ArticleCurrent developments in nutrition2026
Adoption and Acceptability of a Fruit and Vegetable Subsidy in Low-Income Households in Urban Chile: The Bolsillo Saludable Pilot Feasibility Study.
Article in Current developments in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06865157 (Bolsillo Saludable), which is not on this map. Not yet cited in PubMed.
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Bolsillo Saludable: Feasibility of a Healthy Food Subsidy on Healthy Eating in Low-Income Households in Chile
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6 authors.
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Abstract
Background: Low-quality diets disproportionally affect low-income populations, limiting access to healthy foods. Objectives: This feasibility study evaluated the adoption and acceptability of Bolsillo Saludable (BS), a smartphone app-based subsidy designed to incentivize fruit and vegetable (FV) purchases at Ferias Libres (open markets) in Chile. Methods: In an 8-wk pilot study, 30 low-income families received monthly benefits to purchase FV at a Feria Libre in Santiago, with outcomes assessed using a multimethod approach. Qualitative data from focus groups with beneficiaries ( Results: The study demonstrated high adoption and acceptability of the program. All beneficiaries utilized their benefits, with at least 1 use each month. Qualitative results showed high satisfaction among beneficiaries and vendors, who appreciated the program's focus on healthy food and the ease of the payment system. Participants perceived the restriction to FV and delivery through Ferias Libres as consistent with their purchasing practices, suggesting high appropriateness of the intervention. Over half of beneficiaries perceived positive changes in their family diet, including increased FV consumption and vendors noted increased sales of a wider FV variety. Quantitative results suggested a 38% increase in mean FV expenditure, with improvements in dietary diversity indicators. However, qualitative results identified challenges related to variety of products offered, participating vendors, and invoicing difficulties. Conclusions: This feasibility pilot demonstrated high adoption, acceptability, and appropriateness of the BS program with preliminary evidence of positive dietary changes among vulnerable populations. Addressing operational challenges, particularly limited vendor participation and invoicing barriers will be essential for scale-up. These findings provide key insights for scaling this intervention in Chile and adapting similar programs across similar settings.This trial was registered at University of Chile Protocol Record 5128637 as NCT06865157; https://clinicaltrials.gov/study/NCT06865157.
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