Double Up Food Bucks Participation is Associated with Increased Fruit and Vegetable Consumption and Food Security Among Low-Income Adults

Durward, Carrie; Savoie‐Roskos, Mateja R.; Atoloye, Abiodun T.; Isabella, Patrice H.; Jewkes, Melanie; Ralls, Brenda; Riggs, Kathleen; LeBlanc, Heidi

doi:10.1016/j.jneb.2018.08.011

Cited by 68 publications

(87 citation statements)

References 25 publications

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“…Similarly, another study noted that SNAP participants' awareness of farmers' markets rose in relation to their exposure to the Health Bucks incentive program [35]. In addition, these researchers found that 54% of Health Bucks participants who used their benefits at farmers' markets strongly agreed that "I shop at farmers' markets more often because of Health Bucks", and a Utah-based incentive program reported that 98% of baseline participants reported that the incentive made it more likely that they would shop at the farmers' market [30]. In the Farmers' Market Fresh Fund Incentive Program, 82% of participants had never attended a farmer's market prior to participating in the program, and 93% of participants reported that incentives were "important" or "very important" in their decision to shop at farmers' markets [32].…”

Section: Retail Venuementioning

confidence: 99%

“…Several studies indicate that farmers' market incentive programs attract SNAP participants who otherwise might not shop at these venues [30][31][32]35]. One incentive program study found that 57% of participants in a farmers' market incentive program had never been to a farmers' market [31].…”

Section: Retail Venuementioning

confidence: 99%

“…Another area for future research is the impact of incentive program participation on objective measures of health. The studies reviewed in this scoping review demonstrated an improvement in program participants' perceptions of their health [7,32,33,36] and one study demonstrated an improvement in food security status [30], but none of the studies under review measured BMI or other health measures. Consequently, the actual impact of incentives on health remains unclear, and identifying the point at which incentives create a tangible difference in health outcomes is key for creating programs that promote participants' well-being.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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Fruit and Vegetable Incentive Programs for Supplemental Nutrition Assistance Program (SNAP) Participants: A Scoping Review of Program Structure

Engel

Ruder

2020

Nutrients

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The low intake of fruits/vegetables (FV) by Supplemental Nutrition Assistance Program (SNAP) participants is a persistent public health challenge. Fruit and vegetable incentive programs use inducements to encourage FV purchases. The purpose of this scoping review is to identify structural factors in FV incentive programs that may impact program effectiveness, including (i.) differences in recruitment/eligibility, (ii.) incentive delivery and timing, (iii.) incentive value, (iv.) eligible foods, and (v.) retail venue. Additionally, the FV incentive program impact on FV purchase and/or consumption is summarized. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews, a search of four bibliographic databases resulted in the identification of 45 publications for consideration; 19 of which met the pre-determined inclusion criteria for full-length publications employing a quasi-experimental design and focused on verified, current SNAP participants. The data capturing study objective, study design, sample size, incentive program structure characteristics (participant eligibility and recruitment, delivery and timing of incentive, foods eligible for incentive redemption, type of retail venue), and study outcomes related to FV purchases/consumption were entered in a standardized chart. Eleven of the 19 studies had enrollment processes to receive the incentive, and most studies (17/19) provided the incentive in the form of a token, coupon, or voucher. The value of the incentives varied, but was usually offered as a match. Incentives were typically redeemable only for FV, although three studies required an FV purchase to trigger the delivery of an incentive for any SNAP-eligible food. Finally, most studies (16/19) were conducted at farmers’ markets. Eighteen of the 19 studies reported a positive impact on participant purchase and/or consumption of FV. Overall, this scoping review provides insights intended to inform the design, implementation, and evaluation of future FV incentive programs targeting SNAP participants; and demonstrates the potential effectiveness of FV incentive programs for increasing FV purchase and consumption among vulnerable populations.

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Section: Retail Venuementioning

confidence: 99%

Section: Retail Venuementioning

confidence: 99%

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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Fruit and Vegetable Incentive Programs for Supplemental Nutrition Assistance Program (SNAP) Participants: A Scoping Review of Program Structure

Engel

Ruder

2020

Nutrients

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“…Figure 2: Frequencies of Shopping Versus Amount of SNAP Distributed Over the Market Season ............................................................................................................................................. 5 Introduction Double-up Food Bucks, DUFB is a fruit and vegetable (FV) incentivize program designed to improve the dietary quality of low-income populations through the Supplemental Nutrition Assistance Program (SNAP). Prior studies have shown that DUFB program has positive effects on the F&V purchase behavior (such as expenditure share, variety purchased, frequency, and amount of F&V purchase) (Steele-Adjognon & Weatherspoon, 2017;Alaofè, Freed, Jones, Plano, & Taren, 2017) and consumption (such as number of F&V consumed) (Savoie-Roskos, Durward, Jeweks, & LeBlanc, 2016;Alaofè et al, 2017;Durward et al, 2018). Nevertheless, DUFB use tends to be less common among SNAP recipients with initial low FV intake, who do not have previous experience shopping at a farmers' market with their SNAP benefit, and who have lesser income (author's data currently in publication, available on request).…”

mentioning

confidence: 99%

<strong>Tracking Double-up Food Bucks (DUFB) Program Use Among Supplemental Nutrition Assistant Program (SNAP) Recipients and the Implications for Healthy Food Access</strong>

