IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i24p16682-d1000826.html
   My bibliography  Save this article

A Qualitative Study on the Motivators, Barriers and Supports to Participation in a Pediatric Produce Prescription Program in Hawai‘i

Author

Listed:
  • Monica Esquivel

    (Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA)

  • Alicia Higa

    (Elepaio Social Services, Waianae, HI 96792, USA)

  • Andrea Guidry

    (Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resources, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USA)

  • Cherese Shelton

    (Elepaio Social Services, Waianae, HI 96792, USA)

  • May Okihiro

    (Waianae Coast Comprehensive Health Center, Waianae, HI 96792, USA)

Abstract

Produce prescriptions that provide vouchers to individuals to purchase fresh FVs at a specified retail outlet have the potential to positively impact food security status, diet, and chronic disease risk. However, maximizing program participation is vital to ensuring program success. This research describes motivators, barriers, and support for participation in a child produce prescription program among a population of Native Hawaiian and Other Pacific Islanders, who are underrepresented in this field of research. This qualitative grounded theory study was nestled within a quasi-experimental pilot intervention trial and included semi-structured interviews with pediatric program participants. Twenty-five interviews were conducted, which represented one-third of program participants. The top support factors for program participation included: ease of voucher use, program convenience, health center/pediatrician endorsement and positive communications with farmers’ market vendors. Key motivators for program participation were produce enjoyment, child support, financial support, and positive impacts on family. Three themes emerged consistently as barriers to participation amongst participants, (1) difficult use of vouchers, (2) conflicting schedules, and (3) online market concerns. (4) Conclusions: This research offers insight into policy implications as the number of produce prescription programs has grown. These findings suggest that key program design characteristics can enhance and support program participation.

Suggested Citation

  • Monica Esquivel & Alicia Higa & Andrea Guidry & Cherese Shelton & May Okihiro, 2022. "A Qualitative Study on the Motivators, Barriers and Supports to Participation in a Pediatric Produce Prescription Program in Hawai‘i," IJERPH, MDPI, vol. 19(24), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16682-:d:1000826
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/24/16682/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/24/16682/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mercy N. Mukoya & Fiona H. McKay & Matthew Dunn, 2017. "Can Giving Clients a Choice in Food Selection Help to Meet Their Nutritional Needs?: Investigating a Novel Food Bank Approach for Asylum Seekers," Journal of International Migration and Integration, Springer, vol. 18(4), pages 981-991, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Emilee L. Quinn & Kate Ortiz & Laura Titzer & Barb Houston-Shimizu & Jessica Jones-Smith, 2021. "Healthy Food Environments in Food Pantries: Lessons Learned from a Sodium Reduction Intervention," IJERPH, MDPI, vol. 18(24), pages 1-15, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16682-:d:1000826. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.