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The Effectiveness of the Good Affordable Food Intervention for Adults with Low Socioeconomic Status and Small Incomes

Author

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  • Kathelijne M.H.H. Bessems

    (NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200MD Maastricht, The Netherlands)

  • Evelyne Linssen

    (Department of Knowledge & Innovation, Public Health Service South Limburg, P.O. Box 33, 6400 AA Heerlen, The Netherlands)

  • Marion Lomme

    (Dietician Practice Lomme, Lichtenberg 27, 6151BS Munstergeleen, The Netherlands)

  • Patricia Van Assema

    (NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200MD Maastricht, The Netherlands)

Abstract

Good Affordable Food (GAF) is a small-group nutrition education intervention for adults with low socioeconomic status and small incomes. It aims to empower participants to save money on groceries and consume healthier diets. This paper reports the short-term and longer-term effects on behavioural determinants and self-reported behavioural changes. A quasi-experimental control group design was applied with a baseline measurement, a post-test immediately after the intervention, and a follow-up measurement after six months. The study included 237 participants (intervention group: n = 131; control group: n = 106) at baseline, 197 at post-test, and 152 at follow-up. Data were collected by telephone, mostly using closed interview questions. Positive short-term and longer-term effects were found for attitude towards the costs of healthy foods, food label use, and the use of liquid butter or oil to prepare hot meals. Short-term intervention effects related to knowledge towards saving money on groceries, self-efficacy towards healthy eating, portion size awareness, and mindful eating. GAF was effective in changing some determinants and behaviours related to cost and food consumption, however, mostly in the short term. Thereby, it is an example of combining pricing and health information in nutrition education that developers of effective nutrition education for low-income groups can build on.

Suggested Citation

  • Kathelijne M.H.H. Bessems & Evelyne Linssen & Marion Lomme & Patricia Van Assema, 2020. "The Effectiveness of the Good Affordable Food Intervention for Adults with Low Socioeconomic Status and Small Incomes," IJERPH, MDPI, vol. 17(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2535-:d:342579
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    References listed on IDEAS

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    1. Joreintje D. Mackenbach & Marielle A. Beenackers & J. Mark Noordzij & Joost Oude Groeniger & Jeroen Lakerveld & Frank J. van Lenthe, 2019. "The Moderating Role of Self-Control and Financial Strain in the Relation between Exposure to the Food Environment and Obesity: The GLOBE Study," IJERPH, MDPI, vol. 16(4), pages 1-12, February.
    2. Nicole Darmon & Adam Drewnowski, 2015. "Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis," Post-Print hal-01774670, HAL.
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    Cited by:

    1. Akanji A. R & Umeakuana Chidinma Doris, 2024. "Assessing The Socio-Economic Implications of Biotechnology-Enhanced Food Accessibility and Affordability," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 11(7), pages 474-483, July.
    2. Xiaoru Xie & Liman Huang & Jun (Justin) Li & Hong Zhu, 2020. "Generational Differences in Perceptions of Food Health/Risk and Attitudes toward Organic Food and Game Meat: The Case of the COVID-19 Crisis in China," IJERPH, MDPI, vol. 17(9), pages 1-17, April.
    3. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    4. Christina Gillies & Hedwig te Molder & Annemarie Wagemakers, 2023. "Health Promotion Values Underlying Healthy Eating Strategies in The Netherlands," IJERPH, MDPI, vol. 20(14), pages 1-11, July.

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