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Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives

BACKGROUND: Produce prescription programs represent a promising intervention strategy in the healthcare setting to address disparities in diet quality and diet-related chronic disease. The objective of this study was to understand adoption and implementation factors related to these programs that ar...

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Autores principales: Folta, Sara C., Li, Zhongyu, Cash, Sean B., Hager, Kurt, Zhang, Fang Fang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641783/
https://www.ncbi.nlm.nih.gov/pubmed/37964933
http://dx.doi.org/10.3389/fnut.2023.1221785
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author Folta, Sara C.
Li, Zhongyu
Cash, Sean B.
Hager, Kurt
Zhang, Fang Fang
author_facet Folta, Sara C.
Li, Zhongyu
Cash, Sean B.
Hager, Kurt
Zhang, Fang Fang
author_sort Folta, Sara C.
collection PubMed
description BACKGROUND: Produce prescription programs represent a promising intervention strategy in the healthcare setting to address disparities in diet quality and diet-related chronic disease. The objective of this study was to understand adoption and implementation factors related to these programs that are common across contexts and those that are context-specific. METHODS: In this qualitative case comparison study, we conducted qualitative interviews with eight clinic staff from five primary care “safety net” clinics, identified by a partnering non-profit organization that operated the programs, in April–July 2021. RESULTS: Across clinics, the ability to provide a tangible benefit to patients was a key factor in adoption. Flexibility in integrating into clinic workflows was a facilitator of implementation. Fit with usual operations varied across clinics. Common challenges were the need for changes to the workflow and extra staff time. Clinic staff were skeptical about the sustainability of both the benefits to patients and the ability to continue the program at their clinics. DISCUSSION: This study adds to a growing body of knowledge on the adoption and implementation of produce prescription programs. Future research will further this understanding, providing the evidence necessary to guide adopting clinics and to make informed policy decisions to best promote the growth and financial sustainability of these programs.
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spelling pubmed-106417832023-11-14 Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives Folta, Sara C. Li, Zhongyu Cash, Sean B. Hager, Kurt Zhang, Fang Fang Front Nutr Nutrition BACKGROUND: Produce prescription programs represent a promising intervention strategy in the healthcare setting to address disparities in diet quality and diet-related chronic disease. The objective of this study was to understand adoption and implementation factors related to these programs that are common across contexts and those that are context-specific. METHODS: In this qualitative case comparison study, we conducted qualitative interviews with eight clinic staff from five primary care “safety net” clinics, identified by a partnering non-profit organization that operated the programs, in April–July 2021. RESULTS: Across clinics, the ability to provide a tangible benefit to patients was a key factor in adoption. Flexibility in integrating into clinic workflows was a facilitator of implementation. Fit with usual operations varied across clinics. Common challenges were the need for changes to the workflow and extra staff time. Clinic staff were skeptical about the sustainability of both the benefits to patients and the ability to continue the program at their clinics. DISCUSSION: This study adds to a growing body of knowledge on the adoption and implementation of produce prescription programs. Future research will further this understanding, providing the evidence necessary to guide adopting clinics and to make informed policy decisions to best promote the growth and financial sustainability of these programs. Frontiers Media S.A. 2023-10-27 /pmc/articles/PMC10641783/ /pubmed/37964933 http://dx.doi.org/10.3389/fnut.2023.1221785 Text en Copyright © 2023 Folta, Li, Cash, Hager and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Folta, Sara C.
Li, Zhongyu
Cash, Sean B.
Hager, Kurt
Zhang, Fang Fang
Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title_full Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title_fullStr Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title_full_unstemmed Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title_short Adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
title_sort adoption and implementation of produce prescription programs for under-resourced populations: clinic staff perspectives
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641783/
https://www.ncbi.nlm.nih.gov/pubmed/37964933
http://dx.doi.org/10.3389/fnut.2023.1221785
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