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SNAP-Based Incentive Programs at Farmers' Markets: Adaptation Considerations for Temporary Assistance for Needy Families (TANF) Recipients

Published:August 14, 2017DOI:https://doi.org/10.1016/j.jneb.2017.06.002

      Abstract

      Objective

      To describe the design, implementation, and consumer response to a coupon-style intervention aimed to increase Supplemental Nutrition Assistance Program (SNAP) use at a farmers' market (FM) among Temporary Assistance for Needy Families (TANF) participants.

      Design

      A quasi-experimental trial to evaluate redemption response to 2 coupon interventions; baseline surveys characterized coupon redeemers and non-redeemers.

      Setting

      Urban.

      Participants

      The TANF recipients were assigned to either a plain (n = 124) or targeted marketing coupon intervention (n = 130).

      Intervention(s)

      Both groups received 10 $2 coupons to double fruit and vegetable SNAP purchases at the FM. The targeted marketing group also received an oral presentation designed to reduce perceived barriers to FM use.

      Main Outcome Measure

      Coupon redemption.

      Analysis

      The researchers used t tests and chi-square/Fisher exact tests to examine associations between redeemers and non-redeemers; logistic regression was used to adjust for the intervention.

      Results

      No male and few female participants redeemed coupons (6.3%). Among women, those with knowledge of vegetable preparation were 3 times more likely to redeem coupons than were those with little or no knowledge (odds ratio = 3.77; 95% confidence interval, 1.03–13.77).

      Conclusions and Implications

      Stand-alone coupon incentive programs may not be a high-reach strategy for encouraging FM use among the population using TANF. Complementary strategies to build vegetable preparation knowledge and skills are needed.

      Key Words

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      References

        • Leung C.W.
        • Ding E.L.
        • Catalano P.J.
        • Villamor E.
        • Rimm E.B.
        • Willett W.C.
        Dietary intake and dietary quality of low-income adults in the Supplemental Nutrition Assistance Program.
        Am J Clin Nutr. 2012; 96: 977-988
        • Esmaillzadeh A.
        • Kimiagar M.
        • Mehrabi Y.
        • Azadbakht L.
        • Hu F.B.
        • Willett W.C.
        Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome.
        Am J Clin Nutr. 2006; 84: 1489-1497
        • Wang X.
        • Ouyang Y.
        • Liu J.
        • et al.
        Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies.
        BMJ. 2014; 349: g4490
        • Fair Food Network
        Double Up Food Bucks: A Five-Year Success Story.
        Fair Food Network, Ann Arbor, MI2014
        • King M.
        • Dixit-Joshi S.
        • MacAllum K.
        • Steketee M.
        • Leard S.
        Farmers Market Incentive Provider Study.
        US Dept of Agriculture, Food and Nutrition Service, Alexandria, VA2014
        • Herman D.R.
        • Harrison G.G.
        • Afifi A.A.
        • Jenks E.
        Effect of a targeted subsidy on intake of fruits and vegetables among low-income women in the Special Supplemental Nutrition Program for Women, Infants, and Children.
        Am J Public Health. 2008; 98: 98-105
        • Young C.R.
        • Aquilante J.L.
        • Solomon S.
        • et al.
        Improving fruit and vegetable consumption among low-income customers at farmers markets: Philly Food Bucks, Philadelphia, Pennsylvania, 2011.
        Prev Chronic Dis. 2013; 10: E166
        • Community Science
        SNAP Healthy Food Incentives Cluster Evaluation: 2013 Final Report.
        Community Science, Gaithersburg, MD2013
        • Freedman D.A.
        • Vaudrin N.
        • Schneider C.
        • et al.
        Systematic review of factors influencing farmers' market use overall and among low-income populations.
        J Acad Nutr Diet. 2016; 116: 1136-1155
        • US Department of Health and Human Services
        Characteristics and Financial Circumstances of TANF Recipients, Fiscal Year 2012.
        2014 (https://www.acf.hhs.gov/sites/default/files/ofa/tanf_characteristics_fy_2012.pdf. Accessed June 27, 2017)
        • Irving S.K.
        Comparing Program Participation of TANF and Non-TANF Families Before and During a Time of Recession. US Dept of Commerce, Economics and Statistics Administration.
        US Census Bureau, 2011 (https://www.census.gov/prod/2011pubs/p70-127.pdf. Accessed June 27, 2017)
        • Glasgow R.E.
        • Vogt T.M.
        • Boles S.M.
        Evaluating the public health impact of health promotion interventions: the RE-AIM framework.
        Am J Public Health. 1999; 89: 1322-1327
        • Grin B.M.
        • Gayle T.L.
        • Saravia D.C.
        • Sanders L.M.
        Use of farmers markets by mothers of WIC recipients, Miami-Dade County, Florida, 2011.
        Prev Chronic Dis. 2013; 10: E95
        • Racine E.F.
        • Smith Vaughn A.
        • Laditka S.B.
        Farmers' market use among African-American women participating in the Special Supplemental Nutrition Program for Women, Infants, and Children.
        J Am Diet Assoc. 2010; 110: 441-446
        • Kropf M.L.
        • Holben D.H.
        • Holcomb Jr., J.P.
        • Anderson H.
        Food security status and produce intake and behaviors of Special Supplemental Nutrition Program for Women, Infants, and Children and Farmers' Market Nutrition Program participants.
        J Am Diet Assoc. 2007; 107: 1903-1908
        • Green L.W.
        • Kreuter M.W.
        Health Program Planning: An Educational and Ecological Approach.
        3rd ed. Mayfield Publishing, Mountain View, CA1999
        • Anderson J.V.
        • Bybee D.I.
        • Brown R.M.
        • et al.
        5 a day fruit and vegetable intervention improves consumption in a low income population.
        J Am Diet Assoc. 2001; 101: 195-202
        • Wetherill M.S.
        • Gray K.A.
        Farmers' markets and the local food environment: identifying perceived accessibility barriers for SNAP consumers receiving Temporary Assistance for Needy Families (TANF) in an urban Oklahoma community.
        J Nutr Educ Behav. 2015; 47: 127-133.e121
        • Oklahoma State Department of Health
        2014 State of the State's Health.
        Oklahoma State Department of Health, Oklahoma City, OK2014
        • World Cancer Research Fund
        American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective.
        AICR, Washington, DC2007 (Accessed July 10, 2017)
        • Inmar
        Inmar 2014 Coupon Trends: 2013 Year-End Report.
        Inmar, Winston-Salem, NC2014
      1. Stewart H, Blisard N. Are lower income households willing and able to budget for fruits and vegetables? US Department of Agriculture, Economic Research Service, ERR-54, January 2008. https://www.ers.usda.gov/webdocs/publications/45946/13543_err54_1_.pdf?v=41063. Accessed June 27, 2017.

