Evidence map›Paper›PMID 41373178›Full record

ArticleHealth promotion practice2025

The CalFresh Fruit and Vegetable EBT Pilot Project: A Model for Direct Nutrition Incentive Integration for SNAP Participants in the Retail Grocery Store Setting.

Joe Prickitt, Adriana Bearse, Karemi Alvarez, Trixy Joy Manansala, Nancy Knauer, Eli Zigas, Grecia Marquez-Nieblas, Kyung E Rhee, Sarah Hiller-Venegas, Blanca Melendrez

Abstract read
In one paragraph

Article in Health promotion practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Using the Implementation Leadership Scale (ILS) for nutrition incentive programs in the food retail context.The international journal of behavioral nutrition and physical activity · 2026
    Article
  2. 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.

Joe PrickittCenter for Community Health, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.ORCID 0009-0003-2427-8154
Adriana BearseCenter for Community Health, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.
Karemi AlvarezCenter for Community Health, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.
Trixy Joy ManansalaCenter for Community Health, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.
Nancy KnauerMother's Nutritional Center, Santa Fe Springs, CA, USA.
Eli ZigasFullwell, Oakland, CA, USA.
Grecia Marquez-NieblasFullwell, Oakland, CA, USA.
Kyung E RheeUniversity of California San Diego, La Jolla, CA, USA.
Sarah Hiller-VenegasUniversity of California San Diego, La Jolla, CA, USA.
Blanca MelendrezCenter for Community Health, Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA.

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
NCATS NIH HHS UL1 TR001442
6 · The paper itself

Abstract

According to the U.S. Department of Agriculture (USDA) Economic Research Service, 13.5% of U.S. households experienced food insecurity in 2023, representing a notable increase from the previous year and emphasizing the urgent need for innovative enhancements to food assistance programs such as the Supplemental Nutrition Assistance Program (SNAP). This paper presents a case study of the CalFresh Fruit and Vegetable EBT (Electronic Benefit Transfer) Pilot Project, a pioneering initiative in California that enables SNAP recipients to earn a dollar-for-dollar rebate, up to $60 per month, on fresh fruits and vegetables purchased at participating grocery stores and farmers markets. Incentives earned through this program were automatically credited to recipients' EBT accounts and could be redeemed for any SNAP-eligible foods at authorized USDA Food and Nutrition Service (FNS) retailers. At its launch, this was the only program in the U.S. to integrate nutrition incentives directly into SNAP EBT accounts for use at grocery stores. The Pilot Project achieved high satisfaction among both retailers and participants, resulting in nearly $18 million in incentives earned by approximately 93,000 SNAP recipients. This case study highlights key learnings and implications for practice, policy, and research and explores opportunities to replicate this model in other states and communities. Integrating nutrition incentives into the SNAP EBT system represents a promising strategy to promote healthier food choices and reduce food insecurity nationwide.

Indexed as

CalFreshcommunity partnershipsElectronic Benefit Transfer (EBT)food securityfruit and vegetable accessnutrition incentivespublic health nutritionretail grocery storesSNAP

Identifiers

PMID41373178
PMCPMC13680729

What OpenQuestion holds

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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.