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Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community

Author

Listed:
  • Clare Brown

    (Apunipima Cape York Health Council, 4870 Cairns, Australia)

  • Cara Laws

    (Apunipima Cape York Health Council, 4870 Cairns, Australia)

  • Dympna Leonard

    (Australian Institute of Tropical Health and Medicine, College of Public Health Medical and Veterinary Sciences, James Cook University, 4870 Cairns, Australia)

  • Sandy Campbell

    (Centre for Indigenous Health Equity Research, Central Queensland University, 4870 Cairns, Australia)

  • Lea Merone

    (Apunipima Cape York Health Council, 4870 Cairns, Australia)

  • Melinda Hammond

    (Apunipima Cape York Health Council, 4870 Cairns, Australia)

  • Kani Thompson

    (Apunipima Cape York Health Council, 4870 Cairns, Australia)

  • Karla Canuto

    (Apunipima Cape York Health Council, 4870 Cairns, Australia
    Wardliparingga Aboriginal Health, South Australian Health and Medical Research Institute, 5001 Adelaide, Australia)

  • Julie Brimblecombe

    (Department of Nutrition, Dietetics and Food, Monash University, 3168 Melbourne, Australia)

Abstract

Poor diet including inadequate fruit and vegetable consumption is a major contributor to the global burden of disease. Aboriginal and Torres Strait Islander Australians experience a disproportionate level of preventable chronic disease and successful strategies to support Aboriginal and Torres Strait Islander people living in remote areas to consume more fruit and vegetables can help address health disadvantage. Healthy Choice Rewards was a mixed methods study to investigate the feasibility of a monetary incentive: store vouchers, to promote fruit and vegetable purchasing in a remote Australian Aboriginal community. Multiple challenges were identified in implementation, including limited nutrition workforce. Challenges related to the community store included frequent store closures and amended trading times, staffing issues and poor infrastructure to support fruit and vegetable promotion. No statistically significant increases in fruit or vegetable purchases were observed in the short time frame of this study. Despite this, community members reported high acceptability of the program, especially for women with children. Optimal implementation including, sufficient time and funding resources, with consideration of the most vulnerable could go some way to addressing inequities in food affordability for remote community residents.

Suggested Citation

  • Clare Brown & Cara Laws & Dympna Leonard & Sandy Campbell & Lea Merone & Melinda Hammond & Kani Thompson & Karla Canuto & Julie Brimblecombe, 2019. "Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community," IJERPH, MDPI, vol. 16(1), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:1:p:112-:d:194666
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    References listed on IDEAS

    as
    1. Adam Drewnowski & Nicole Darmon, 2005. "Food choices and diet costs: an economic analysis," Post-Print hal-03759740, HAL.
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    Cited by:

    1. Megan Ferguson & Emma Tonkin & Julie Brimblecombe & Amanda Lee & Bronwyn Fredericks & Katherine Cullerton & Catherine L. Mah & Clare Brown & Emma McMahon & Mark D. Chatfield & Eddie Miles & Yvonne Cad, 2023. "Communities Setting the Direction for Their Right to Nutritious, Affordable Food: Co-Design of the Remote Food Security Project in Australian Indigenous Communities," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    2. Christina Mary Pollard & Sue Booth, 2019. "Addressing Food and Nutrition Security in Developed Countries," IJERPH, MDPI, vol. 16(13), pages 1-5, July.
    3. Tiff-Annie Kenny & Matthew Little & Tad Lemieux & P. Joshua Griffin & Sonia D. Wesche & Yoshitaka Ota & Malek Batal & Hing Man Chan & Melanie Lemire, 2020. "The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review," IJERPH, MDPI, vol. 17(23), pages 1-49, November.
    4. Romany McGuffog & Jamie Bryant & Kade Booth & Felicity Collis & Alex Brown & Jaquelyne T. Hughes & Catherine Chamberlain & Alexandra McGhie & Breanne Hobden & Michelle Kennedy, 2023. "Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies," IJERPH, MDPI, vol. 20(5), pages 1-21, February.
    5. Jessica Harris & Julia Carins & Joy Parkinson & Kerry Bodle, 2022. "A Socio-Cognitive Review of Healthy Eating Programs in Australian Indigenous Communities," IJERPH, MDPI, vol. 19(15), pages 1-19, July.
    6. Christina M Pollard & Sue Booth, 2019. "Food Insecurity and Hunger in Rich Countries—It Is Time for Action against Inequality," IJERPH, MDPI, vol. 16(10), pages 1-13, May.

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