Document Type

Article

Journal/Book Title/Conference

Journal of Nutrition Education and Behavior

Publisher

Elsevier Inc.

Publication Date

1-8-2020

First Page

1

Last Page

25

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Abstract

Objective

Explore factors affecting access to and use of Double Up Food Bucks (DUFB), a farmers’ market program that doubles Supplemental Nutrition Assistance Program benefits for use toward the purchase of fruits and vegetables (FV).

Design

Focus groups.

Setting

Metro and nonmetro counties in Utah and western Upstate New York.

Participants

Nine groups composed of 62 low-income adults (3–9/group).

Phenomena of Interest

Satisfaction with, barriers to, and facilitators of program use; suggestions for improvement.

Analysis

Transcribed verbatim and coded thematically in NVivo 11 software according to template analysis.

Results

Program satisfaction was high and driven by FV affordability, perceived support of local farmers, positive market experiences, and high-quality FV. Primary barriers to using DUFB were lack of program information and inconvenient accessibility. Insufficient program communication was a consistent problem that elicited numerous suggestions regarding expansion of program marketing. Emergent topics included issues related to the token-based administration of DUFB and debate regarding stigma experienced during DUFB participation.

Conclusions and Implications

Results suggest that although DUFB elicits many points of satisfaction among users, program reach may be limited owing to insufficient program marketing. Even among satisfied users, discussion of barriers was extensive, indicating that program reach and impact may be bolstered by efforts to improve program accessibility.

Included in

Nutrition Commons

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