Ronit A Ridberg1, Janice F Bell2, Kathryn E Merritt3, Diane M Harris4, Heather M Young2, Daniel J Tancredi5. 1. Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA. Electronic address: raridberg@ucdavis.edu. 2. Betty Irene Moore School of Nursing, University of California Davis, Sacramento, CA. 3. Wholesome Wave, Berkeley, CA. 4. Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA. 5. Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA; Department of Pediatrics, University of California, Davis, Sacramento, CA.
Abstract
OBJECTIVE: To assess change in household food security associated with participation in a pediatric fruit/vegetable prescription program. METHODS: The researchers analyzed clinic-based, fruit/vegetable prescription program data for 578 low-income families, collected in 2013-2015, and calculated changes in food security (summative score; high/low/very low; and individual US Department of Agriculture measures). RESULTS: Of participating households, 72% increased their summative score over the course of the program. In adjusted regression models, participants had higher change scores with 5 or 6 clinical visits, compared with 1 or 2 visits (β = .07; 95% confidence interval, 0.01-0.14), and college education of the primary caretaker, compared with less than college (β = .05; 95% confidence interval, 0.01-0.09). Select clinic sites (but neither visit nor redemption proportions) significantly contributed to change score variance. All US Department of Agriculture measures saw significant increases. CONCLUSIONS AND IMPLICATIONS: Fruit/vegetable prescription programs may help providers address patients' food insecurity. Further research using experimental designs and implementation science could build the case to incorporate programs into practice.
OBJECTIVE: To assess change in household food security associated with participation in a pediatric fruit/vegetable prescription program. METHODS: The researchers analyzed clinic-based, fruit/vegetable prescription program data for 578 low-income families, collected in 2013-2015, and calculated changes in food security (summative score; high/low/very low; and individual US Department of Agriculture measures). RESULTS: Of participating households, 72% increased their summative score over the course of the program. In adjusted regression models, participants had higher change scores with 5 or 6 clinical visits, compared with 1 or 2 visits (β = .07; 95% confidence interval, 0.01-0.14), and college education of the primary caretaker, compared with less than college (β = .05; 95% confidence interval, 0.01-0.09). Select clinic sites (but neither visit nor redemption proportions) significantly contributed to change score variance. All US Department of Agriculture measures saw significant increases. CONCLUSIONS AND IMPLICATIONS: Fruit/vegetable prescription programs may help providers address patients' food insecurity. Further research using experimental designs and implementation science could build the case to incorporate programs into practice.
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