Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations

Farmers’ markets have been implemented to improve access to nutritious foods, yet use is low among people receiving Supplemental Nutrition Assistance Program (SNAP) benefits. This study’s objectives were to assess the feasibility of implementing the FreshLink Ambassador intervention to promote use o...

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Autores principales:	Darcy Freedman, Eunlye Lee, Susan Flocke, Rachael Sommer, Erika S. Trapl, Amanda Osborne, Elaine Borawski
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	food security supplemental nutrition assistance program farmers’ market dissemination science health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5b37d2c0423049b9adac1a78a07a6170
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spelling	oai:doaj.org-article:5b37d2c0423049b9adac1a78a07a61702021-11-30T21:35:59ZEvaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations10.4148/2572-1836.10342572-1836https://doaj.org/article/5b37d2c0423049b9adac1a78a07a61702019-03-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1034&context=hbrhttps://doaj.org/toc/2572-1836Farmers’ markets have been implemented to improve access to nutritious foods, yet use is low among people receiving Supplemental Nutrition Assistance Program (SNAP) benefits. This study’s objectives were to assess the feasibility of implementing the FreshLink Ambassador intervention to promote use of farmers’ markets located in high SNAP neighborhoods, describe information dissemination by Ambassadors, and evaluate intervention impact on SNAP use. The theory-based and data-driven intervention trained nine community residents as FreshLink Ambassadors in 2017; eight completed the study. Ambassadors conducted weekly outreach disseminating coupons to promote use of three intervention markets. Four comparison markets were selected to evaluate impact on SNAP use. SNAP sales from 2016 to 2017, standardized per vendor per market day open, were compared using paired and cluster-adjusted t-tests, p < .05. FreshLink Ambassadors conducted 155 outreach events reaching 1,138 people through coupon dissemination. The coupon redemption rate was 13.9%; redemption was significantly higher for people 50+ years of age, without children in the household, not currently receiving SNAP benefits, and living in the zip code with an intervention market. Intervention versus comparison markets had greater improvements in standardized SNAP sales ($0.73 vs. $0.44). These changes were not statistically significant but may be practically significant for farmers’ market operations. Findings provide evidence that implementation of the peer-to-peer outreach approach was feasible and coupon redemption rates exceeded industry standards indicating the “product” promoted by FreshLink Ambassadors was considered advantageous. Future research is warranted to evaluate different strategies intended to promote social access to farmers’ markets within a broader agenda to advance health equity.Darcy FreedmanEunlye LeeSusan FlockeRachael SommerErika S. TraplAmanda OsborneElaine BorawskiNew Prairie Pressarticlefood securitysupplemental nutrition assistance programfarmers’ marketdissemination sciencehealth equitySpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	food security supplemental nutrition assistance program farmers’ market dissemination science health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	food security supplemental nutrition assistance program farmers’ market dissemination science health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Darcy Freedman Eunlye Lee Susan Flocke Rachael Sommer Erika S. Trapl Amanda Osborne Elaine Borawski Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
description	Farmers’ markets have been implemented to improve access to nutritious foods, yet use is low among people receiving Supplemental Nutrition Assistance Program (SNAP) benefits. This study’s objectives were to assess the feasibility of implementing the FreshLink Ambassador intervention to promote use of farmers’ markets located in high SNAP neighborhoods, describe information dissemination by Ambassadors, and evaluate intervention impact on SNAP use. The theory-based and data-driven intervention trained nine community residents as FreshLink Ambassadors in 2017; eight completed the study. Ambassadors conducted weekly outreach disseminating coupons to promote use of three intervention markets. Four comparison markets were selected to evaluate impact on SNAP use. SNAP sales from 2016 to 2017, standardized per vendor per market day open, were compared using paired and cluster-adjusted t-tests, p < .05. FreshLink Ambassadors conducted 155 outreach events reaching 1,138 people through coupon dissemination. The coupon redemption rate was 13.9%; redemption was significantly higher for people 50+ years of age, without children in the household, not currently receiving SNAP benefits, and living in the zip code with an intervention market. Intervention versus comparison markets had greater improvements in standardized SNAP sales ($0.73 vs. $0.44). These changes were not statistically significant but may be practically significant for farmers’ market operations. Findings provide evidence that implementation of the peer-to-peer outreach approach was feasible and coupon redemption rates exceeded industry standards indicating the “product” promoted by FreshLink Ambassadors was considered advantageous. Future research is warranted to evaluate different strategies intended to promote social access to farmers’ markets within a broader agenda to advance health equity.
format	article
author	Darcy Freedman Eunlye Lee Susan Flocke Rachael Sommer Erika S. Trapl Amanda Osborne Elaine Borawski
author_facet	Darcy Freedman Eunlye Lee Susan Flocke Rachael Sommer Erika S. Trapl Amanda Osborne Elaine Borawski
author_sort	Darcy Freedman
title	Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
title_short	Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
title_full	Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
title_fullStr	Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
title_full_unstemmed	Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations
title_sort	evaluation of a peer-to-peer approach to improve the reach of farmers’ markets among low-income populations
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/5b37d2c0423049b9adac1a78a07a6170
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Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations

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