A Pilot Fruit and Vegetable Prescription (FVRx) Program Improves Local Fruit and Vegetable Consumption, Nutrition Knowledge, and Food Purchasing Practices

2021 ◽  
pp. 152483992110181
Author(s):  
Nicholas Slagel ◽  
Taylor Newman ◽  
Laurel Sanville ◽  
Jennifer Jo Thompson ◽  
Jackie Dallas ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Safety Net ◽  
Nutrition Knowledge ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Farmers Market ◽  
Food Purchasing

Fruit and Vegetable Prescription (FVRx) programs rely on diverse community and clinic partnerships to improve food security and fruit and vegetable consumption among medically underserved patient populations. Despite the growth in these programs, little is known about the feasibility or effectiveness of the unique partnerships developed to implement FVRx programs conducted in both community and free safety-net clinic settings. A 6-month nonrandomized controlled trial of an FVRx program was pilot tested with 54 Supplemental Nutrition Assistance Program (SNAP)–eligible adults with diet-related chronic conditions. The intervention combined monthly produce prescriptions for local produce at a farmers market, SNAP-Ed direct nutrition education, and health screenings for low-income adults. Process and outcome evaluations were conducted with respective samples using administrative program data (recruitment, retention, and prescription redemption) and self-administered pre- and postintervention surveys with validated measures on dietary intake, nutrition knowledge and behavior, and food purchasing practices. Descriptive statistical analyses were conducted. The FVRx program retained 77.3% of participants who spent nearly 90% of their prescription dollars. After the intervention, the FVRx group reported significantly increased total intake of fruits and vegetables, knowledge of fresh fruit and vegetable preparation, purchase of fresh fruits and vegetables from a farmers market, and significantly altered food purchasing practices compared with the control group. Community-based nutrition education organizations enhance the feasibility and effectiveness of community and clinic-based FVRx programs for improving low-income adults’ ability to enhance food and nutrition-related behaviors.

scholarly journals Healthy eating: a matter of prioritisation by households or policymakers?

2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach
Keyword(s):  
Decision Making ◽  
Healthy Eating ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Food System ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Decision Making Processes

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.

scholarly journals Attitudes Toward Fruit and Vegetable Consumption and Farmers' Market Usage Among Low-Income North Carolinians

2012 ◽  
Vol 7 (1) ◽  
pp. 64-76 ◽  
Author(s):  
Lucia A. Leone ◽  
Diane Beth ◽  
Scott B. Ickes ◽  
Kathleen MacGuire ◽  
Erica Nelson ◽  
...  
Keyword(s):  
Low Income ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Farmers Market ◽  
North Carolinians

Psychosocial Factors Associated with Fruit and Vegetable Consumption

1995 ◽  
Vol 10 (2) ◽  
pp. 98-104 ◽  
Author(s):  
Susan M. Krebs-Smith ◽  
Jerianne Heimendinger ◽  
Blossom H. Patterson ◽  
Amy F. Subar ◽  
Ronald Kessler ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Psychosocial Factors ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Good Health ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable Intake ◽  
Baseline Survey ◽  
Fruit And Vegetable

Purpose. This study examined the relationship between various psychosocial factors and fruit and vegetable consumption. Design. The 5 A Day Baseline Survey, conducted in August 1991, just before the initiation of the 5 A Day for Better Health Program, obtained data on adults' intakes of, and their knowledge, perceptions, and attitudes regarding, fruits and vegetables. Setting. The survey was conducted by telephone. Subjects. Subjects were 2811 adults (response rate, 43%) aged 18 years and older in the 48 coterminous United States. Measures. Fruit and vegetable intake was measured as self-reported frequency of use; most of the psychosocial variables were measured using Likert scales. Results. This study estimates that only 8% of American adults thought that five or more servings of fruits and vegetables were needed for good health. Of the factors studied, the most important in determining someone's fruit and vegetable intake were the number of servings they thought they should have in a day, whether they liked the taste, and whether they had been in the habit of eating many fruits and vegetables since childhood. These few factors accounted for 15% more of the variation in fruit and vegetable consumption than did demographic variables alone (8%). Conclusions. Nutrition education should stress the need to eat five or more servings of fruits and vegetables per day because few adults are aware of this recommendation and such knowledge is strongly associated with increased intake. Furthermore, efforts to increase the palatability of fruits and vegetables, especially among children, should be promoted.

scholarly journals A Pilot Nutrition and Cooking Skills Program Improves Fruit Intake, Nutrition Knowledge, and Attitudes Toward Fruit and Vegetable

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 957-957
Author(s):  
Lubna Alnaim ◽  
Matthew Taylor ◽  
Heather Gibbs ◽  
Kendra Spaeth ◽  
Debra Sullivan
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Self Efficacy ◽  
Vegetable Consumption ◽  
Nutrition Knowledge ◽  
Fruit And Vegetable ◽  
Post Intervention ◽  
Cooking Skills ◽  
Income Status ◽  
Hands On

