A Mixed-Methods Evaluation of a SNAP-Ed Farmers' Market-Based Nutrition Education Program.

J Nutr Educ Behav

Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Gotham Center, Long Island City, NY.

Published: August 2016

Objective: Evaluate the effectiveness of the Stellar Farmers' Market program.

Design: Mixed methods including focus groups and a quasi-experiment comparing a control group of market shoppers who had never attended a class, participants attending 1 class, and participants attending ≥ 2 classes.

Setting: Eighteen farmers' markets in New York City.

Participants: A total of 2,063 survey respondents; 47 focus group participants.

Intervention: Farmers' market-based nutrition education and cooking classes paired with vouchers for fresh produce.

Main Outcome Measures: Attitudes, self-efficacy, and behaviors regarding fruit and vegetable (FV) preparation and consumption.

Analysis: Bivariate and regression analysis examined differences in outcomes as a function of number of classes attended. Qualitative analysis based on a grounded theory approach.

Results: Attending ≥ 1 classes was associated with more positive attitudes toward consuming FV; attending ≥ 2 classes was associated with greater FV consumption and higher self-efficacy to prepare and consume produce. Respondents attending ≥ 2 classes consumed almost one-half cup more FV daily than others. These associations remained after controlling for age, race/ethnicity, education, and gender.

Conclusions And Implications: Offering nutrition education and cooking classes at farmers' markets may contribute to improving attitudes, self-efficacy, and behaviors regarding produce preparation and consumption in low-income populations.

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http://dx.doi.org/10.1016/j.jneb.2015.08.021DOI Listing

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