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2018 Conference on Medical Student Education

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P16 The Utilization of Farmers' Markets in Low Income Areas From the Perspective of Patients and Physicians: A Qualitative Study (STU)

Christopher Stoming; Leslie Ruffalo, PhD; Zachary Carlson; Rebecca Bernstein, MD; Melissa DeNomie; Meg Kilkenny; Allison McCurdy

02/2/18 9:30 AM - 10:30 AM Austin Grand Ballroom J-K

Several studies have quantitatively demonstrated the effectiveness of fruit and vegetable prescription programs in low income areas. While clinic-based nutrition programs such as these have great potential to reduce risks and mortality associated with chronic diseases, farmers' markets remain an underutilized resource. There is also a lack of knowledge that Supplemental Nutrition Assistance Program(SNAP) and Women, Infants, Children (WIC) benefits can be redeemed for produce at farmers markets. In order to create and sustain more effective programs, qualitative data on fruit and vegetable prescriptions may be of value. In a follow-up study to a fruit and vegetable prescription pilot program conducted in the Midwest, we will conduct focus groups with the prescription users (ie, patients) and physicians or members of the clinical care team. There will be two focus groups with each group to glean insight on the effectiveness, feasibility, and usability of the program from each group's perspective. Focus groups will be audio recorded, transcribed, and analyzed in NVivo software using open coding techniques. Analysis will focus on identifying barriers and assets to implementing nutrition programs that are coconducted by primary care clinics and farmers' markets. We will also examine patient-physician dynamics as they relate to these programs. Ultimately, this study may provide opportunities for improved implementation of fruit and vegetable prescription programs, more effective ways to engage patients, and positive health behavior changes.

Upon completion of this session, participants should be able to:

  1. Describe perspectives on the impact, feasibility, and usability of fruit and vegetable prescription programs from the lens of physicians, members of the clinical care team, and patients.

  2. Identify barriers and assets to implementing nutrition programs that are jointly run by clinics and community-based organizations.
  3. Incorporate lessons learned into future iterations of the Fruit and Vegetable Prescription Program.

Copyright 2018 by Society of Teachers of Family Medicine