Parks Courtney A, Stern Katie L, Fricke Hollyanne E, Clausen Whitney, Yaroch Amy L
Gretchen Swanson Center for Nutrition, Omaha, NE, USA.
Health Promot Pract. 2020 May;21(3):421-429. doi: 10.1177/1524839919898207. Epub 2020 Jan 27.
Diet-related chronic disease remains a public health concern, and low intake of fruits and vegetables disproportionately affects low-income populations. Healthy food incentive (HFI) projects can help close the nutrition gap among low-income populations by increasing purchasing power and access to fruits and vegetables. This study aimed to qualitatively explore lessons learned and best practices from Food Insecurity Nutrition Incentive Grant Program (FINI) grantees across the United States. Thirty semistructured interviews were conducted with FINI grantees and stakeholders in 2018, eliciting best practices and promising findings, policy implications, and knowledge gaps and opportunities to pursue that inform program refinement and sustainability. Telephone and in-person interviews were conducted with FINI grant recipients from 2015 to 2016, specifically, recipients of FINI-funded multiyear community-based projects and large-scale projects. Our results highlighted (1) range of projects and scope, (2) program promotion and awareness, (3) community-based partnerships, (4) technical assistance and peer interactions, (5) measurement and evaluation, (6) program challenges, and (7) future directions and recommendations. Grantees reported a "trifecta of benefits" that affects low-income consumers, farmers, and food retailers. Our findings contribute to understanding how to implement HFI programs in a variety of settings and highlight the variations that can exist between programs, as well as the need for increased technical assistance and synergy between programs (communities of practice). Overall, these findings can help to inform implementation and practice of healthy food incentive programs and the Farm Bill and other policy discussions.
与饮食相关的慢性病仍是一个公共卫生问题，水果和蔬菜摄入量低对低收入人群的影响尤为严重。健康食品激励（HFI）项目可以通过增强购买力以及增加水果和蔬菜的供应来帮助缩小低收入人群之间的营养差距。本研究旨在定性探索从美国各地的粮食不安全营养激励拨款计划（FINI）受助者身上吸取的经验教训和最佳实践。2018年，对FINI受助者和利益相关者进行了30次半结构化访谈，得出了最佳实践和有前景的发现、政策影响以及有助于项目完善和可持续发展的知识差距与机会。对2015年至2016年的FINI拨款接受者，特别是由FINI资助的多年期社区项目和大型项目的接受者进行了电话访谈和面对面访谈。我们的结果突出了以下几点：（1）项目范围和规模；（2）项目推广与认知度；（3）基于社区的伙伴关系；（4）技术援助和同行互动；（5）衡量与评估；（6）项目挑战；（7）未来方向和建议。受助者报告了影响低收入消费者、农民和食品零售商的“三重好处”。我们的研究结果有助于理解如何在各种环境中实施HFI项目，并突出了不同项目之间可能存在的差异，以及增加技术援助和项目间协同作用（实践社区）的必要性。总体而言，这些研究结果有助于为健康食品激励项目的实施和实践以及农业法案和其他政策讨论提供参考。
