Choice architecture to promote fruit and vegetable purchases by families participating in the Special Supplemental Program for Women, Infants, and Children (WIC) …

AN Thorndike, OJM Bright, MA Dimond… - Public health …, 2017 - cambridge.org
AN Thorndike, OJM Bright, MA Dimond, R Fishman, DE Levy
Public health nutrition, 2017cambridge.org
Objective To conduct a pilot study to determine if improving the visibility and quality of fresh
produce (choice architecture) in corner stores would increase fruit/vegetable purchases by
families participating in the Special Supplemental Nutrition Program for Women, Infants, and
Children (WIC). Design Six stores were randomly assigned to choice architecture
intervention or control. Store-level WIC sales data were provided by the state. Primary
outcomes were WIC fruit/vegetable voucher and non-fruit/vegetable voucher sales …
Objective To conduct a pilot study to determine if improving the visibility and quality of fresh produce (choice architecture) in corner stores would increase fruit/vegetable purchases by families participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design Six stores were randomly assigned to choice architecture intervention or control. Store-level WIC sales data were provided by the state. Primary outcomes were WIC fruit/vegetable voucher and non-fruit/vegetable voucher sales, comparing trends from baseline (December 2012–October 2013) with the five-month intervention period (December 2013–April 2014). Secondary outcomes were differences in customer self-reported fruit/vegetable purchases between baseline and end of the intervention. Setting Chelsea, MA, USA, a low-income urban community. Subjects Adult customers (n 575) completing store exit interviews. Results During baseline, WIC fruit/vegetable and non-fruit/vegetable sales decreased in both intervention and control stores by $US/month; P=0·036); WIC non-fruit/vegetable sales were not different (P=0·45). Comparing baseline and intervention-period exit interview responses by customers participating in WIC (n 134), intervention store customers reported increased fruit/vegetable purchases compared with control store customers (18 v. −2 %), but this did not achieve statistical significance (P=0·11). Conclusions Placement of fruits/vegetables near the front of corner stores increased purchase of produce by customers using WIC. New policies that incentivize stores to stock and prominently display good-quality produce could promote healthier food choices of low-income families.
Cambridge University Press
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