@article{f1427369e0ff4fc2a628da5aadad7abb,
title = "Financial incentives increase purchases of fruit and vegetables among lower-income households with children",
abstract = "The high cost of fruit and vegetables can be a barrier to healthy eating, particularly among lower-income households with children. We examined the effects of a financial incentive on purchases at a single supermarket by primary shoppers from low-income households who had at least one child. Participation in an in-store Cooking Matters event was requested for incentivized subjects but optional for their nonincentivized controls. The sample included but was not limited to Supplemental Nutrition Assistance Program participants. Compared to the controls, incentivized shoppers—who were given an immediate 50 percent discount on qualifying fruit and vegetables—increased weekly spending on those items by 27 percent; this change was for fresh produce. There was no change in purchases of frozen and canned produce or unhealthful foods. Estimated annual average daily consumption of fruit and vegetables by the incentivized shoppers and by one designated child per incentivized household did not change. Attendance at Cooking Matters events was low. These findings support financial incentive programs to increase fruit and vegetable purchasing but suggest that effective complementary approaches are needed to improve diet quality.",
author = "Alyssa Moran and Anne Thorndike and Rebecca Franckle and Rebecca Boulos and Heather Doran and Aarohee Fulay and Julie Greene and Dan Blue and Block, {Jason P.} and Rimm, {Eric B.} and Michele Polacsek",
note = "Funding Information: Preliminary study results were presented in an oral presentation at the Obesity Society Annual Meeting in Nashville, Tennessee, November 13, 2018. This work, including efforts from Anne Thorndike, Rebecca Boulos, Heather Doran, Eric Rimm, and Michele Polacsek, was supported by an Integrated Research, Education and Extension Grant in the Childhood Obesity Challenge Area from the Department of Agriculture{\textquoteright}s National Institute of Food and Agriculture (Grant No. 2016-68001-24961). Moran was supported by a training grant from the National Institutes of Health (Grant No. T32DK007703) and has received consultancy fees for technical assistance provided to the New York City Department of Health and Mental Hygiene. Rebecca Franckle was supported by a training grant from the National Institutes of Health (Grant No. T32HL098048). The authors thank Tao Hou for his assistance in preparing the scanner data for analysis and his valuable contributions to this research. They also thank Hannaford Supermarkets and the managers and staff at the study store for their hard work and collaboration during the planning and execution of the project. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or Department of Agriculture. Funding Information: This work, including efforts from Anne Thorndike, Rebecca Boulos, Heather Doran, Eric Rimm, and Michele Polacsek, was supported by an Integrated Research, Education and Extension Grant in the Childhood Obesity Challenge Area from the Department of Agriculture?s National Institute of Food and Agriculture (Grant No. 2016-68001-24961). Moran was supported by a training grant from the National Institutes of Health (Grant No. T32DK007703) and has received consultancy fees for technical assistance provided to the New York City Department of Health and Mental Hygiene. Rebecca Franckle was supported by a training grant from the National Institutes of Health (Grant No. T32HL098048). The authors thank Tao Hou for his assistance in preparing the scanner data for analysis and his valuable contributions to this research. They also thank Hannaford Supermarkets and the managers and staff at the study store for their hard work and collaboration during the planning and execution of the project. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or Department of Agriculture. Publisher Copyright: {\textcopyright} 2019, Project HOPE. All rights reserved.",
year = "2019",
month = sep,
doi = "10.1377/hlthaff.2018.05420",
language = "English (US)",
volume = "38",
pages = "1557--1566",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "9",
}