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Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures

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  • Nadine Budd Nugent

    (Gretchen Swanson Center for Nutrition, Omaha, NE 68114, USA)

  • Carmen Byker Shanks

    (Gretchen Swanson Center for Nutrition, Omaha, NE 68114, USA)

  • Hilary K. Seligman

    (Division of General Internal Medicine, University of California, San Francisco, CA 94143, USA)

  • Hollyanne Fricke

    (Gretchen Swanson Center for Nutrition, Omaha, NE 68114, USA)

  • Courtney A. Parks

    (Gretchen Swanson Center for Nutrition, Omaha, NE 68114, USA)

  • Sarah Stotz

    (Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Colorado School of Public Health, Aurora, CO 80045, USA)

  • Amy L. Yaroch

    (Gretchen Swanson Center for Nutrition, Omaha, NE 68114, USA)

Abstract

Food insecurity, or lack of consistent access to enough food, is associated with low intakes of fruits and vegetables (FVs) and higher risk of chronic diseases and disproportionately affects populations with low income. Financial incentives for FVs are supported by the 2018 Farm Bill and United States (U.S.) Department of Agriculture’s Gus Schumacher Nutrition Incentive Program (GusNIP) and aim to increase dietary quality and food security among households participating in the Supplemental Nutrition Assistance Program (SNAP) and with low income. Currently, there is no shared evaluation model for the hundreds of financial incentive projects across the U.S. Despite the fact that a majority of these projects are federally funded and united as a cohort of grantees through GusNIP, it is unclear which models and attributes have the greatest public health impact. We explore the evaluation of financial incentives in the U.S. to demonstrate the need for shared measurement in the future. We describe the process of the GusNIP NTAE, a federally supported initiative, to identify and develop shared measurement to be able to determine the potential impact of financial incentives in the U.S. This commentary discusses the rationale, considerations, and next steps for establishing shared evaluation measures for financial incentives for FVs, to accelerate our understanding of impact, and support evidence-based policymaking.

Suggested Citation

  • Nadine Budd Nugent & Carmen Byker Shanks & Hilary K. Seligman & Hollyanne Fricke & Courtney A. Parks & Sarah Stotz & Amy L. Yaroch, 2021. "Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12140-:d:682883
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    References listed on IDEAS

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    1. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian A. & Singh, Anita, 2020. "Statistical Supplement to Household Food Security in the United States in 2019," Agricultural Economic Reports 305693, United States Department of Agriculture, Economic Research Service.
    2. Thiago Veiga Jardim & Dariush Mozaffarian & Shafika Abrahams-Gessel & Stephen Sy & Yujin Lee & Junxiu Liu & Yue Huang & Colin Rehm & Parke Wilde & Renata Micha & Thomas A Gaziano, 2019. "Cardiometabolic disease costs associated with suboptimal diet in the United States: A cost analysis based on a microsimulation model," PLOS Medicine, Public Library of Science, vol. 16(12), pages 1-15, December.
    3. Dariush Mozaffarian & Junxiu Liu & Stephen Sy & Yue Huang & Colin Rehm & Yujin Lee & Parke Wilde & Shafika Abrahams-Gessel & Thiago de Souza Veiga Jardim & Tom Gaziano & Renata Micha, 2018. "Cost-effectiveness of financial incentives and disincentives for improving food purchases and health through the US Supplemental Nutrition Assistance Program (SNAP): A microsimulation study," PLOS Medicine, Public Library of Science, vol. 15(10), pages 1-25, October.
    4. Coleman-Jensen, Alisha & Rabbitt, Matthew P & Gregory, Christian A & Singh, Anita, 2020. "Household Food Security in the United States in 2019," Economic Research Report 327207, United States Department of Agriculture, Economic Research Service.
    5. Yujin Lee & Dariush Mozaffarian & Stephen Sy & Yue Huang & Junxiu Liu & Parke E Wilde & Shafika Abrahams-Gessel & Thiago de Souza Veiga Jardim & Thomas A Gaziano & Renata Micha, 2019. "Cost-effectiveness of financial incentives for improving diet and health through Medicare and Medicaid: A microsimulation study," PLOS Medicine, Public Library of Science, vol. 16(3), pages 1-20, March.
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    Cited by:

    1. Sarah A. Misyak & Molly K. Parker & Meredith Ledlie Johnson & Sam Hedges & Elizabeth Borst & Maureen McNamara Best & Valisa E. Hedrick, 2022. "A Preliminary Evaluation of Virginia Fresh Match: Impacts and Demographic Considerations for Future Fruit and Vegetable Incentive Programs," IJERPH, MDPI, vol. 19(7), pages 1-9, April.
    2. Bailey Houghtaling & Matthew Greene & Kaustubh V. Parab & Chelsea R. Singleton, 2022. "Improving Fruit and Vegetable Accessibility, Purchasing, and Consumption to Advance Nutrition Security and Health Equity in the United States," IJERPH, MDPI, vol. 19(18), pages 1-12, September.

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