Reducing Food Insecurity and Improving Fruit and Vegetable Intake Among Farmers' Market Incentive Program Participants

Savoie‐Roskos, Mateja R.; Durward, Carrie; Jeweks, Melanie; LeBlanc, Heidi

doi:10.1016/j.jneb.2015.10.003

Cited by 97 publications

(113 citation statements)

References 27 publications

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“…Most prior studies have examined the impact of SNAP incentive use among individuals already shopping at a farmers market. 15,16,34 However, these individuals may not be representative of the broader SNAP-enrolled population. The U.S. Department of Agriculture Healthy Incentive Pilot Study is the only prior investigation of an incentive program in a broad SNAP-enrolled population.…”

Section: Discussionmentioning

confidence: 99%

Increasing Use of a Healthy Food Incentive: A Waiting Room Intervention Among Low-Income Patients

Cohen

Richardson

Heisler

et al. 2017

American Journal of Preventive Medicine

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Introduction Diet-related disease is disproportionally concentrated in low-income communities where fruit and vegetable consumption is far below guidelines. To address financial barriers, Double Up Food Bucks (DUFB)—a statewide healthy food incentive—matches Supplemental Nutrition Assistance Program (SNAP) funds spent at farmers markets. However, incentive use is limited. This study examined the impact of a brief waiting room–based intervention about DUFB on program utilization and produce consumption. Study design Longitudinal, repeated measures, quasi-experimental trial. Setting/participants SNAP—enrolled adults at a health center in a low-income, racially and ethnically diverse area of Southeast Michigan. Intervention Participants received a brief explanation of DUFB, written program materials, a map highlighting market locations and hours, and an initial $10 market voucher. DUFB use and produce consumption were measured through four surveys over 5 months (August 2014–January 2015). Main outcome measures Outcome measures included DUFB use and fruit and vegetable consumption (analyses conducted in 2015–2016). Results A total of 302 eligible adults were identified, and 177 (59%) enrolled. One hundred twenty-seven (72%) completed all surveys. At baseline, 57% of participants reported shopping at a farmers market within the last year; 18% had previously used DUFB. By the end of the DUFB season, participants were significantly more likely to report DUFB use than at baseline (AOR=19.2, 95% CI=10.3, 35.5, p<0.001), with 69% of participants reporting use of DUFB at least once, and 34% reporting use of DUFB three or more times. Adjusted fruit and vegetable consumption increased from baseline by 0.65 servings/day (95% CI=0.37, 0.93, p<0.001) at 3 months, and remained 0.62 servings/day (95% CI=0.32, 0.92, p<0.001) higher than baseline 2 months post-DUFB season. Conclusions A brief clinic-based intervention was associated with a nearly fourfold increase in uptake of a SNAP incentive, as well as clinically significant increases in produce consumption. Results suggested sustained behavior change even once the financial incentive was no longer available. Providing information about healthy food incentives is a low-cost, easily implemented intervention that may increase produce consumption among low-income patients.

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Section: Discussionmentioning

confidence: 99%

Increasing Use of a Healthy Food Incentive: A Waiting Room Intervention Among Low-Income Patients

Cohen

Richardson

Heisler

et al. 2017

American Journal of Preventive Medicine

View full text Add to dashboard Cite

show abstract

“…Most intervention studies use FV intake as a main outcome for evaluating the effectiveness of farmers' markets [23,24,33,34,[40][41][42][43][44][45][46][47][48][49][50]. However, the majority of these studies are based in the United States, where government assistance programs are used as financial incentives for purchasing FV.…”

Section: Introductionmentioning

confidence: 99%

Fruit and Vegetable Purchases in Farmer’s Market Stands: Analysing Survey and Sales Data

