Veggie Rx: an outcome evaluation of a healthy food incentive programme
Open accessAbstract
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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Two studies evaluated an intervention that provided vouchers for an onsite farmers market.
“Two studies evaluated an intervention that provided vouchers for an onsite farmers market. 25,32”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [25]
The Participants and methods > Setting section says Veggie Rx issued produce coupons redeemable at a mobile produce market that stopped weekly at the health center. That supports this paper as one of the two studies, but the paper describes a mobile produce market, not an onsite farmers market. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe second study found a small but significant effect of the intervention on lowering body mass index compared with matched controls in patients with obesity, hypertension, and/or type 2 diabetes.
“The second study in this group provided vouchers through a nutritionist to patients with obesity, hypertension, and/or type 2 diabetes and found a small but significant effect of the intervention on lowering body mass index compared with matched controls 25 (Table 3).”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [25]
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Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review
De Marchis, E. H., Torres, J. M., Benesch, T., Fichtenberg, C., Allen, I. E., Whitaker, E. M., & Gottlieb, L. M. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2412 · Cited by 195 · see citing works
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- Authors
- Cavanagh, M., Jurkowski, J., Bozlak, C., Hastings, J., & Klein, A.
- Affiliations
- University at Albany, State University of New York (US)
- Corresponding author
- Jurkowski, Janine
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-08-19
- Volume
- 20
- Issue
- 14
- Pages
- 2636-2641
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- PMC
- PMC5743436
- OpenAlex
- W2517720202
- Cited by
- 93
- References
- 4
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 11 · 2023: 15 · 2022: 14 · 2021: 19 · 2020: 7 · 2019: 7 · 2018: 5 · 2017: 1
- FWCI
- 8.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (K22MD003934)
- Topics
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- fruit and vegetable intake, low-income populations, obesity, hypertension, type 2 diabetes, body mass index change, community clinics, access to fresh produce
- MeSH terms
- Diet, Healthy, Adult, Diabetes Mellitus, Type 2, Food Supply, Fruit, Humans, Hypertension, Motivation, New York, Nutritional Status, Obesity, Poverty, Residence Characteristics, Retrospective Studies, Urban Population, Vegetables, Program Evaluation, Health Behavior, Body Mass Index, Case-Control Studies, Treatment Outcome
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