Research Brief| Volume 52, ISSUE 11, P1043-1051, November 2020

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Participant Perceptions of the Double Up Food Bucks Program at Oregon Farmers’ Markets

Published:April 05, 2020DOI:



      To explore perceptions of program impact among Double Up Food Bucks participants in Oregon.


      Data were collected from 1,223 Double Up Food Bucks participants at 42 Oregon farmers’ markets. Chi-square tests of independence and logistic regressions were used to examine associations among key variables.


      Most participants reported buying more fruits and vegetables (FVs) (91.0%), trying new FV types (82.2%), eating less processed food (69.8%), having more food available at home (81.1%), and perceiving improvements in health (87.9%). Perceptions of affordability were higher among younger adults (P < 0.001) and households with 3–5 people (P = 0.02), with children (P < 0.001), and without chronic disease (P = 0.003). Perceptions of increased FV purchases were higher in households with children (P = 0.009) and reported overall health improvements were higher among non-White participants (P = 0.04). Perceptions of increased FV purchases and affordability were associated with other positive program outcomes.

      Conclusions and Implications

      Participants may perceive barriers to purchasing FVs from farmers’ markets, which are not fully addressed by the increased purchasing power from a FV incentive. Targeted redesign, outreach, and education may improve program experiences among groups with less positive perceptions. Further research to identify explanations for variation in program experience is needed.

      Key Words

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        • Olsho LE
        • Klerman JA
        • Wilde PE
        • Bartlett S
        Financial incentives increase fruit and vegetable intake among Supplemental Nutrition Assistance Program participants: a randomized controlled trial of the USDA Healthy Incentives Pilot.
        Am J Clin Nutr. 2016; 104: 423-435
        • Bazzano LA.
        The high cost of not consuming fruits and vegetables.
        J Am Diet Assoc. 2006; 106: 1364-1368
        • Laraia BA
        • Leak TM
        • Tester JM
        • Leung CW
        Biobehavioral factors that shape nutrition in low-income populations: a narrative review.
        Am J Prev Med. 2017; 52: S118-S126
        • Haynes-Maslow L
        • Parsons SE
        • Wheeler SB
        • Leone LA
        A qualitative study of perceived barriers to fruit and vegetable consumption among low-income populations, North Carolina, 2011.
        Prev Chronic Dis. 2013; 10: e34
        • Engel K.
        Impact of SNAP Fruit and Vegetable Incentive Programs: An Analysis of USDA FINI Projects [master's thesis].
        RIT Scholar Works, Rochester, NY2018
        • Cohen AJ
        • Richardson CR
        • Heisler M
        • et al.
        Increasing use of a healthy food incentive: a waiting room intervention among low-income patients.
        Am J Prev Med. 2017; 52: 154-162
        • Savoie-Roskos M
        • Durward C
        • Jeweks M
        • LeBlanc H
        Reducing food insecurity and improving fruit and vegetable intake among farmers’ market incentive program participants.
        J Nutr Educ Behav. 2016; 48: 70-76
        • Young CR
        • Aquilante JL
        • 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
        • Mozaffarian D
        • Liu J
        • Sy S
        • et al.
        Cost-effectiveness of financial incentives and disincentives for improving food purchases and health through the US Supplemental Nutrition Assistance Program (SNAP): a microsimulation study.
        PLoS Med. 2018; 15e1002661
        • Lee Y
        • Mozaffarian D
        • Sy S
        • et al.
        Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: a microsimulation study.
        PLoS Med. 2019; 16e1002761
      1. Farmers Market Fund. Double Up Food Bucks. Accessed January 14, 2020.

