Table 2.
Author, year | Health condition | Study design | Sample size and population | Intervention | Duration of intervention | Main health outcome(s) | Demographics |
---|---|---|---|---|---|---|---|
Forbes et al. (2019) | Chronic illness or metabolic syndrome | Pre/post | 9 adults | $40 voucher/week and nutrition education | 6 weeks | Consumption of one or more salad or dark green vegetables per week increased 25%. Consumption of one or more orange-colored vegetables per week increased by 50%. Consumption of at least one fresh fruit per day increased 25%. |
67% white; 56% female; 67% with annual income of less than $40,000 |
Emmert-Aronson et al. (2019) | CVD, diabetes, depression | Pre/post | 49 adults | $10 voucher with exercise and nutrition lessons | 16 weeks | V/F consumption increased by 1.24 servings per day (95%: 1.22 to 1.26). BMI decreased by 0.39 kg/m2 (95% CI: −0.49 to −0.29). Systolic blood pressure decreased by 6.74 mm/Hg (95% CI: −6.88 to −6.60) |
28.6% white, 63.3% female; average age was 59.1 years |
Marcinkevage et al. (2019) | Not specifically stated - counties where “chronic disease are disproportionately high” | Post-survey only | 144 Adults | $10 voucher/week | Up to 6 months | 88.2% of participants reported eating more V/F than before receiving the V/F prescription. 71.5% of participants reported of managing their health condition better. |
No demographic data provided |
Bryce et al. (2017) | Diabetes | Pre/post | 65 adults | $10 voucher/week | 13 weeks | Hemoglobin A1c decreased 0.71% (absolute; 95% CI: −0.80 to −0.62). Weight difference was 0.7 pounds (p = 0.45). Systolic blood pressure had a mean difference of 0.70 mm/Hg (95% CI: −0.13 to 1.53). |
6.2% white; 70.8% female; 35.4% of participants between 50–59 years; 55.4% were Medicare/Medicaid eligible |
Cavanagh et al. (2017) | Hypertension, Obesity, diabetes | Pre/post | 54 adults | $7 voucher/week | NI (at least 87 weeks) | BMI decreased by 0.75 kg/m2 (95% CI: −1.30 to −0.20). | 29.6% white; 88% Medicare/Medicaid eligible |
Trapl et al. (2018) | Hypertension | Pre/post | 224 adults | Four $10 vouchers ($40) and nutrition counseling | 12 weeks | Daily servings of fruit increased by 0.8 (p < 0.001). Dailey servings of vegetables increase by 0.8 (p < 0.001). Weekly days of eating fast food decreased by 0.6 (p< 0.001). |
1.5% white; 71.1% female; average age was 63 years; 49.6% received Supplemental Nutrition Assistance Program assistance |
Wetherill et al. (2018) | Hypertension, diabetes, hyperlipidemia | Pre/post | 80 adults | Food box with curriculum booklet | NI (7 months) | Systolic blood pressure had a difference of 0.03 mm/Hg (95% CI: −2.76 to 2.81). Daily fiber intake increased 31 grams (p < 0.001). Difference in V/F servings was 0.2 cups (95% CI: −4.11 to 4.51). |
66% female; average age was 51.7 years; 55% received Supplemental Nutrition Assistance Program assistance; 75% had an annual income of less than $15,000 |
Wagner et al. (2016) | Obesity/overweight | RCT | 54 adults | Fruit and vegetable samples (3 servings/day) and education | 10 weeks | Weekly consumption of V/F increased by 5.1 occurrences (p=0.03). | 92%white; 65%female; average age was 44.7; 33% had an annual income of less than $50,000 |
Berkowitz et al. (2019) | Diabetes | RCT | 44 adults | 10 medically tailored meals/week | 12 weeks | Healthy Eating Index scores were better by 31 points (out of a 100-point scale; p < 0.0001). Hypoglycemia in prior 3 months decreased 17 percentage points (p=0.03). Hemoglobin A1c levels decreased 0.16 percentage points (95% CI: −0.28 to −0.04). BMI decreased 0.55 kg/m2 (95% CI: −1.00 to −0.10). Systolic blood pressure decreased by 2.96 mm/Hg (95% CI: −4.16 to −1.76). |
54% white; 68.5% female; average age was 58.4 years; 33.2% were Medicare/Medicaid eligible; 65% received Supplemental Nutrition Assistance Program assistance; 80% were food insecure |
Racine et al. (2012) | Obesity, hypertension, hyperlipidemia | RCT | 298 adults | 7 frozen meals/week that adhered to Dietary Approaches to Stop Hypertension guidelines and nutrition counseling | 52 weeks | BMI increased by 0.70 kg/m2 (95% CI: 0.58 to 0.82). | 62.1% white; 83.9% female; average age was 72.4 years; 9.1% were Medicare/Medicaid eligible; 71.5% were ≤165% of poverty level |
Freedman et al. (2013) | Diabetes | Pre/post | 41 adults | $50 ($25 after each of 2 surveys) | 6 months | V/F servings increased by 1.57 servings per day (95% CI: 1.31 to 1.83). | 7.3% white; 82.9% female; average age was 63.3 years; 53.7% received Supplemental Nutrition Assistance Program assistance; 90%had an annual income below $30,000 |
Seligman et al. (2015) | Diabetes | Pre/post | 768 adults | Diabetes appropriate food box | 26 weeks | Hemoglobin A1c values declined 0.15 percentage points (95% CI: −0.18 to −0.12). Daily servings of V/F increased by 0.3 (95% CI: 0.28 to 0.32). |
25% white; 74% female; average age was 56.5 years; 83% were food insecure |
Ridberg et al. (2019a) | Obesity/overweight | Pre/post | 883 children | $0.50–$1.00/per household member per day and education | 4–6 months | Daily servings of V/F increased by 0.13 (95% CI: 0.05 to 0.21) | 6% white; 54% female; 69% on WIC |
Ridberg et al. (2019b) | Obesity/overweight | Pre/post | 578 children | $0.50–$1.00/per household member per day and education | 4–6 months | Food insecurity scores decreased by 0.09 points (p < 0.001). | 16.4% white; 52.4% female; 93.6% on Medicare/Medicaid |
Saxe-Custack et al. (2019) | Obesity/overweight | Pre/post | 108 children | $15/clinic visit | 6 months | Daily servings of V/F increased by 0.19 (p=0.548). | 37.2% white; 55.4% female; average age of 12.9 years |
Burrington et al. (2020) | Obesity/overweight | Pre/post | 10 children | $15–$25/week, depending on family size | 5 months | Daily servings of V/F increased by 0.8. | |
Kerr et al. (2020) | Diabetes | Pre/post | 159 adults | 21 weekly servings of V/F | 10 weeks | Hemoglobin A1c values declined 0.1 percentage points (p > 0.05); Systolic blood pressure decreased by 2.4 points (95% CI: 4.56 to 0.28). | 20% white; 52.3% female; average age of 52.5 years |
V/F, vegetables and fruit; BMI, body mass index; NI, not indicated.