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Stakeholder Perspectives on the Acceptability, Design, and Integration of Produce Prescriptions for People with Type 2 Diabetes in Australia: A Formative Study

Author

Listed:
  • Kristy K. Law

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia)

  • Kathy Trieu

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia)

  • Jennifer Madz

    (Diabetes Australia, Sydney, NSW 2037, Australia)

  • Daisy H. Coyle

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia)

  • Kimberly Glover

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia)

  • Maoyi Tian

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
    School of Public Health, Harbin Medical University, Harbin 150081, China)

  • Yuze Xin

    (School of Public Health, Harbin Medical University, Harbin 150081, China)

  • David Simmons

    (School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia
    Macarthur Diabetes Endocrinology and Metabolism Service, Camden and Campbelltown Hospitals, Campbelltown, NSW 2560, Australia)

  • Jencia Wong

    (Diabetes Centre, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
    Faculty of Medicine and Health, Sydney Medical School, Central Clinical School, Central Sydney (Patyegarang) Precinct, University of Sydney, Sydney, NSW 2006, Australia)

  • Jason H. Y. Wu

    (The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
    School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

Abstract

Produce prescription programs can benefit both individuals and health systems; however, best practices for integrating such programs into the Australian health system are yet unknown. This study explored stakeholders’ perspectives on the acceptability, potential design and integration of produce prescription programs for adults with type 2 diabetes in Australia. Purposive sampling was used to recruit 22 participants for an online workshop, representing six stakeholder groups (government, healthcare service, clinician, food retailer, consumer, non-government organisation). Participant responses were gathered through workshop discussions and a virtual collaboration tool (Mural). The workshop was video-recorded and transcribed verbatim, and thematic analysis was conducted using a deductive–inductive approach. Stakeholders recognised produce prescription as an acceptable intervention; however, they identified challenges to implementation related to contextuality, accessibility, and sustainability. Stakeholders were vocal about the approach (e.g., community-led) and infrastructure (e.g., screening tools) needed to support program design and implementation but expressed diverse views about potential funding models, indicating a need for further investigation. Aligning evaluation outcomes with existing measures in local, State and Federal initiatives was recommended, and entry points for integration were identified within and outside of the Australian health sector. Our findings provide clear considerations for future produce prescription interventions for people with type 2 diabetes.

Suggested Citation

  • Kristy K. Law & Kathy Trieu & Jennifer Madz & Daisy H. Coyle & Kimberly Glover & Maoyi Tian & Yuze Xin & David Simmons & Jencia Wong & Jason H. Y. Wu, 2024. "Stakeholder Perspectives on the Acceptability, Design, and Integration of Produce Prescriptions for People with Type 2 Diabetes in Australia: A Formative Study," IJERPH, MDPI, vol. 21(10), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1330-:d:1494214
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    References listed on IDEAS

    as
    1. Fiona H. McKay & Bronte C. Haines & Matthew Dunn, 2019. "Measuring and Understanding Food Insecurity in Australia: A Systematic Review," IJERPH, MDPI, vol. 16(3), pages 1-27, February.
    2. Alyssa Auvinen & Mary Simock & Alyssa Moran, 2022. "Integrating Produce Prescriptions into the Healthcare System: Perspectives from Key Stakeholders," IJERPH, MDPI, vol. 19(17), pages 1-15, September.
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