Plencner Laura M, Ross Janet Nalubega, Hall Matthew, Hurley Emily A, Raphael Jean L, Donis De Miranda Evelyn, Colvin Jeffrey D
Department of Pediatrics, Children's Mercy Hospitals and Clinics (LM Plencner, J Nalubega Ross, EA Hurley, ED De Miranda, and JD Colvin), Kansas City, Mo; University of Missouri-Kansas City School of Medicine (LM Plencner, EA Hurley, and JD Colvin), Kansas City, Mo.
Department of Pediatrics, Children's Mercy Hospitals and Clinics (LM Plencner, J Nalubega Ross, EA Hurley, ED De Miranda, and JD Colvin), Kansas City, Mo.
Acad Pediatr. 2025 Jan-Feb;25(1):102550. doi: 10.1016/j.acap.2024.07.017. Epub 2024 Aug 2.
Few children in food insecure (FI) households meet dietary recommendations for fruit and vegetables ("produce"). Barriers include affordability, accessibility, and desirability. Home produce delivery may reduce FI, increase produce consumption, and decrease budget tradeoffs.
Evaluate the acceptability and potential impact of delivering produce through home visiting programs on FI, diet, and budget tradeoffs.
In this prospective pre/post mixed methods study, 51 parents engaged in home visiting programs were enrolled. Participants completed pre- and post-program surveys on FI (18-item Food Security Scale), produce consumption, and budget tradeoffs. Pre- and post-surveys were compared using McNemar's test and weighted kappas. Interview guides were based on Social Cognitive Theory and a previously published framework. Interviews were conducted in English or Spanish; thematic analysis was completed.
Twenty-nine (56.9%) participants completed both surveys. Most were female (96.3%) and Hispanic (79.3%) (Table 1). Food security improved in the post-period, with more participants reporting high food security (pre: 6.9%, post: 31.0%) and fewer reporting very low food security (pre: 20.7%, post: 6.9%, P < 0.01) (Table 2). Budgetary tradeoffs decreased in the post-program period (pre: 71.4%, post: 48.1%, P = 0.03). Fifteen participants were interviewed. Themes included 1) saved money, 2) increased fruit and vegetable consumption, and 3) interest in future participation.
This pilot study found that an intervention for delivery of produce through home visiting programs was acceptable to participants and resulted in potential improvements in FI and household budgets. This supports future studies to further explore the impact of this novel intervention.
粮食不安全（FI）家庭中很少有儿童达到水果和蔬菜（“农产品”）的饮食建议摄入量。障碍包括可承受性、可及性和受欢迎程度。家庭农产品配送可能会减少粮食不安全状况，增加农产品消费，并减少预算权衡。
评估通过家访计划配送农产品对粮食不安全、饮食和预算权衡的可接受性和潜在影响。
在这项前瞻性前后混合方法研究中，招募了51名参与家访计划的家长。参与者完成了关于粮食不安全（18项食品安全量表）、农产品消费和预算权衡的计划前和计划后调查。使用麦克尼马尔检验和加权卡帕对调查前后的数据进行比较。访谈指南基于社会认知理论和先前发表的框架。访谈用英语或西班牙语进行；完成了主题分析。
29名（56.9%）参与者完成了两项调查。大多数是女性（96.3%）和西班牙裔（79.3%）（表1）。后期食品安全状况有所改善，更多参与者报告粮食安全状况良好（前期：6.9%，后期：31.0%），报告粮食安全状况极低的参与者减少（前期：20.7%，后期：6.9%，P<0.01）（表2）。计划后期预算权衡减少（前期：71.4%，后期：48.1%，P = 0.03）。对15名参与者进行了访谈。主题包括1）省钱，2）增加水果和蔬菜消费，3）对未来参与的兴趣。
这项试点研究发现，通过家访计划配送农产品的干预措施为参与者所接受，并可能改善粮食不安全状况和家庭预算。这为未来进一步探索这种新型干预措施的影响的研究提供了支持。
