scholarly journals Using rewards-based incentives to increase purchase of fruit and vegetables in lower-income households: design and start-up of a randomized trial

2012 ◽  
Vol 16 (5) ◽  
pp. 936-941 ◽  
Author(s):  
Etienne J Phipps ◽  
Samantha L Wallace ◽  
Shana D Stites ◽  
Nadine Uplinger ◽  
S Brook Singletary ◽  
...  

AbstractObjectiveTo report the design and baseline results of a rewards-based incentive to promote purchase of fruit and vegetables by lower-income households.DesignA four-phase randomized trial with wait-listed controls. In a pilot study, despite inadequate study coupon use, purchases of fresh fruit (but not vegetables) increased, but with little maintenance. In the present study, credits on the study store gift card replace paper coupons and a tapering phase is added. The primary outcome is the number of servings of fresh and frozen fruit and vegetables purchased per week.SettingA large full-service supermarket located in a predominantly minority community in Philadelphia, Pennsylvania, USA.SubjectsFifty-eight households, with at least one child living in the home.ResultsDuring the baseline period, households purchased an average of 3·7 servings of fresh vegetables and an average of less than 1 serving of frozen vegetables per week. Households purchased an average of 1·9 servings of fresh fruit per week, with little to no frozen fruit purchases. Overall, the range of fresh and frozen produce purchased during this pre-intervention period was limited.ConclusionsAt baseline, produce purchases were small and of limited variety. The study will contribute to understanding the impact of financial incentives on increasing the purchases of healthier foods by lower-income populations.

2019 ◽  
Vol 38 (9) ◽  
pp. 1557-1566 ◽  
Author(s):  
Alyssa Moran ◽  
Anne Thorndike ◽  
Rebecca Franckle ◽  
Rebecca Boulos ◽  
Heather Doran ◽  
...  

2012 ◽  
Vol 30 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Dario de O Lima-Filho ◽  
Leidy Diana de S de Oliveira ◽  
Eluiza AM Watanabe ◽  
Marcia Mitiê D Maemura

This study aims to analyze purchase policies to fruits and vegetables in supermarkets in Campo Grande, Brazilian Midwest. Thirteen interviews were conducted with representatives from supermarkets, small, medium and large, responsible for purchasing fresh vegetables. By analyzing the responses obtained through interviews, we can observe that producers make almost the entire supply of fruits and vegetables in large supermarkets from other states, and the small and medium establishments usually buy more with the local producer. For retailers, the fruits and vegetables represent an important factor to create internal circulation of customers in stores and a factor of attraction of clients too, in addition, this products offer high profitability. For the supermarket, the fruits and vegetables locally produced are fresher and have lower comparative cost. However, supply regularity, the volume and variety offered by local producers are considered unsatisfactory.


Author(s):  
Sean MacBride-Stewart ◽  
Bruce Guthrie ◽  
Charis Marwick ◽  
Simon Hurding

Background with rationale National Therapeutic Indicators (NTI) in Scotland use national administrative data to identify variation and drive quality improvement in GP practice prescribing. Twelve indicators were developed in 2011 and in 2012 practices were offered financial incentives to review their prescribing in two where there was greatest potential for improvement. Main AimTo quantify the impact of 2012 NTI alone and in combination with financial incentives. Methods/ApproachSix NTI were selected for analysis, aiming for heterogeneity in terms of whether the focus was quality of care (clinical) or cost effectiveness (cost). Impact was evaluated using segmented linear regression of time-series prescribing data, and changes in prescribing at 12 and 24 months after NTI introduction were estimated. Other national interventions expected to influence GP prescribing were also modelled. ResultsOne selected NTI could not be modelled because of non-linear trends in the baseline period. In practices not financially incentivised to review prescribing, improvements were variable. At 12 months relative changes were dipyridamole −31.9% (95%CI; −43.1 to −20.7), quinine −3.6% (95%CI; −7.2 to −0.1), non-preferred statins 6.2% (95%CI; 1.0 to 11.5), hypnotics and anxiolytics −2.9% (95%CI; −7.3 to 1.6) and high strength inhaled corticosteroids −1.0% (95%CI; −1.7 to −0.3). In comparison financially incentivising practices resulted in larger improvements and improvements in all NTIs modelled. At 12 months relative changes were dipyridamole −65.3% (95%CI; −68.4 to −62.2), quinine −52.3% (95%CI; −54.7 to −49.9), non-preferred statins −17.8% (95%CI; −21.9 to −13.6), hypnotics and anxiolytics −9.6% (95%CI; −12.6 to −6.7) and high strength inhaled corticosteroids −6.0% (95%CI; −7.3 to −4.8). ConclusionGP prescribing can be improved through feedback of national administrative data prescribing indicators. Impact on prescribing is larger when financial incentives to focus on particular areas of prescribing are additionally used.


