Department of Kinesiology, Nutrition and Dietetics, University of Northern Colorado, Greeley, CO.
Department of Crop and Soil Sciences, University of Georgia, Athens, GA.
J Nutr Educ Behav. 2022 Nov;54(11):1011-1023. doi: 10.1016/j.jneb.2022.08.010.
To examine Fruit and Vegetable Prescription (FVRx) Program participants' and nonparticipants' experiences and perceptions of farm direct (FD) settings.
Multiple-case study of adults with low income from 3 study groups: (1) FVRx intervention (produce prescription, nutrition education [NE], financial literacy education, health screening), (2) NE only, and (3) control (standard health care). Participant interviews with each group at baseline and 6 months.
Supplemental Nutrition Assistance Program-Education (SNAP-Ed) eligible adults from 3 Georgia counties.
A total of 46 adults with ≥ 1 diet-related condition.
Fruit and Vegetable Prescription Program participant and nonparticipant experiences and perceptions of FD settings.
Constant comparative methods and thematic analysis of qualitative interview data across groups.
Two main themes emerged: (1) baseline FD setting experiences and perceptions and (2) divergent experiences and perceptions with FD settings postintervention. Participants across each group employed price-conscious food purchasing practices because of limited food budgets, limiting local food access. Combining produce prescription, NE, and farmers' market access enhanced FVRx participant associations with FD settings to reinforce motivation for accessing and purchasing fruits and vegetables beyond program participation.
Fruit and Vegetable Prescription Programs reduce multiple barriers to participating in FD settings compared with NE or standard health care alone.
调查水果和蔬菜处方（FVRx）计划参与者和非参与者对直接从农场购买（FD）的体验和看法。
对来自 3 个研究组的低收入成年人进行了多案例研究：（1）FVRx 干预（提供农产品处方、营养教育 [NE]、金融扫盲教育、健康筛查）；（2）仅 NE；（3）对照（标准保健）。在基线和 6 个月时，对每组参与者进行访谈。
佐治亚州 3 个县的符合补充营养援助计划教育（SNAP-Ed）条件的成年人。
共有 46 名患有≥1 种饮食相关疾病的成年人。
FVRx 计划参与者和非参与者对 FD 环境的体验和看法。
采用跨组比较方法和定性访谈数据的主题分析。
出现了两个主要主题：（1）基线 FD 环境体验和看法；（2）干预后 FD 环境体验和看法的差异。每个组的参与者都采用了具有成本意识的食品购买方式，因为食品预算有限，限制了当地的食品获取。结合农产品处方、NE 和农贸市场的准入，增强了 FVRx 参与者与 FD 环境的联系，从而强化了他们在参与项目之外获取和购买水果和蔬菜的动机。
与仅接受 NE 或标准保健相比，FVRx 计划减少了参与 FD 环境的多个障碍。
