Evidence map›Paper›PMID 29126661›Full record

Trial reportJournal of nutrition education and behavior2018

A Supermarket Double-Dollar Incentive Program Increases Purchases of Fresh Fruits and Vegetables Among Low-Income Families With Children: The Healthy Double Study.

Michele Polacsek, Alyssa Moran, Anne N Thorndike, Rebecca Boulos, Rebecca L Franckle, Julie C Greene, Dan J Blue, Jason P Block, Eric B Rimm

Erratum issued Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of nutrition education and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05028205 (Eating Better Together), which is not on this map. Cited by 49 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 9 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05028205 narecruitingnot on this mapstarted 2021, after this paper: background citation

Eating Better Together: A Pilot Study

TypeinterventionalSponsorThe University of Tennessee, KnoxvilleRan2021 to 2026Enrolled30ConditionsChildhood Obesity, ObesityArmsPrevention Plus
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 9 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Michele PolacsekWestbrook College of Health Professions, University of New England, Portland, ME. Electronic address: mpolacsek@une.edu.
Alyssa MoranDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA.
Anne N ThorndikeHarvard Medical School, Boston, MA.
Rebecca BoulosMuskie School of Public Service, University of Southern Maine, Portland, ME.
Rebecca L FranckleDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA.
Julie C GreeneHannaford Supermarkets, Scarborough, ME.
Dan J BlueHannaford Supermarkets, Scarborough, ME.
Jason P BlockDepartment of Medicine, Harvard Medical School, Boston, MA.
Eric B RimmDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA.
Harvard University · USNew England College · USUniversity of Southern Maine · US

Funding

CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
NHLBI NIH HHS T32 HL098048
6 · The paper itself

Abstract

objectiveTo carry out a pilot study to determine whether a supermarket double-dollar fruit and vegetable (F&V) incentive increases F&V purchases among low-income families.

designRandomized controlled design. Purchases were tracked using a loyalty card that provided participants with a 5% discount on all purchases during a 3-month baseline period followed by the 4-month intervention.

settingA supermarket in a low-income rural Maine community.

participantsA total of 401 low-income and Supplemental Nutrition Assistance Program (SNAP) supermarket customers.

interventionSame-day coupon at checkout for half-off eligible fresh, frozen, or canned F&V over 4 months.

main outcome measureWeekly spending in dollars on eligible F&V. ANALYSIS: A linear model with random intercepts accounted for repeated transactions by individuals to estimate change in F&V spending per week from baseline to intervention. Secondary analyses examined changes among SNAP-eligible participants.

resultsCoupons were redeemed among 53% of eligible baskets. Total weekly F&V spending increased in the intervention arm compared with control ($1.83; 95% confidence interval [CI], $0.29 to $3.88). The largest increase was for fresh F&V ($1.97; 95% CI, $0.49 to $3.44). Secondary analyses revealed greater increases in F&V spending among SNAP-eligible participants who redeemed coupons ($5.14; 95% CI, $1.93 to $8.34) than among non-SNAP eligible participants who redeemed coupons ($3.88; 95% CI, $1.67 to $6.08). CONCLUSIONS AND IMPLICATIONS: A double-dollar pricing incentive increased F&V spending in a low-income community despite the moderate uptake of the coupon redemption. Customers who were eligible for SNAP saw the greatest F&V spending increases. Financial incentives for F&V are an effective strategy for food assistance programs to increase healthy purchases and improve dietary intake in low-income families.

Indexed as

FruitVegetablesAdolescentAdultChildConsumer BehaviorFemaleFood AssistanceHealth PromotionHumansMaineMaleMiddle AgedPilot ProjectsPovertyRural Populationbehavioral economicsfinancial incentives for fruit and vegetable purchase promotionrandomized controlled trialSNAPSNAP policy

Identifiers

PMID29126661
PMCPMC6247420
OpenAlexW2767285865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.