2017 ◽  
Vol 33 (6) ◽  
pp. 548-557
Author(s):  
Rebecca St. Clair ◽  
Michael Hardman ◽  
Richard P. Armitage ◽  
Graeme Sherriff

AbstractThe rise of Urban Agriculture projects across the UK has led to a surge of interest in their efficacy and resulting social impacts. Real Food Wythenshawe is a Lottery-funded urban food project in the UK that aims to teach the population of Wythenshawe to grow their own food and to cook from scratch. The area, popularly referred to as ‘Europe's largest council estate’, suffers from high levels of deprivation and has been described as a ‘food desert’ due to a perceived lack of access to fresh fruit and vegetables (Small World Consulting, 2013). In order to encourage Wythenshawe residents to grow their own food and to increase access to fresh fruit and vegetables, Real Food Wythenshawe aims to transform unused areas of land into growing spaces, such as allotments and community gardens. This paper focuses on research conducted at a community garden in Wythenshawe, established by Real Food Wythenshawe as an example of a ‘meanwhile’ or temporary growing site for people affected by cancer. The research investigated the impact of the growing activities on community garden participants through a series of observations and interviews. The findings suggest that the benefits of the space were multiple and diverse, ranging from increased growing knowledge to therapeutic effects, while there has been minimal effect on participants’ dietary behavior. The organization of the community garden also raises questions over some of the practicalities of temporary urban growing sites and highlights the tensions that can arise between small community growing groups and larger institutions with control over land use. These findings add to a growing body of research that considers the value of growing in the city and reflects on the role of community gardening in deprived urban areas of the UK.


2013 ◽  
Vol 24 (2) ◽  
pp. 864-874 ◽  
Author(s):  
Etienne J. Phipps ◽  
Leonard E. Braitman ◽  
Shana D. Stites ◽  
Samantha L. Wallace ◽  
S. Brook Singletary ◽  
...  

2007 ◽  
Vol 10 (3) ◽  
pp. 280-291 ◽  
Author(s):  
Tom Baranowski ◽  
Kathy Watson ◽  
Mariam Missaghian ◽  
Alison Broadfoot ◽  
Janice Baranowski ◽  
...  

AbstractObjectiveTo validate four scales – outcome expectancies for purchasing fruit and for purchasing vegetables, and comparative outcome expectancies for purchasing fresh fruit and for purchasing fresh vegetables versus other forms of fruit and vegetables (F&V).DesignSurvey instruments were administered twice, separated by 6 weeks.SettingRecruited in front of supermarkets and grocery stores; interviews conducted by telephone.SubjectsOne hundred and sixty-one food shoppers with children (18 years or younger).ResultsSingle dimension scales were specified for fruit and for vegetable purchasing outcome expectancies, and for comparative (fresh vs. other) fruit and vegetable purchasing outcome expectancies. Item Response Theory parameter estimates revealed easily interpreted patterns in the sequence of items by difficulty of response. Fruit and vegetable purchasing and fresh fruit comparative purchasing outcome expectancy scales were significantly correlated with home F&V availability, after controlling for social desirability of response. Comparative fresh vegetable outcome expectancy scale was significantly bivariately correlated with home vegetable availability, but not after controlling for social desirability.ConclusionThese scales are available to help better understand family F&V purchasing decisions.


