ArticleTranslational behavioral medicine2019
"The coupons and stuff just made it possible": economic constraints and patient experiences of a produce prescription program.
Article in Translational behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Examining Food Security, Fruit and Vegetable Intake, and Cardiovascular Disease Risk Outcomes of Produce Prescription (PPR) Programs: A Systematic Review.Journal of nutrition education and behavior · 2024Pooled it
- Local Food System Approaches to Address Food and Nutrition Security among Low-Income Populations: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2024Pooled it
- Medically tailored meals in lung cancer care: patient experiences from the NutriCare Clinical Trial.Journal of cancer survivorship : research and practice · 2026Trial
- Experiences of people with diabetes receiving a voucher for healthy foods: a qualitative study.BMC public health · 2026Trial
- A randomized controlled study comparing three food prescription programs for older adults: program design, implementation, and utilization.Frontiers in public health · 2026Trial
- Effect of Brief Produce Exposure and Unconstrained Grocery Gift Cards on Caregiver Influence on Diet of Elementary Age Children: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Examining the associations among produce prescription program implementation characteristics and incentive redemption and participant outcomes.Translational behavioral medicine · 2026Article
- Reframing Food is Medicine as syndemic care: a multidimensional approach to food insecurity.Frontiers in public health · 2026Article
- Participant Redemption and Engagement in Produce Prescription Programs: A Qualitative Analysis of Implementer Perspectives.Current developments in nutrition · 2025Article
- RE-AIM evaluation of the first 5 years of a citywide produce prescription program.Translational behavioral medicine · 2025Article
- Factors Associated With Uptake of an Open Access Health Center-Based Mobile Produce Market: A Case for Expanded Eligibility.Journal of the Academy of Nutrition and Dietetics · 2024Article
- How does fresh food prescribing fit into the social service landscape? A qualitative study in Ontario, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Pediatric produce prescription initiatives in the U.S.: a scoping review.Pediatric research · 2024Article
- Exploring the prospective acceptability of a healthy food incentive program from the perspective of people with type 2 diabetes and experiences of household food insecurity in Alberta, Canada.Public health nutrition · 2024Article
- Implementing a Food Prescription Program during COVID-19: Benefits and Barriers.Healthcare (Basel, Switzerland) · 2024Article
- Clients' experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models.Frontiers in public health · 2024Article
- Caregiver perceptions of a pediatric produce prescription program during the COVID-19 pandemic.Frontiers in nutrition · 2024Article
- Healthcare-based food assistance programmes in the United States: a scoping review and typology.Journal of nutritional science · 2023Article
- Facilitators and Barriers to Patient Attendance at a Free Health Center Produce Market.American journal of preventive medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Although produce prescription (PRx) programs have been shown to improve fruit and vegetable (FV) consumption, few studies have examined how economic constraints influence participant experience. We conducted a qualitative study of patient experience of a 3-month PRx program for hypertension (PRxHTN) including 3 safety-net clinics and 20 farmers' markets (FMs). We interviewed 23 PRxHTN participants using semistructured guides to understand their program experiences. Interviews were audio-taped, transcribed, and analyzed to identify a priori and emergent themes. PRxHTN participants completing qualitative interviews were mostly middle-aged (mean: 62 years) African American (100%) women (78%). Economic hardship as a barrier to maximum program participation and sustainability was a main theme identified, with three subthemes: (i) transportation issues shaped shopping and eating patterns and limited participant ability to access FMs to utilize PRxHTN vouchers; (ii) limited and unstable income shaped participant shopping and eating behavior before, during, and after PRxHTN; and (iii) participants emphasized individual-level influences like personal or perceived motivations for program participation, despite significant structural constraints, such as economic hardship, shaping their program engagement. Future PRx programs should bolster economic and institutional supports beyond FM vouchers such as transportation assistance, partnering with local food banks and expansion to local grocery stores offering year-round FV access to support sustained behavior change. Additionally, structural competency tools for providers may be warranted to reorient focus on structural influences on program engagement and away from potentially stigmatizing individual-level explanations for program success. These efforts have potential to enhance the translation of PRx programs to the needs of economically vulnerable patients who struggle to manage chronic illness and access basic nutrition.
Indexed as
Identifiers
What OpenQuestion holds
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.