Caraballo Graciela, Muleta Hemen, Parmar Anar, Kim Noah, Ali Qadira, Fischer Laura, Essel Kofi
School of Medicine and Health Sciences, George Washington University, Washington, DC 20052, USA.
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Nutrients. 2024 Nov 23;16(23):4010. doi: 10.3390/nu16234010.
In total, 17.9% of households with children experienced food insecurity (FI) in 2023. Produce prescription interventions (PRx) are a viable intervention to address FI and improve diet quality. Few studies have explored home-delivered PRxs in children. The objective of this qualitative study is to explore the experience of a novel PRx among families with young children in households at risk of experiencing FI and diet-related chronic disease. Semi-structured interviews were conducted with caretakers after the completion of a 12-month PRx. Interviews were recorded, transcribed, and analyzed using thematic analysis to identify emergent themes. Univariate descriptive statistics were used to describe baseline demographics. Twenty-five families were enrolled, from which eighteen completed the program and fifteen agreed to participate in an interview. All participants were African American women. The mean age was 30.2 (±6.4) years old, and the median household size was three. Qualitative data analysis revealed three major themes. (1) The produce delivery partially alleviated financial stress, contributing to increased produce consumption patterns; (2) the intervention positively shifted the nutrition- and cooking-related knowledge and behavior of families; and (3) familial and programmatic barriers affected participation and engagement. PRxs are a viable option to support families to lessen the burden of FI from financial hardship and build healthy dietary habits. These insights can inform future PRx program development, delivery, evaluation, and policy or funding decisions. Future research should examine the sustained impact of PRx on healthy eating, health outcomes among caregivers and their children, and the healthcare cost and utilization rates among PRx participants.
2023年，有子女的家庭中共有17.9%经历了粮食不安全（FI）。农产品处方干预措施（PRx）是解决粮食不安全问题并改善饮食质量的一种可行干预措施。很少有研究探讨针对儿童的上门配送PRx。这项定性研究的目的是探索一种新型PRx在有幼儿的家庭中的体验，这些家庭面临粮食不安全和与饮食相关的慢性病风险。在完成为期12个月的PRx后，对照顾者进行了半结构化访谈。访谈进行了录音、转录，并使用主题分析进行分析以确定新出现的主题。使用单变量描述性统计来描述基线人口统计学特征。招募了25个家庭，其中18个完成了该项目，15个同意参与访谈。所有参与者均为非裔美国女性。平均年龄为30.2（±6.4）岁，家庭规模中位数为3人。定性数据分析揭示了三个主要主题。（1）农产品配送部分缓解了经济压力，有助于增加农产品消费模式；（2）该干预措施积极改变了家庭与营养和烹饪相关的知识及行为；（3）家庭和项目障碍影响了参与度。PRx是支持家庭减轻经济困难带来的粮食不安全负担并养成健康饮食习惯的可行选择。这些见解可为未来PRx项目的开发、实施、评估以及政策或资金决策提供参考。未来的研究应考察PRx对健康饮食的持续影响、照顾者及其子女的健康结果以及PRx参与者的医疗成本和利用率。