2019 ◽  
Author(s):  
Yuqian Xu ◽  
Baile Lu ◽  
Hongyan Dai ◽  
Weihua Zhou

This collection of twelve original essays by an international team of eminent scholars in the field of book history explores the many ways in which early modern books were subject to reworking, re-presentation, revision and reinterpretation. Their history is often the history of multiple, sometimes competing, agencies as their texts were re-packaged, redirected and transformed in ways that their original authors might hardly recognize. The essays discuss the processes of editing, revision, redaction, selection, abridgement, glossing, disputation, translation and posthumous publication that resulted in a textual elasticity and mobility that could dissolve distinctions between text and paratexts, textuality and intertextuality, manuscript and print, author and reader or editor, such that title and author’s name are no longer sufficient pointers to a book’s identity or contents. The essays are alive to the impact of commercial and technological aspects of book production and distribution (discussing, for example, the career of the pre-eminent bookseller John Nourse, the market appeal of abridgements, and the financial incentives to posthumous publication), but their interest is also in the many additional forms of agency that shaped texts and their meanings as books were repurposed to articulate, and respond to, a variety of cultural and individual needs. They engage with early modern religious, political, philosophical and scholarly trends and debates as they discuss a wide range of genres and kinds of publication (including fictional and non-fictional prose, verse miscellanies, abridgements, sermons, religious controversy) and of authors and booksellers (including Lucy Hutchinson, Richard Baxter, Thomas Burnet, Elizabeth Rowe, John Dryden, and Samuel Taylor Coleridge, Lucy Hutchinson, Henry Maundrell, John Nourse; Jonathan Swift, Samuel Richardson, John Tillotson, Isaac Watts and John Wesley).


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Ghanbarzadegan ◽  
Z Kavosi ◽  
S Karimi ◽  
M Peyravi ◽  
A Ghorbanian ◽  
...  

Abstract Introduction The physicians are responsible for prescribing medicine rationally. Physician's awareness of prescribing guidelines can lead to the selection of the most effective, appropriate and effective measures to the improved prescription. This study aim is to determine the factors influencing drug prescribing behaviour in family physicians. Methods This cross-sectional study was conducted in 2016 on a case study including 150 family physicians from Shiraz City who were selected by systematic random sampling method. A questionnaire related to the behaviour of prescribing physicians was used based on the theory of planned behaviour to collect data. The validity of the questionnaire was confirmed by the experts' opinion and its reliability was confirmed by calculating the Cronbach's alpha. The data were analyzed using structural equation modelling (SEM) by SPSS and Smart PLS software. Results It was specified that 39.3% of Shiraz family physicians have prescribed medicines for their most patients (61-70%) during the last month. Furthermore, 60% of physicians have prescribed for about 20% of their patients without any examination. In addition, 63% of doctors have repeated prescription for about 20% of patients with chronic disease. Based on the obtained results of the Research Structural Equation Model, none of the four considered variables explains changes in physicians' behaviour regarding prescribing. Although, “mental and perceived behavioural control” explain 30.2% of the changes in the intention of prescribing medication of family physicians in Shiraz. Conclusions The family physicians' behaviour in prescribing medicine shows the impact of factors such as the patient's request, as well as the role of the patients and colleagues pressure for prescribing medicine as a quality criterion for their practice. norms of mental and perceived behavioural control are effective in explaining the purpose of prescribing. Key messages Policymakers should implement policies to develop physicians’ behavior and logical prescription by education, financial incentives; consequently. Mental and perceived behavioral control are effective in explaining the purpose of prescribing.


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