Evidence map›Paper›PMID 39940341›Full record

ArticleNutrients2025

Exploring Enablers of and Barriers to a Fruit and Vegetable Voucher Scheme in England: Insights from the Fresh Street Community Feasibility Study.

Jiang Pan, Clare Relton, Lisa Howard, Paridhi Garg, Manik Puranik, Michelle Thomas, Jane Bradbeer, Rachel Sutton, Carol Wagstaff, Clare Pettinger

Abstract read
In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Key action areas for transforming the UK food system: insights from the Transforming UK Food Systems (TUKFS) Programme project portfolio.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  3. Addressing food system determinants of health inequalities in urban environments: learnings from the FoodSEqual and FoodSEqual-Health projects.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
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

10 authors.

Jiang PanFaculty of Health, University of Plymouth, Plymouth PL4 6AB, UK.
Clare ReltonDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.
Lisa HowardFaculty of Health, University of Plymouth, Plymouth PL4 6AB, UK.
Paridhi GargFaculty of Health, University of Plymouth, Plymouth PL4 6AB, UK.
Manik PuranikDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.ORCID 0009-0007-6427-8414
Michelle ThomasDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.
Jane BradbeerDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.
Rachel SuttonDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.
Carol WagstaffDepartment of Food and Nutritional Sciences, University of Reading, Reading RG6 6DZ, UK.ORCID 0000-0001-9400-8641
Clare PettingerFaculty of Health, University of Plymouth, Plymouth PL4 6AB, UK.ORCID 0000-0001-7182-9463

Funding

UK Research and Innovation BB/V004905/1
6 · The paper itself

Abstract

BACKGROUND/

objectivesMany deprived communities in the UK have low fruit and vegetable (FV) intake, leading to poor health outcomes. Fresh Street is a place-based voucher approach that enables households to buy FV from local independent suppliers. Fresh Street Community embeds this approach within community hubs, thus enabling households to use vouchers to purchase FV from community centres. This paper explores the enablers and barriers influencing the uptake of Fresh Street Community in two UK urban areas of high deprivation.

methodsThis three-phase exploratory qualitative study was informed by 'co-production' with community researchers at both sites: (1) literature review and observations identifying enablers and barriers in FV voucher schemes; (2) semi-structured interviews and focus groups with the research team and community food researchers to 'validate' the factors identified in phase 1 and to develop explanatory narratives for these factors; and (3) participatory and thematic analysis of the enablers and barriers to finalise the identified factors.

resultsA total of ten enablers and sixteen barriers were validated across both sites. However, differences in local contexts and operational procedures impacted future FV voucher scheme implementation. The important role of community food researchers to engage participants and support the synthesis of findings is also presented.

conclusionsThis study offers practical and critical insights for researchers, community food researchers, and practitioners on factors that influence a community centre-based FV voucher scheme to address nutritional inequalities.

Indexed as

Food AssistanceFood SupplyFruitVegetablesAdultEnglandFeasibility StudiesFemaleFocus GroupsHumansMaleQualitative ResearchResidence Characteristicscommunity-based interventionscommunity engagementcommunity food researchersfresh streetfruit and vegetableshealth equalityvoucher scheme

Identifiers

PMID39940341
PMCPMC11819846

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LicenceCC BY
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Registered trials

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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.