on F&V intake and FMNP voucher redemption (32) . We attributed the lack of effects to the singular approach of targeting knowledge and skills alone without also addressing structural barriers limiting farmers' market use, i.e.…”

Section: Collaboration With Wic Agency Partnersmentioning

confidence: 92%

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Feasibility of a farm-to-WIC intervention

Noia¹,

Monica²,

Sikorskii³

et al. 2019

Public Health Nutr.

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Objective:To examine whether an intervention consisting of a WIC-based farmers’ market, nutrition education, recipe demonstrations and tastings, and handouts could be implemented as intended and the acceptability of the programme to recipients. The availability, variety and prices of fruits and vegetables (F&V) and the Farmers’ Market Nutrition Program voucher redemption rate at the site with market (relative to the rate among fourteen other WIC agency sites) also were examined.Design:Site-level data were used to evaluate programme implementation. Acceptability was assessed with participant data.Setting:A large, New Jersey-based, urban WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) agency.Participants:Fifty-four women who purchased F&V at the market.Results:Gaps in stakeholder communication and coordination, F&V selling out by midday and staffing levels affected implementation fidelity. On average, 12 (sd 3) F&V were available daily at the market (twenty-five unique F&V in total). For thirteen of nineteen items, prices were lower at the WIC-based market than area farmers’ markets. The voucher redemption rate at the site with the market (46 %) was higher than the rate among the fourteen other sites (39 %; P < 0·01). The mean rating of satisfaction with the programme was 6·9 (sd 0·6) on a 7-point scale. All participants reported intending to purchase F&V again at the market, owing to the convenient location, quality of the F&V and helpfulness of the staff. Improving F&V availability and variety were recommended.Conclusions:The intervention is feasible with improved stakeholder communication and coordination, F&V availability and variety, and staffing.

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Section: Discussioncontrasting

confidence: 54%

Section: Guiding Theoretical Framework and Intervention Componentsmentioning

confidence: 92%

Section: Collaboration With Wic Agency Partnersmentioning

confidence: 92%

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Feasibility of a farm-to-WIC intervention

Noia¹,

Monica²,

Sikorskii³

et al. 2019

Public Health Nutr.

Self Cite

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“…Differences in mean sales were reported for individual stands and the overall market, but no empirical tests were conducted to verify the statistical significance of study findings. A few additional studies tested the effectiveness of coupons, but only on SNAP participants (Di Noia et al, 2017; Payne et al, 2013; Racine et al, 2010), and not on coupons' ability to increase overall market participation.…”

Section: Introductionmentioning

confidence: 99%

Promoting farmers market via information nudges and coupons: A randomized control trial

2021

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Farmers markets, an important direct‐to‐consumer market, have shown signs of declining sales since 2007. This trend has raised concern about their future viability, inciting stakeholders to consider new marketing and development approaches. Unfortunately, the literature on these approaches is largely qualitative, with little empirical or experimental evidence assessing impact or effectiveness. We present results from a randomized control trial measuring the efficacy of an informational nudge—a mailed coupon—in attracting new customers to a winter farmers market in Northern Colorado. Previous research identified perceived lack of product assortment at farmers markets as a major barrier to consumer attendance; accordingly, half of the coupons in our experiment emphasized the wide range of products sold at the market, while the control coupons presented general market information. We mailed 6000 physical coupons redeemable for $10 to randomly selected households in Fort Collins, Colorado, during the 2017–2018 market season. One hundred and eleven coupons were redeemed (1.85%), of which 58 were treatment and 53 control. While the coupon was somewhat effective at attracting new customers (36% had never attended the winter farmers market), there were no statistically significant differences in redemption rates between treatment and control. We thus find that the information nudge was not enough to influence the decision to attend the winter farmers market. EconLit citations: Q13, Q18.

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“…As a result, WIC provides participants seasonal Farmers' Market Nutrition Program (FMNP) vouchers to purchase fruits and vegetables (FV) at farmers' markets and monthly cash value vouchers (CVV) redeemable at farmers' markets. Despite the promise of FMNP vouchers and CVV for improving FV access among WIC participants, voucher redemption rates are low [11].…”

Section: Introductionmentioning

confidence: 99%

Empowering Women, Infants and Children (WIC) Recipients

Wells¹

2019

IJVETR

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Women, Infants, and Children (WIC) is a federal program available to expectant and post-partum women of low economic status. The WIC program provides education, nutritional supplements, and provides health and social referrals to recipients. The overall purpose of this study was to create a program that would inform, educate, and empower recipients so they could utilize the WIC EBT card to its full potential by obtaining all items covered and available to them. A descriptive, pre-experimental, one group pretest-posttest design was utilized. Additionally, the researcher administered survey questions to determine what challenges recipients experience, comfort level using the voucher, and other information pertinent to successful use of the WIC EBT card. Consequently, two 45 minutes educational sessions were provided to recipients regarding the approved foods with an emphasis regarding brands and sizes. Following the in-service classes, significant changes were noted in staff knowledge (n=8) regarding WIC approved items (95% confidence interval and a significant value of.029). This indicated there was a change in knowledge when comparing the number of correct responses selected on the pre-test to the correct responses selected on the post-test. After a thorough analysis, the investigator discovered that Women, Infant, and Children (WIC) recipients were comfortable utilizing their WIC EBT card; however, there was a need for additional education on the products covered by the WIC EBT card.

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Outcomes of a randomized controlled trial of nutrition education to promote farmers’ market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Cited by 10 publications

References 36 publications

Feasibility of a farm-to-WIC intervention

Feasibility of a farm-to-WIC intervention

Promoting farmers market via information nudges and coupons: A randomized control trial

Empowering Women, Infants and Children (WIC) Recipients

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