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An Implementation Blueprint for a Pilot Produce Prescription Program in a Northeastern U.S. State.

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This study developed a practical blueprint for produce prescription programs to address food insecurity and chronic disease. The findings offer guidance for healthcare systems to implement and scale these vital nutrition interventions effectively.

Keywords:
Food is medicineFood securityImplementation sciencePrimary careProduce prescription program

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Area of Science:

  • Public Health
  • Health Services Research
  • Implementation Science

Background:

  • Food insecurity is linked to increased chronic disease risk, with limited scalable solutions.
  • Produce prescription programs offer subsidized fruits and vegetables but need implementation guidance for sustained delivery.

Purpose of the Study:

  • To develop a practical implementation blueprint for produce prescription programs.
  • To identify and address barriers to program delivery within primary care settings.

Main Methods:

  • Utilized the Consolidated Framework for Implementation Research.
  • Conducted qualitative interviews with patients and providers.
  • Engaged a community advisory board for barrier prioritization and strategy selection.

Main Results:

  • Identified key barriers in clinic workflows, patient engagement, and resource availability.
  • Developed strategies including workflow integration, provider training, and patient education materials.
  • Created a context-specific blueprint for program adaptation and scale-up.

Conclusions:

  • Health systems can design and refine produce prescription programs using a structured approach.
  • The developed blueprint provides a model for strengthening the implementation of nutrition interventions.
  • This work supports the expansion of produce prescription programs to combat food insecurity and improve health outcomes.