Barriers and facilitators to implementing a pilot produce prescription program in a community health setting in Toronto, Canada

Top Things to Know

Embedding nutrition education alongside produce provision empowers participants to use fresh foods effectively, improving diet quality and chronic disease prevention.

Providing consistent access to high-quality fruits and vegetables addresses food insecurity and reduces reliance on calorie-dense, nutrient-poor foods.

The program’s social aspects foster mental health and a sense of belonging, which can enhance adherence to dietary recommendations

Summary of Conclusion/Findings

The study examined barriers and facilitators to implementing a pilot produce prescription (PRx) program at Unison Health and Community Services in Toronto, aimed at improving food access and healthy eating among low-income adults with chronic disease risk factors. Using the Consolidated Framework for Implementation Research (CFIR), researchers identified 19 themes across five domains. Key barriers included the outdoor, public design of the Green Market (leading to long wait times and seasonal limitations), limited clinical staffing, and weak communication infrastructure for referrals. Facilitators included integration of the PRx program into existing Unison programs, incorporation of nutrition education workshops, and a person-centered, adaptable approach by program providers. Participants valued access to high-quality produce, nutrition knowledge, and opportunities for social connection, which enhanced engagement and mental well-being. The study concludes that team-based care, strong referral pathways, and community-building activities are critical for scaling and sustaining PRx programs.