How Does the Gus Schumacher Nutrition Incentive Program Work? A Theory of Change

Nutrients

Sarah A. Stotz¹  Nadine Budd Nugent²  Amy L. Yaroch²  James Krieger³  Kirsten H. Leng³ 

[1] Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA;Gretchen Swanson Center for Nutrition, Omaha, NE 68154, USA;Healthy Food America, Seattle, WA 98122, USA;

关键词: nutrition incentives;    fruit and vegetables access/intake;    health equity;    food security;    low income;    food systems;   

DOI  :  10.3390/nu14102018

来源: DOAJ

【 摘 要 】

Increased fruit and vegetable (FV) intake is associated with decreased risk of nutrition-related chronic diseases. Sociodemographic disparities in FV intake indicate the need for strategies that promote equitable access to FVs. The United States Department of Agriculture’s Gus Schumacher Nutrition Incentive Program (GusNIP) supports state and local programs that offer nutrition incentives (NIs) that subsidize purchase of FVs for people participating in the Supplemental Nutrition Assistance Program (SNAP). While a growing body of research indicates NIs are effective, the pathways through which GusNIP achieves its results have not been adequately described. We used an equity-focused, participatory process to develop a retrospective Theory of Change (TOC) to address this gap. We reviewed key program documents; conducted a targeted NI literature review; and engaged GusNIP partners, practitioners, and participants through interviews, workshops, and focus groups in TOC development. The resulting TOC describes how GusNIP achieves its long-term outcomes of increased participant FV purchases and intake and food security and community economic benefits. GusNIP provides NIs and promotes their use, helps local food retailers develop the capacity to sell FVs and accept NIs in accessible and welcoming venues, and supports local farmers to supply FVs to food retailers. The TOC is a framework for understanding how GusNIP works and a tool for improving and expanding the program.

【 授权许可】

Unknown