Participant Redemption and Engagement in Produce Prescription Programs: A Qualitative Analysis of Implementer Perspectives
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View abstract on PubMed
Summary
This summary is machine-generated.Produce prescription programs, a Food is Medicine strategy, show varied engagement. Key factors for success include program fit, addressing access barriers, strong partnerships, and clear communication for better participant redemption and engagement.
Area Of Science
- Implementation Science
- Public Health Nutrition
- Health Services Research
Background
- Food is Medicine (FIM) strategies, such as produce prescription programs, aim to combat food insecurity and improve patient health.
- While effective in improving health outcomes (e.g., reduced HbA1c), these programs exhibit significant heterogeneity in design.
- Participant engagement and prescription redemption rates vary considerably across different produce prescription programs.
Purpose Of The Study
- To explore the design and implementation practices of produce prescription programs.
- To identify factors influencing fruit and vegetable prescription redemption and participant engagement.
- To apply an implementation science framework to understand program success.
Main Methods
- Utilized the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework for interview guide development.
- Conducted 60-minute semistructured interviews with 15 program leads from the Gus Schumacher Nutrition Incentive Program nationwide.
- Employed inductive thematic analysis with a rapid qualitative approach, mapping themes to EPIS constructs.
Main Results
- Identified 16 key themes impacting program success.
- Themes focused on ensuring programmatic fit with participants and settings, addressing access barriers.
- Highlighted the importance of partnerships, staffing, supplementary services, and robust navigation/communication systems.
Conclusions
- Elucidated specific produce prescription program characteristics influencing redemption and engagement.
- Provided qualitative evidence to inform current program implementers and future researchers on best practices.
- Offered insights for optimizing Food is Medicine interventions overall.
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