Tags

Type your tag names separated by a space and hit enter

Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011.
Prev Chronic Dis. 2015 Oct 15; 12:E176.PC

Abstract

INTRODUCTION

Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of low-income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into low-income neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables.

METHODS

A local produce distributor brought the Fresh to You markets to 6 community organizations serving low-income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You.

RESULTS

From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement.

CONCLUSION

Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse low-income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed.

Authors+Show Affiliations

Institute for Community Health Promotion, Brown University School of Public Health, Providence, Rhode Island.Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.Center for Statistical Sciences, Brown University School of Public Health, Providence, Rhode Island.Institute for Community Health Promotion, Brown University School of Public Health, Providence, Rhode Island.Institute for Community Health Promotion, Brown University School of Public Health and Rhode Island Public Health Institute, Providence, Rhode Island.Institute for Community Health Promotion, Brown University School of Public Health, Providence, Rhode Island.Institute for Community Health Promotion, Brown University School of Public Health, 121 South Main St, 8th Floor, Box G-S121-8, Providence, RI 02912. Email: Kim_Gans@Brown.edu. Dr Gans is also affiliated with the Rhode Island Public Health Institute, Providence, Rhode Island, and the University of Connecticut, Department of Human Development and Family Studies, and the Center for Health Interventions and Prevention, Storrs, Connecticut.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26469949

Citation

Gorham, Gemma, et al. "Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, On Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011." Preventing Chronic Disease, vol. 12, 2015, pp. E176.
Gorham G, Dulin-Keita A, Risica PM, et al. Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011. Prev Chronic Dis. 2015;12:E176.
Gorham, G., Dulin-Keita, A., Risica, P. M., Mello, J., Papandonatos, G., Nunn, A., Gorham, S., Roberson, M., & Gans, K. M. (2015). Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011. Preventing Chronic Disease, 12, E176. https://doi.org/10.5888/pcd12.140583
Gorham G, et al. Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, On Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011. Prev Chronic Dis. 2015 Oct 15;12:E176. PubMed PMID: 26469949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of Fresh to You, a Discount Fresh Fruit and Vegetable Market in Low-Income Neighborhoods, on Children's Fruit and Vegetable Consumption, Rhode Island, 2010-2011. AU - Gorham,Gemma, AU - Dulin-Keita,Akilah, AU - Risica,Patricia Markham, AU - Mello,Jennifer, AU - Papandonatos,George, AU - Nunn,Amy, AU - Gorham,Sara, AU - Roberson,Mya, AU - Gans,Kim M, Y1 - 2015/10/15/ PY - 2015/10/16/entrez PY - 2015/10/16/pubmed PY - 2016/9/24/medline SP - E176 EP - E176 JF - Preventing chronic disease JO - Prev Chronic Dis VL - 12 N2 - INTRODUCTION: Eating fruits and vegetables is associated with lowered risk for many chronic diseases. However, most Americans, especially members of low-income and minority populations, do not eat adequate amounts. Fresh to You is a public-private partnership program that brings discount fresh produce markets into low-income neighborhoods. We conducted a mixed-methods evaluation of Fresh to You to assess the effect of the program on children's consumption of fruits and vegetables. METHODS: A local produce distributor brought the Fresh to You markets to 6 community organizations serving low-income families in Rhode Island. The markets, held weekly for 5 months at each site, sold fresh produce at below-retail prices. Parents (N = 480) of children aged 3 to 13 years were recruited at the markets to participate in a 5-month cohort study. The primary outcome was change in children's fruit and vegetable intake, measured by a validated screener. We also conducted postintervention focus groups at each site with parents and qualitative interviews with site contacts to collect feedback about Fresh to You. RESULTS: From baseline to 5 months, there was a significant increase in children's daily fruit and vegetable consumption of 0.48 cups (t = 4.16, P < .001). Data from follow-up parent surveys, focus groups, and site contact interviews provided positive feedback about Fresh to You and recommendations for improvement. CONCLUSION: Fresh to You was effective at increasing consumption of fruits and vegetables among racially and ethnically diverse low-income children aged 3 to 13 years whose parents shopped at the markets. The intervention could serve as a model program for replication in other cities. Refinements and a more rigorous evaluation are needed. SN - 1545-1151 UR - https://www.unboundmedicine.com/medline/citation/26469949/Effectiveness_of_Fresh_to_You_a_Discount_Fresh_Fruit_and_Vegetable_Market_in_Low_Income_Neighborhoods_on_Children's_Fruit_and_Vegetable_Consumption_Rhode_Island_2010_2011_ L2 - https://www.cdc.gov/pcd/issues/2015/14_0583.htm DB - PRIME DP - Unbound Medicine ER -