Rebouillat

Bonin

Kestens

et al. 2019

IJERPH

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Farmers' market implementation holds promise for increasing access to healthy foods. Although rarely measured, purchase data constitute an intermediate outcome between food environment and actual consumption. In a study conducted with two seasonal Fruits and Vegetables (FV) stands in a disadvantaged area of Montréal (Canada), we analysed how accessibility, perception, and mobility-related factors were associated with FV purchase. This analysis uses a novel measure of FV purchasing practices based on sales data obtained from a mobile application. A 2016 survey collected information on markets' physical access, perceived access to FV in the neighbourhood, usual FV consumption and purchases. Multivariate models were used to analyse three purchasing practice indicators: number of FV portions, FV variety and expenditures. Average shoppers purchased 12 FV portions of three distinct varieties and spent 5$. Shoppers stopping at the market on their usual travel route spent less (p = 0.11), bought fewer portions (p = 0.03) and a lesser FV variety (p < 0.01). FV stands may complement FV dietary intake. Individuals for whom the market is on their usual travel route might make more frequent visits and, therefore, smaller purchases. The novel data collection method allowed analysis of multiple purchase variables, is precise and easy to apply at unconventional points of sales and could be transposed elsewhere.

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“…[11][12][13] Indeed, many studies show that FV consumption improves with FM use. [14][15][16] Monetary incentive programs such as 'Healthy Bucks' and 'Double-Up Food Bucks' offer matching dollar amounts to SNAP benefits used to purchase produce. 15,17 While the findings are promising for these and similar programs, the longterm impact on FV consumption is not consistent.…”

Section: Introductionmentioning

confidence: 99%

“…[14][15][16] Monetary incentive programs such as 'Healthy Bucks' and 'Double-Up Food Bucks' offer matching dollar amounts to SNAP benefits used to purchase produce. 15,17 While the findings are promising for these and similar programs, the longterm impact on FV consumption is not consistent. 8,18,19 In fact, poor and underserved individuals face several barriers to utilizing FMs, such as transportation, 20,21 cultural differences, 21 cost, 22,23 lack of awareness of FM locations, 18,24,25 or the ability to use SNAP benefits at FMs.…”

Section: Introductionmentioning

confidence: 99%

Farmers' Market Utilization among Supplemental Nutrition Assistance Program Recipients in New Orleans, Louisiana: Preliminary Findings

et al. 2017

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Objective: Farmers’ markets are increasingly being promoted as a means to provide fresh produce to poor and underserved communities. However, farmers’ market (FM) use remains low among low-income patrons. The purpose of our study was to examine FM awareness and use, grocery shopping behaviors, and internet use among Supplemental Nutrition Assistance Program (SNAP) recipients.Design: A descriptive analysis of preliminary data was performed to evaluate quantitative baseline data among SNAP recipients between June and August 2016 in New Orleans, Louisiana (N=51). Data were collected via a 42-item online survey that included demographics, internet use, FM awareness and use, health information seeking behaviors and fruit and vegetable purchasing behaviors.Results: Less than half of the survey respondents (n=24) had ever been to a FM. Local grocery stores and Wal-Mart were most used for purchasing fruits and vegetables (88% and 84%, respectively). The most common sources of healthy eating information were Women, Infants and Children (WIC) and the internet, frequently accessed via smartphones. More than 80% of participants were not aware that local FMs accepted electronic benefit transfer payments as a form of payment.Conclusion: These results support the incorporation of promotional methodology that combines internet-based mobile technology and existing services (eg, WIC) as a viable strategy to improve farmers’ market use among low-income populations. As most participants were not aware that participating FMs accept electronic benefit transfer payments, this fact should be emphasized in promotional material.Ethn Dis. 2017;27(Suppl 1):295-302; doi:10.18865/ed.27.S1.295.

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Reducing Food Insecurity and Improving Fruit and Vegetable Intake Among Farmers' Market Incentive Program Participants

Cited by 97 publications

References 27 publications

Increasing Use of a Healthy Food Incentive: A Waiting Room Intervention Among Low-Income Patients

Increasing Use of a Healthy Food Incentive: A Waiting Room Intervention Among Low-Income Patients

Fruit and Vegetable Purchases in Farmer’s Market Stands: Analysing Survey and Sales Data

Farmers' Market Utilization among Supplemental Nutrition Assistance Program Recipients in New Orleans, Louisiana: Preliminary Findings

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