Atoloye¹,

Durward²

2020

Preprint

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Acceptance of SNAP benefits has increased in farmers’ markets (FM) over the years. However, getting SNAP recipients to take up the opportunity of extra dollars for healthy food options remains a challenge. Thus, we tracked the use of the Double-up Food Buck (DUFB) program among SNAP recipients who visit participating FMs in Utah to understand the unique characteristics of the program users. Our results identified varying types of program users (multiple and single market shoppers, more frequent and less frequent shoppers). While our findings indicate a higher DUFB transaction in token value among frequent users, larger markets are more likely to have higher DUFB transactions with a higher number of market visits compared to smaller ones. In conclusion, while all types of users may add to the total revenue generated by participating FM, additional initiatives are required to encourage frequent visits and uptake of the program for better access to healthy foods.

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“…55 56 Notably, farmers' market healthy food subsidy programmes are growing in interest as multilevel interventions that aim to improve access to and intake of nutritious foods among low-income populations. [57][58][59][60] As government funded food subsidy programmes, farmers' market subsidy programmes clearly operate at the policy level.…”

mentioning

confidence: 99%

Impact of a farmers’ market nutrition coupon programme on diet quality and psychosocial well-being among low-income adults: protocol for a randomised controlled trial and a longitudinal qualitative investigation

et al. 2020

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IntroductionLow-income populations have poorer diet quality and lower psychosocial well-being than their higher-income counterparts. These inequities increase the burden of chronic disease in low-income populations. Farmers’ market subsidies may improve diet quality and psychosocial well-being among low-income populations. In Canada, the British Columbia (BC) Farmers’ Market Nutrition Coupon Programme (FMNCP) aims to improve dietary patterns and health among low-income participants by providing coupons to purchase healthy foods from farmers’ markets. This study will assess the impact of the BC FMNCP on the diet quality and psychosocial well-being of low-income adults and explore mechanisms of programme impacts.Methods and analysisIn a parallel group randomised controlled trial, low-income adults will be randomised to an FMNCP intervention (n=132) or a no-intervention control group (n=132). The FMNCP group will receive 16 coupon sheets valued at CAD$21/sheet over 10–15 weeks to purchase fruits, vegetables, dairy, meat/poultry/fish, eggs, nuts and herbs at farmers’ markets and will be invited to participate in nutrition skill-building activities. Overall diet quality (primary outcome), diet quality subscores, mental well-being, sense of community, food insecurity and malnutrition risk (secondary outcomes) will be assessed at baseline, immediately post-intervention and 16 weeks post-intervention. Dietary intake will be assessed using the Automated Self-Administered 24-hour Dietary Recall. Diet quality will be calculated using the Healthy Eating Index-2015. Repeated measures mixed-effect regression will assess differences in outcomes between groups from baseline to 16 weeks post-intervention. Furthermore, 25–30 participants will partake in semi-structured interviews during and 5 weeks after programme completion to explore participants’ experiences with and perceived outcomes from the programme.Ethics and disseminationEthical approval was obtained from the University of Calgary Conjoint Health Research Ethics Board, Rutgers University Ethics and Compliance, and University of Waterloo Office of Research Ethics. Findings will be disseminated through policy briefs, conference presentations and peer-reviewed publications.Trial registration numberNCT03952338.

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Double Up Food Bucks Participation is Associated with Increased Fruit and Vegetable Consumption and Food Security Among Low-Income Adults

Cited by 68 publications

References 25 publications

Fruit and Vegetable Incentive Programs for Supplemental Nutrition Assistance Program (SNAP) Participants: A Scoping Review of Program Structure

Fruit and Vegetable Incentive Programs for Supplemental Nutrition Assistance Program (SNAP) Participants: A Scoping Review of Program Structure

<strong>Tracking Double-up Food Bucks (DUFB) Program Use Among Supplemental Nutrition Assistant Program (SNAP) Recipients and the Implications for Healthy Food Access</strong>

Impact of a farmers’ market nutrition coupon programme on diet quality and psychosocial well-being among low-income adults: protocol for a randomised controlled trial and a longitudinal qualitative investigation

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