Facilitators and Barriers to Supplemental Nutrition Assistance Program Incentive Use: Findings From a Clinic Intervention for Low-Income Patients

American Journal of Preventive Medicine
Alicia J CohenCaroline R Richardson

Abstract

Healthy food incentives matching Supplemental Nutrition Assistance Program (SNAP) benefits spent on fruits and vegetables subsidize increased produce consumption among low-income individuals at risk for food insecurity and diet-related disease. Yet many eligible participants do not use these incentives, in part because of limited awareness. This study examined the acceptability and impact of a primary care-based informational intervention on facilitators and barriers to use of the statewide SNAP incentive program Double Up Food Bucks. Focus groups (n=5) were conducted April-June 2015 among a purposive sample (n=26) of SNAP-enrolled adults from a Michigan health clinic serving low-income patients. All had participated in a waiting room-based informational intervention about Double Up Food Bucks; none had used Double Up Food Bucks before the intervention. Groups were stratified by Double Up Food Bucks use/non-use during the 6-month intervention period. Results were analyzed in 2016-2017 through an iterative content analysis process. Participants reported the waiting room intervention was acceptable and a key facilitator of first-time Double Up Food Bucks use. Motivators for Double Up Food Bucks use included (1) eating more health...Continue Reading

Citations

Jan 12, 2019·Maternal and Child Health Journal·Anna Jo Bodurtha Smith, Alyna T Chien
Sep 3, 2020·International Journal of Environmental Research and Public Health·Allison KarpynKaren Glanz
Dec 2, 2020·International Journal of Environmental Research and Public Health·Gabriella M McLoughlinRoss C Brownson
Apr 10, 2020·Journal of Nutrition Education and Behavior·Briana E RocklerMolly Notarianni

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