Evaluating a 52-week fresh food prescribing program in Ontario, Canada: A mixed-methods study on food insecurity, fruit and vegetable intake, and health

Top Things to Know

The PRx program demonstrated that sustained access to subsidized fruits and vegetables can lead to measurable improvements in diet quality and select biomarkers.

Participants who had more frequent contact with healthcare providers showed greater dietary improvements, highlighting the importance of embedding food prescriptions within routine care.

FIM programs, like PRx, must be paired with income-based policies and systemic changes to fully address the root causes of poor nutrition and health disparities.

Summary of Conclusion/Findings

This mixed-methods study evaluated the impact of a 52-week fresh food prescription program in Guelph, Ontario, targeting adults experiencing food insecurity and diet-related health conditions. Participants received weekly vouchers for fresh produce, nutrition education, and support from healthcare providers. The program led to a significant reduction in severe food insecurity (from 38.1% to 23.8%) and increased intake of fruits, orange vegetables, and other vegetables. Biomarkers such as triglycerides, fasting insulin, and vitamin C levels improved, though other health indicators remained unchanged. Participants reported enhanced access to fresh produce, reduced financial stress, and improved mental and physical wellbeing. Greater improvements in fruit and vegetable intake were associated with higher baseline food insecurity, lower initial intake, and more frequent healthcare interactions.