        • Freedman D.A.
        • Bell B.A.
        • Collins L.V.
        The Veggie Project: a case study of a multi-component farmers' market intervention.
        J Prim Prev. 2011; 32: 213-224
        • Clark R.A.
        • Zboja J.J.
        • Goldsmith R.E.
        Antecedents of coupon proneness: a key mediator of coupon redemption.
        J Promot Manag. 2013; 19: 188-210
        • Brumbaugh A.M.
        • Rosa J.A.
        Perceived discrimination, cashier metaperceptions, embarrassment, and confidence as influencers of coupon use: an ethnoracial–socioeconomic analysis.
        J Retailing. 2009; 85: 347-362
        • Fair Food Network
        Double Up Food Bucks: 2012 Evaluation Report.
        Fair Food Network, Ann Arbor, MI2013
        • Freedman D.A.
        • Mattison-Faye A.
        • Alia K.
        • Guest M.A.
        • Hebert J.R.
        Comparing farmers' market revenue trends before and after the implementation of a monetary incentive for recipients of food assistance.
        Prev Chronic Dis. 2014; 11: E87
        • Buttenheim A.M.
        • Havassy J.
        • Fang M.
        • Glyn J.
        • Karpyn A.E.
        Increasing supplemental nutrition assistance program/electronic benefits transfer sales at farmers' markets with vendor-operated wireless point-of-sale terminals.
        J Acad Nutr Diet. 2012; 112: 636-641
        • Sobal J.
        • Bisogni C.A.
        Constructing food choice decisions.
        Annal Behav Med. 2009; 38: S37-S46
        • Freedman D.A.
        • Choi S.K.
        • Hurley T.
        • Anadu E.
        • Hebert J.R.
        A farmers' market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics.
        Prev Med. 2013; 56: 288-292