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Impact of a rewards-based incentive program on promoting fruit and vegetable purchases

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  • Phipps, E.J.
  • Braitman, L.E.
  • Stites, S.D.
  • Singletary, S.B.
  • Wallace, S.L.
  • Hunt, L.
  • Axelrod, S.
  • Glanz, K.
  • Uplinger, N.

Abstract

Objectives: We assessed the impact of a rewards-based incentive program on fruit and vegetable purchases by low-income families. Methods: We conducted a 4-phase prospective cohort study with randomized intervention and wait-listed control groups in Philadelphia, Pennsylvania, in December 2010 through October 2011. The intervention provided a rebate of 50% of the dollar amount spent on fresh or frozen fruit and vegetables, reduced to 25% during a tapering phase, then eliminated. Primary outcome measures were number of servings of fruit and of vegetables purchased per week. Results: Households assigned to the intervention purchased an average of 8 (95% confidence interval [CI] = 1.5, 16.9) more servings of vegetables and 2.5 (95% CI = 0.3, 9.5) more servings of fruit per week than did control households. In longitudinal price-adjusted analyses, when the incentive was reduced and then discontinued, the amounts purchased were similar to baseline. Conclusions: Investigation of the financial costs and potential benefits of incentive programs to supermarkets, government agencies, and other stakeholders is needed to identify sustainable interventions.

Suggested Citation

  • Phipps, E.J. & Braitman, L.E. & Stites, S.D. & Singletary, S.B. & Wallace, S.L. & Hunt, L. & Axelrod, S. & Glanz, K. & Uplinger, N., 2015. "Impact of a rewards-based incentive program on promoting fruit and vegetable purchases," American Journal of Public Health, American Public Health Association, vol. 105(1), pages 166-172.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301752_9
    DOI: 10.2105/AJPH.2013.301752
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    Cited by:

    1. Iana A. Castro & Anuja Majmundar & Christine B. Williams & Barbara Baquero, 2018. "Customer Purchase Intentions and Choice in Food Retail Environments: A Scoping Review," IJERPH, MDPI, vol. 15(11), pages 1-19, November.
    2. Alyssa J. Moran & Yuxuan Gu & Sasha Clynes & Attia Goheer & Christina A. Roberto & Anne Palmer, 2020. "Associations between Governmental Policies to Improve the Nutritional Quality of Supermarket Purchases and Individual, Retailer, and Community Health Outcomes: An Integrative Review," IJERPH, MDPI, vol. 17(20), pages 1-23, October.
    3. Braut, Beatrice & Zaccagni, Sarah, 2023. "Emotional reactions to food interventions: Evidence from an online survey," Research in Economics, Elsevier, vol. 77(3), pages 419-426.

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