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Feasibility of using a community-supported agriculture program to improve fruit and vegetable inventories and consumption in an underresourced urban community.
Prev Chronic Dis. 2013 Aug 15; 10:E136.PC

Abstract

INTRODUCTION

Direct-to-consumer marketing efforts, such as community-supported agriculture (CSA), have been proposed as a solution for disparities in fruit and vegetable consumption. Evaluations of such efforts have been limited. The objective of this study was to test the feasibility of a CSA intervention to increase household inventory of fruits and vegetables and fruit and vegetable consumption of residents of an underresourced community.

METHODS

For this randomized, controlled feasibility study, we recruited 50 low-income women with children. Intervention (n=25) participants were offered 5 educational sessions and a box of fresh produce for 16 weeks; control participants were not offered the sessions nor were they included in the produce delivery. We collected data on participants' home inventory of fruits and vegetables and on their consumption of fruits and vegetables at baseline (May 2012) and postintervention (August and September 2012).

RESULTS

Of 55 potential participants, 50 were enrolled and 44 were reached for follow-up. We observed a significant increase in the number of foods in the household inventory of fruits and vegetables in the intervention group compared with the control group. The intervention group reported greater increases in fruit and vegetable consumption; however, these did not reach significance. Intervention participants picked up produce 9.2 (standard deviation=4.58) of 16 weeks; challenges included transportation and work schedules. Most participants (20 of 21) expressed interest in continued participation; all stated a willingness to pay $10 per week, and some were willing to pay as much as $25 per week.

CONCLUSION

CSA is a feasible approach for providing fresh fruits and vegetables to an underresourced community. Future studies should evaluate the impact of such a program in a larger sample and should take additional steps to facilitate participation.

Authors+Show Affiliations

Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. squandt@wakehealth.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23948337

Citation

Quandt, Sara A., et al. "Feasibility of Using a Community-supported Agriculture Program to Improve Fruit and Vegetable Inventories and Consumption in an Underresourced Urban Community." Preventing Chronic Disease, vol. 10, 2013, pp. E136.
Quandt SA, Dupuis J, Fish C, et al. Feasibility of using a community-supported agriculture program to improve fruit and vegetable inventories and consumption in an underresourced urban community. Prev Chronic Dis. 2013;10:E136.
Quandt, S. A., Dupuis, J., Fish, C., & D'Agostino, R. B. (2013). Feasibility of using a community-supported agriculture program to improve fruit and vegetable inventories and consumption in an underresourced urban community. Preventing Chronic Disease, 10, E136. https://doi.org/10.5888/pcd10.130053
Quandt SA, et al. Feasibility of Using a Community-supported Agriculture Program to Improve Fruit and Vegetable Inventories and Consumption in an Underresourced Urban Community. Prev Chronic Dis. 2013 Aug 15;10:E136. PubMed PMID: 23948337.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feasibility of using a community-supported agriculture program to improve fruit and vegetable inventories and consumption in an underresourced urban community. AU - Quandt,Sara A, AU - Dupuis,Janae, AU - Fish,Caitlin, AU - D'Agostino,Ralph B,Jr Y1 - 2013/08/15/ PY - 2013/8/17/entrez PY - 2013/8/21/pubmed PY - 2013/9/21/medline SP - E136 EP - E136 JF - Preventing chronic disease JO - Prev Chronic Dis VL - 10 N2 - INTRODUCTION: Direct-to-consumer marketing efforts, such as community-supported agriculture (CSA), have been proposed as a solution for disparities in fruit and vegetable consumption. Evaluations of such efforts have been limited. The objective of this study was to test the feasibility of a CSA intervention to increase household inventory of fruits and vegetables and fruit and vegetable consumption of residents of an underresourced community. METHODS: For this randomized, controlled feasibility study, we recruited 50 low-income women with children. Intervention (n=25) participants were offered 5 educational sessions and a box of fresh produce for 16 weeks; control participants were not offered the sessions nor were they included in the produce delivery. We collected data on participants' home inventory of fruits and vegetables and on their consumption of fruits and vegetables at baseline (May 2012) and postintervention (August and September 2012). RESULTS: Of 55 potential participants, 50 were enrolled and 44 were reached for follow-up. We observed a significant increase in the number of foods in the household inventory of fruits and vegetables in the intervention group compared with the control group. The intervention group reported greater increases in fruit and vegetable consumption; however, these did not reach significance. Intervention participants picked up produce 9.2 (standard deviation=4.58) of 16 weeks; challenges included transportation and work schedules. Most participants (20 of 21) expressed interest in continued participation; all stated a willingness to pay $10 per week, and some were willing to pay as much as $25 per week. CONCLUSION: CSA is a feasible approach for providing fresh fruits and vegetables to an underresourced community. Future studies should evaluate the impact of such a program in a larger sample and should take additional steps to facilitate participation. SN - 1545-1151 UR - https://www.unboundmedicine.com/medline/citation/23948337/Feasibility_of_using_a_community_supported_agriculture_program_to_improve_fruit_and_vegetable_inventories_and_consumption_in_an_underresourced_urban_community_ L2 - https://www.cdc.gov/pcd/issues/2013/13_0053.htm DB - PRIME DP - Unbound Medicine ER -