Evidence map›Paper›PMID 34301335›Full record

ArticleArchives of public health = Archives belges de sante publique2021

"I was eating more fruits and veggies than I have in years": a mixed methods evaluation of a fresh food prescription intervention.

Cole Heasley, Becca Clayton, Jade Muileboom, Anna Schwanke, Sujani Rathnayake, Abby Richter, Matthew Little

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07221045 (PhytoRx Families), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% 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.

NCT07221045 narecruitingnot on this mapstarted 2025, after this paper: background citation

PhytoRx Families: A Pilot Test Study to Address Food Security and Fruit and Vegetable Intake in Rural North Carolina

TypeinterventionalSponsorNorth Carolina State UniversityRan2025 to 2026Enrolled30ConditionsDiet, Healthy, Health Behavior, Blood Pressure, Diabetes Mellitus RiskArmsPhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Food-based interventions to mitigate household food insecurity in Canada: a systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Pooled it
  2. Pooled it
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  8. 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 · 2024
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  9. Food prescribing in Canada: evidence, critiques and opportunities.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Cole HeasleyDepartment of Population Medicine, University of Guelph, Guelph, ON, Canada.
Becca ClaytonGuelph Community Health Centre, Guelph, ON, Canada.
Jade MuileboomArrell Food Institute, University of Guelph, Guelph, ON, Canada.
Anna SchwankeFood From Thought, University of Guelph, Guelph, ON, Canada.
Sujani RathnayakeArrell Food Institute, University of Guelph, Guelph, ON, Canada.
Abby RichterGuelph Community Health Centre, Guelph, ON, Canada.
Matthew LittleSchool of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada. matthewlittle@uvic.ca.ORCID 0000-0001-6644-2336
University of Guelph · CAUniversity of Victoria · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity is associated with poor nutritional health outcomes. Prescribing fresh fruits and vegetables in healthcare settings may be an opportunity to link patients with community supports to promote healthy diets and improve food security. This mixed methods study evaluated the impacts of a fresh food prescription pilot program.

methodsThe study took place at two Community Health Centre locations in Guelph, Ontario, Canada. Sixty food insecure patients with ≥1 cardio-metabolic condition or micronutrient deficiency participated in the intervention. Participants were prescribed 12 weekly vouchers to Community Food Markets. We conducted a one-group pre-post mixed-methods evaluation to assess changes in fruit and vegetable intake, self-reported health, food security, and perceived food environments. Surveys were conducted at baseline and follow-up and semi-structured interviews with participants were conducted following the intervention.

resultsFood security and fruit and vegetable consumption improved following the intervention. Food security scores increased by 1.6 points, on average (p < 0.001). Consumption of fruits and 'other' vegetables (cucumber, celery, cabbage, cauliflower, squashes, and vegetable juice) increased from baseline to follow-up (p < 0.05). No changes in self-reported physical or mental health were observed. Qualitative data suggested that the intervention benefited the availability, accessibility, affordability, acceptability, and accommodation of healthy foods for participating households.

conclusionsFresh food prescription programs may be a useful model for healthcare providers to improve patients' food environments, healthy food consumption, and food security.

Indexed as

Community marketFood securityFresh food prescriptionFruits and vegetables

Identifiers

PMID34301335
PMCPMC8298943
OpenAlexW3183434885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.