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Assessment of Social Transmission of Food Preferences Behaviors
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Food Security Outcomes and Postintervention Experiences in a Produce Prescription Pilot: A Mixed-Methods Study.

Caroline E Owens1, Miranda Cook2, Tammy Reasoner3

  • 1Department of Anthropology, University of North Carolina Wilmington, Wilmington, NC; Food is Medicine Institute, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.

Journal of Nutrition Education and Behavior
|May 8, 2026
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Summary

Produce prescription programs show modest short-term improvements in food security for patients with cardiometabolic conditions. Long-term sustainability and psychosocial well-being require further investigation.

Keywords:
chronic diseasefood is medicinefood securityproduce prescriptionrural health

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Area of Science:

  • Public Health
  • Nutrition Science
  • Health Services Research

Background:

  • Food insecurity is a significant issue for patients with cardiometabolic conditions.
  • Produce prescription interventions aim to improve dietary intake and health outcomes.

Purpose of the Study:

  • To evaluate the impact of a multisite produce prescription intervention on food security.
  • To explore participants' experiences 1-3 months postintervention.

Main Methods:

  • Pilot study (n=100) with a 6-month intervention for patients with cardiometabolic conditions.
  • Included a cooking curriculum and weekly free fruit/vegetable boxes.
  • Mixed-methods design with quantitative (mixed-effects regression) and qualitative (thematic analysis) data.

Main Results:

  • 40% of participants were food insecure at baseline.
  • Modest food security improvements were observed at 6 months but not sustained postintervention.
  • Qualitative themes included social connection, well-being, and challenges in maintaining food security.

Conclusions:

  • Produce prescription interventions may offer short-term benefits for food security and psychosocial well-being.
  • Further research is needed to determine long-term effectiveness and sustainability.
  • Identifying necessary resources is crucial for sustaining intervention outcomes.