Stevenson Laurel Dolin, Lucarelli Jennifer, Stewart Scott A, Acosta Sonia, Yoakum Bethany, Yoakum Coleman
Oakland University, Rochester, MI, USA.
Honor Community Health, Pontiac, MI, USA.
Health Promot Pract. 2023 Sep;24(5):808-810. doi: 10.1177/15248399221081406. Epub 2022 Mar 14.
Healthy eating reduces risk for chronic disease, but can be out of reach for many Americans experiencing food insecurity. Produce Prescription Programs (PPPs) have emerged as an intervention to address barriers related to fruit and vegetable consumption. Using a social prescribing model, PPPs connect patients with referrals to community resources to reduce barriers to healthy eating. There is evidence of success of PPPs at improving dietary intake, yet little discussion within the literature of practical aspects of implementation. As interest grows around establishing PPPs within communities, increased attention to strategic planning and implementation remains necessary to develop robust and effective programming. We describe implementing the Pontiac Prescription for Health pilot program, highlighting the participatory planning process with partners. Development and implementation included a program model, recruitment methods and materials, a voucher contract and tracking system with produce vendors, physical activity opportunities, culturally competent health education sessions, and evaluation tools. We offer insight into lessons learned and practical implications for future "on-the-ground" planning and implementation. Engaging in a rigorous participatory planning process with all community partners, allowing adequate time to establish service agreements and a voucher system with vendors, and engaging program participants in different ways and spaces throughout the community can enhance program success.
健康饮食可降低患慢性病的风险，但对于许多面临粮食不安全问题的美国人来说却难以实现。农产品处方计划（PPP）已成为一种干预措施，以解决与水果和蔬菜消费相关的障碍。PPP采用社会处方模式，将患者与社区资源转介相联系，以减少健康饮食的障碍。有证据表明PPP在改善饮食摄入量方面取得了成功，但文献中对实施的实际方面讨论较少。随着社区对建立PPP的兴趣增加，为了制定强大而有效的计划，仍有必要更多地关注战略规划和实施。我们描述了庞蒂亚克健康处方试点计划的实施情况，强调了与合作伙伴的参与式规划过程。开发和实施包括一个计划模型、招募方法和材料、与农产品供应商的代金券合同和跟踪系统、体育活动机会、具有文化适应性的健康教育课程以及评估工具。我们深入探讨了经验教训以及对未来“实地”规划和实施的实际影响。与所有社区合作伙伴进行严格的参与式规划过程，留出足够的时间与供应商建立服务协议和代金券系统，并在社区中以不同方式和场所吸引项目参与者，这些都可以提高项目的成功率。
