Produce Prescriptions and Nutrition Education Improve Experiences and Perceptions of Farm Direct Settings in Adults With Low Income

  • Author Footnotes
    † Dr Slagel was affiliated with the Department of Foods and Nutrition, University of Georgia, at the time this study was completed.
    Nicholas Slagel
    Address for correspondence: Nicholas Slagel, PhD, RDN, Department of Kinesiology, Nutrition and Dietetics, University of Northern Colorado, 1828 10th Ave, Greeley, CO 80631
    † Dr Slagel was affiliated with the Department of Foods and Nutrition, University of Georgia, at the time this study was completed.
    Department of Kinesiology, Nutrition and Dietetics, University of Northern Colorado, Greeley, CO
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  • Jennifer Jo Thompson
    Department of Crop and Soil Sciences, University of Georgia, Athens, GA
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  • Jung Sun Lee
    Department of Foods and Nutrition, University of Georgia, Athens, GA
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  • Author Footnotes
    † Dr Slagel was affiliated with the Department of Foods and Nutrition, University of Georgia, at the time this study was completed.



      To examine Fruit and Vegetable Prescription (FVRx) Program participants’ and nonparticipants’ experiences and perceptions of farm direct (FD) settings.


      Multiple-case study of adults with low income from 3 study groups: (1) FVRx intervention (produce prescription, nutrition education [NE], financial literacy education, health screening), (2) NE only, and (3) control (standard health care). Participant interviews with each group at baseline and 6 months.


      Supplemental Nutrition Assistance Program-Education (SNAP-Ed) eligible adults from 3 Georgia counties.


      A total of 46 adults with ≥ 1 diet-related condition.

      Phenomena of Interest

      Fruit and Vegetable Prescription Program participant and nonparticipant experiences and perceptions of FD settings.


      Constant comparative methods and thematic analysis of qualitative interview data across groups.


      Two main themes emerged: (1) baseline FD setting experiences and perceptions and (2) divergent experiences and perceptions with FD settings postintervention. Participants across each group employed price-conscious food purchasing practices because of limited food budgets, limiting local food access. Combining produce prescription, NE, and farmers’ market access enhanced FVRx participant associations with FD settings to reinforce motivation for accessing and purchasing fruits and vegetables beyond program participation.

      Conclusions and Implications

      Fruit and Vegetable Prescription Programs reduce multiple barriers to participating in FD settings compared with NE or standard health care alone.

      Key Words

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