Brandon Stroud|Lauren Sastre
Impact and Acceptability of the Fresh Start Produce Rx Program on Food Literacy, Nutrition and Health
East Carolina University
h3objectiveh3 purpose pilot fresh start prx fsprx program impact healthy food access food literacy rural uninsured patients diabetes h3use theory researchh3 fsprx program grounded socioecological model prior prx research similar population included educational handouts recipes significantly impacted diet quality glycemic control however lacked impact food literacy therefore prx programming direct nutrition education support warranted h3target audienceh3 uninsured patients diagnosed type2 diabetes rural eastern north carolina h3program descriptionh3 pilot 20week fsprx program included provision fresh produce directly provided 35 lbsclass participants nine group classes prx focused nonstarchy vegetables aligned class cooking demonstrations recipes taste testing per class group classes focused improving food literacy healthy lifestyle included activitieshandouts developed tailored underresourced lowerliteracy audience additional behavioral support set nutrition physical activity goals provided via individualized telephonebased health coaching h3evaluation methodsh3 validated food literacy questionnaire collected prepost program final program evaluation survey developed specifically evaluate fsprx program conducted postprogram data analysis included descriptive statistics paired sample ttests via ibm spss 280 h3resultsh3 total food literacy scores increased average 128 points statistically significant p 004 t216 participants reported satisfied 833 satisfied 125 program helped better follow medical providers nutrition recommendations 923 improved diet quality 885 increased access fresh produce 846 willingness try newunfamiliar produce 808 participants used 391 426 produce provided recipes 68 h3conclusionh3 pilot fsprx program integrated food literacy focused tailored nutrition education behavioral support impactful wellreceived nutrition education behavioral support support food literacy continue integrated evaluated within prx programming h3fundingh3 duke endowment foundation