        • Rummo PE
        • Noriega D
        • Parret A
        • Harding M
        • Hesterman O
        • Elbel BE
        Evaluating a USDA program that gives SNAP participants financial incentives to buy fresh produce in supermarkets.
        Health Aff (Millwood). 2019; 38: 1816-1823
        • Saxe-Custack A
        • Lofton HC
        • Hanna-Attisha M
        • Tata Z
        • Ceja T
        • LaChance J
        Caregiver experiences with an innovative farmers’ market incentive program for children in Flint, Michigan.
        Glob Pediatr Health. 2019; 6 (2333794×19870989)
        • Durward CM
        • Savoie-Roskos M
        • Atoloye A
        • et al.
        Double Up Food Bucks participation is associated with increased fruit and vegetable consumption and food security among low-income adults.
        J Nutr Educ Behav. 2019; 51: 342-347
        • Steele-Adjognon M
        • Weatherspoon D.
        Double Up Food Bucks program effects on SNAP recipients’ fruit and vegetable purchases.
        BMC Public Health. 2017; 17: 946
        • Cohen AJ
        • Oatmen KE
        • Heisler M
        • et al.
        Facilitators and barriers to Supplemental Nutrition Assistance Program incentive use: findings from a clinic intervention for low-income patients.
        Am J Prev Med. 2019; 56: 571-579
        • Champion VL
        • Skinner CS.
        The health belief model.
        in: Glanz K Rimer BK Viswanath K Health Behavior and Health Education: Theory, Research, and Practice.4th ed. Jossey-Bass, San Francisco, CA2008: 45-65
        • Savoie Roskos MR
        • Wengreen H
        • Gast J
        • LeBlanc H
        • Durward C
        Understanding the experiences of low-income individuals receiving farmers’ market incentives in the United States: a qualitative study.
        Health Promot Pract. 2017; 18: 869-878
        • Fair Food Network
        Double Up Food Bucks: 2011 Evaluation Report.
        Fair Food Network, Ann Arbor, MI2011
        • Fair Food Network
        Double Up Food Bucks: 2012 Evaluation Report.
        Fair Food Network, Ann Arbor, MI2012
        • Community Science
        SNAP Healthy Food Incentives Cluster Evaluation 2013 Final Report.
        Community Science, Gaithersburg, MD2013
        • Fair Food Network
        Double Up Food Bucks: A Five-Year Success Story.
        Fair Food Network, Ann Arbor, MI2016
        • Cronquist K
        • Lauffer S.
        Characteristics of Supplemental Nutrition Assistance Program households: Fiscal Year 2017.
        US Department of Agriculture, Food and Nutrition Service, Office of Policy Support, Alexandria, VA2017
        • Lauffer S
        • Vigil A
        • Tadler C
        • Wilcox-Cook E
        Technical Documentation for the Fiscal Year 2017 Supplemental Nutrition Assistance Program Quality Control Database and the QC Minimodel. Alexandria.
        US Department of Agriculture,Food and Nutrition Service, VA2018
      2. Immigrant & Refugee Community Organization. Our services. Accessed October 24, 2019.

        • Olsho LE
        • Payne GH
        • Walker DK
        • Baronberg S
        • Jernigan J
        • Abrami A
        Impacts of a farmers’ market incentive programme on fruit and vegetable access, purchase and consumption.
        Public Health Nutr. 2015; 18: 2712-2721
        • Ritter G
        • Walkinshaw LP
        • Quinn EL
        • Ickes S
        • Johnson DB
        An assessment of perceived barriers to farmers’ market access.
        J Nutr Educ Behav. 2019; 51: 48-56
        • Dimitri C
        • Oberholtzer L
        • Zive M
        • Sandolo C
        Enhancing food security of low-income consumers: an investigation of financial incentives for use at farmers markets.
        Food Policy. 2015; 52: 64-70
        • Pellegrino S
        • Bost A
        • McGonigle M
        • et al.
        Fruit and vegetable intake among participants in a District of Columbia farmers’ market incentive programme.
        Public Health Nutr. 2018; 21: 601-606
        • Hebert JR
        • Clemow L
        • Pbert L
        • Ockene IS
        • Ockene JK
        Social desirability bias in dietary self-report may compromise the validity of dietary intake measures.
        Int J Epidemiol. 1995; 24: 389-398
        • Gergerich E
        • Shobe M
        • Christy K
        Sustaining our nation's seniors through federal food and nutrition programs.
        J Nutr Gerontol Geriatr. 2015; 34: 273-291
        • Hager ER
        • Quigg AM
        • Black MM
        • et al.
        Development and validity of a 2-item screen to identify families at risk for food insecurity.
        Pediatrics. 2010; 126: e26-e32