Provider Communication and Role Modeling Related to Patients’ Perceptions and Use of a Federally Qualified Health Center–Based Farmers’ Market

Friedman, Daniela B.; Freedman, Darcy A.; Choi, Seul Ki; Anadu, Edith C.; Brandt, Heather M.; Carvalho, Natalia; Hurley, Thomas G.; Young, Vicki; Hébert, James R.

doi:10.1177/1524839913500050

Cited by 33 publications

(42 citation statements)

References 35 publications

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“…A “prescription” refers patients to community resources providing fruit and vegetable access. These community-linked, health care provider–assisted models serve as powerful tools for motivating behavior change (14) and increasing fruit and vegetable consumption among low-income persons (10,12). …”

Section: Introductionmentioning

confidence: 99%

Dietary Impact of Produce Prescriptions for Patients With Hypertension

et al. 2018

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IntroductionLittle is known regarding the impact of produce prescriptions within the context of hypertension visits at safety net clinics. We evaluated intervention effectiveness on patient usage of farmers markets and dietary change related to fruit and vegetable consumption.MethodsHealth Improvement Partnership — Cuyahoga worked with 3 clinics to integrate, implement, and evaluated a produce prescription for hypertension (PRxHTN) program. PRxHTN involves 3 monthly, nonphysician provider visits, comprising blood pressure measurement, nutrition counseling, and four $10 farmers market produce vouchers, for hypertensive adult patients screening positive for food insecurity. Dietary measures were collected at visits 1 and 3. Voucher use was tracked via farmers market redemption logs.ResultsOf the 224 participants from 3 clinics, most were middle-aged (mean age, 62 y), female (72%), and African American (97%) and had a high school education or less (62%). Eighty-six percent visited a farmers market to use their produce vouchers, with one-third reporting it was their first farmers market visit ever. Median number of farmers market visits was 2 (range: 0–6), and median number of vouchers redeemed was 8 (range: 0–12). Among the subsample with follow-up survey data (n = 137), significant improvement in fruit and vegetable consumption was observed as well as a decline in fast food consumption.ConclusionPRxHTN participants visited at least 1 farmers market, reported increases in provider communication related to diet, and exhibited significant changes in dietary behavior. PRxHTN can serve as a strong model for linking safety net clinics with farmers markets to promote community resource use and improve fruit and vegetable consumption among food-insecure patients with hypertension.

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Section: Introductionmentioning

confidence: 99%

Dietary Impact of Produce Prescriptions for Patients With Hypertension

et al. 2018

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“…Healthy food incentive programmes represent an environmental intervention strategy that aims to improve consumption through changing the food context so that people are able to obtain fresh produce without the cost burden (12–14) . These programmes reduce access barriers to fresh produce for populations who experience purchasing difficulties by providing produce coupons.…”

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confidence: 99%

Veggie Rx: an outcome evaluation of a healthy food incentive programme

Cavanagh

Jurkowski

Bozlak

et al. 2016

Public Health Nutr.

105

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Objective One challenge to healthy nutrition, especially among low-income individuals, is access to and consumption of fresh fruits and vegetables. To address this problem, Veggie Rx, a healthy food incentive programme, was established within a community clinic to increase access to fresh produce for low-income patients diagnosed with obesity, hypertension and/or type 2 diabetes. The current research aimed to evaluate Veggie Rx programme effectiveness. Design A retrospective pre/post design using medical records and programme data was used to evaluate the programme. The study was approved by the University of Albany Institutional Review Board and the Patient Interest Committee of a community clinic. Setting The study was conducted in a low-income, urban neighbourhood in upstate New York. Subjects Medical record data and Veggie Rx programme data were analysed for fifty-four eligible participants. An equal-sized control group of patients who were not programme participants were matched on age, ethnicity and co-morbidity status. Results: A statistically significant difference in mean BMI change (P = 0.02) between the intervention and the control group was calculated. The intervention group had a mean decrease in BMI of 0.74 kg/m2. Conclusions Greater improvement in BMI was found among Veggie Rx programme participants. This information will guide programme changes and inform the field on the effectiveness of healthy food incentive programmes for improving health outcomes for low-income populations.

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“…Intervention studies have demonstrated patient satisfaction from effective communication with and counseling from health care providers and from observing providers that are role modeling healthy behaviors. 22 …”

Section: Commentarymentioning

confidence: 99%

Proposing an Interdisciplinary, Communication-Focused Agenda for Cancer and Aging Researchers

2015

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Cancer is mainly a disease of older people. Costs for cancer prevention and control are rising due to increased life expectancy and the large cohort of aging “baby boomers.” An effective strategy for better understanding processes related to cancer and aging across the entire cancer continuum (i.e., from prevention through to end-of-life care) is to approach this challenge collaboratively. Communication-focused research is an area of collaborative study for cancer and aging researchers that would provide evidence regarding the most effective means for reaching older adults with messages about cancer prevention, control, and quality of life issues. Specifically we recommend research that is guided by multidisciplinary communication frameworks, involves health care providers, incorporates an intergenerational and family-centered approach into designing and implementing empirical studies, and creates culturally appropriate messaging through community-engaged research.

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Provider Communication and Role Modeling Related to Patients’ Perceptions and Use of a Federally Qualified Health Center–Based Farmers’ Market

Cited by 33 publications

References 35 publications

Dietary Impact of Produce Prescriptions for Patients With Hypertension

Dietary Impact of Produce Prescriptions for Patients With Hypertension

Veggie Rx: an outcome evaluation of a healthy food incentive programme

Proposing an Interdisciplinary, Communication-Focused Agenda for Cancer and Aging Researchers

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