Slagel Nicholas, Newman Taylor, Sanville Laurel, Thompson Jennifer Jo, Dallas Jackie, Cotto-Rivera Edda, Lee Jung Sun
Department of Foods and Nutrition, University of Georgia, Athens, GA, USA.
Department of Crop and Soil Sciences, University of Georgia, Athens, GA, USA.
Health Promot Pract. 2023 Jan;24(1):62-69. doi: 10.1177/15248399211018169. Epub 2021 Jun 2.
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.
果蔬处方（FVRx）项目依靠多样的社区和诊所合作伙伴关系，来改善医疗服务不足患者群体的食品安全状况以及果蔬消费量。尽管这些项目不断增加，但对于为实施在社区和免费安全网诊所环境中开展的FVRx项目而建立的独特合作伙伴关系的可行性或有效性，人们却知之甚少。一项针对FVRx项目的为期6个月的非随机对照试验，在54名符合补充营养援助计划（SNAP）资格且患有与饮食相关慢性病的成年人中进行了试点测试。干预措施包括每月在农贸市场为当地农产品开具农产品处方、SNAP-Ed直接营养教育，以及为低收入成年人进行健康筛查。使用项目管理数据（招募、留存和处方兑换）以及干预前后的自我管理调查问卷，对各自样本进行了过程评估和结果评估，调查问卷采用了经验证的关于饮食摄入量、营养知识和行为以及食品购买习惯的测量方法。进行了描述性统计分析。FVRx项目留住了77.3%的参与者，这些参与者花费了近90%的处方金额。干预后，与对照组相比，FVRx组报告称，果蔬总摄入量、新鲜果蔬制备知识、从农贸市场购买新鲜果蔬的情况均显著增加，并且食品购买习惯也发生了显著变化。基于社区的营养教育组织提高了基于社区和诊所的FVRx项目在改善低收入成年人增强与食品和营养相关行为能力方面的可行性和有效性。