Abstract Objectives Community-based intervention studies that aim at developing cooking skills have increased in the scientific literature and are related to healthier food practices. We conducted this pilot study to investigate the effect of a combined curriculum of nutrition education and hands-on cooking skills on the consumption of fruits and vegetables, nutrition knowledge, and self-efficacy in families with low-income status. Methods This pilot intervention study was designed with a two-month follow-up. The intervention was based on a combined curriculum of nutrition education and cooking skills. The study group participated in eight weekly hands-on cooking/nutrition sessions. Pre- and post-surveys were conducted to assess changes for five primary outcome measures: 1) nutrition knowledge, 2) fruit and vegetable intake, 3) self-efficacy toward fruit and vegetables, 4) perceived benefits of fruit and vegetable consumption; and 5) perceived barriers of fruit and vegetable consumption. Paired samples t-tests were used to assess the change outcomes from baseline to post-intervention. Results A sample of 38 participants were included in the study. The mean age of the intervention group was 38 (89% female, 65.7% Hispanic). Compared to the baseline, there was an increase in nutrition knowledge score from 7.17 to 8.05 (P = 0.032) after the intervention. Participants reported higher self-efficacy (21 vs. 23.6, P = 0.013) and lower perceived barrier (19 vs. 17, P = 0.03) scores post-intervention. Fruit intake increased (1.2 vs.1.6 cups, P = 0.01) after the intervention. Conclusions Cooking and nutrition interventions may be a feasible approach to improving attitudes and behaviors related to vegetable consumption in families with low-income status. Future studies are needed that rigorously evaluate the long-term impact on cooking skills, dietary intake, and health outcomes. Funding Sources Health Care Foundation of Kansas City, Crosslines, Inc, and Department of Dietetics and Nutrition

scholarly journals The Effect of Nutritional Education Using Cognitive Approaches and Psychomotor Approaches on Fruit and Vegetable Consumption Behavior in Children

2021 ◽  
Vol 9 (E) ◽  
pp. 1161-1165
Author(s):  
Fritria Dwi Anggraini ◽  
Fauziyatun Nisa ◽  
Siti Nur Hasina ◽  
Annif Munjidah
Keyword(s):  
Nutrition Education ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Test Group ◽  
Simple Random Sampling ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Nutritional Education ◽  
Consumption Behavior ◽  
Cognitive Approaches

BACKGROUND: One of the problems related to eating behavior in children less than 5 years is the lack of consumption of fruits and vegetables. With this problem, an approach is needed to better consume it. AIM: This study aims to determine the effect of nutritional education using cognitive approaches (using illustrated storybooks and puppet shows) and psychomotor approaches (using puzzle and fruit and vegetable cards) on fruit and vegetable consumption behavior in children in the An-Nur Surabaya Kindergarten. METHODS: This study used a quasi-experimental study with a pre- and post-test group. The population is 48 respondents. Sampling uses the Probability sampling method with simple random sampling. The independent variable was nutrition education using media illustrated storybooks media, puppet shows, puzzles, and fruit and vegetable cards, meanwhile the dependent variable is consumption behavior of fruits and vegetables. The intervention was carried out 4 times. FFQ form was used to assess fruit and vegetables consumption behavior. RESULTS: The results showed that the average consumption of fruits and vegetables before the intervention was 168 g or equivalent to 1 portion, and the average after intervention was 304 g or equivalent to 3 servings. There is a significant influence (p = 0.000) on fruit and vegetable consumption through nutritional education. CONCLUSION: Nutritional education using media should be accompanied by a commitment to increase children’s motivation in eating fruits and vegetables.

The Effect of the Maryland WIC 5-a-Day Promotion Program on Participants’ Stages of Change for Fruit and Vegetable Consumption

2000 ◽  
Vol 27 (5) ◽  
pp. 649-663 ◽  
Author(s):  
Robert H. L. Feldman ◽  
Dorothy Damron ◽  
Jean Anliker ◽  
Michael Ballesteros ◽  
Patricia Langenberg ◽  
...  
Keyword(s):  
Stages Of Change ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Nutrition Intervention ◽  
Fruit And Vegetable ◽  
Black African ◽  
Promotion Program ◽  
Target Behaviors

The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

scholarly journals Perceptions of the food shopping environment are associated with greater consumption of fruits and vegetables

2012 ◽  
Vol 15 (6) ◽  
pp. 1124-1129 ◽  
Author(s):  
Jonathan L Blitstein ◽  
Jeremy Snider ◽  
W Douglas Evans
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Community Sample ◽  
Fruit And Vegetable Consumption ◽  
Sociodemographic Characteristics ◽  
Fruit And Vegetable ◽  
Low Income Population ◽  
Food Shopping ◽  
Perceived Costs

AbstractObjectiveThe present study examined whether characteristics such as quality, selection and convenience are associated with dietary intake of fruits and vegetables independent of perceived costs in an inner-city, low-income population.DesignSecondary analysis of baseline data from a social marketing intervention designed to change household dietary practices among parents of 3- to 7-year-old children.SettingA community sample drawn from six low-income, primarily minority neighbourhoods in Chicago, IL, USA.SubjectsFrom the parent study, 526 respondents completed the baseline survey and were eligible for inclusion. Of this number, 495 provided complete data on sociodemographic characteristics, fruit and vegetable consumption, perceptions of the shopping environment, perceived costs of fruits and vegetables, and food shopping habits.ResultsLogistic regression analysis showed that more positive perceptions of the food shopping environment were associated with greater consumption of fruits and vegetables. There was an increase of approximately twofold in the likelihood of consuming three or more fruits and vegetables daily per level of satisfaction ascribed to the shopping environment. This association was independent of perceived cost, store type and sociodemographic characteristics.ConclusionsOur data show that among a generally minority and low-income population, quality, selection and convenience are important determinants of fruit and vegetable consumption. Nutrition promotion campaigns that aim to alter the built environment by increasing access to fruits and vegetables should recognize that simply increasing availability may not yield beneficial change when characteristics of the shopping context are ignored.

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