Fresh Food Rx: Evaluating the Impact of a Produce Prescription Program on Engagement and Well-being Using the RE-AIM Framework

Top Things to Know

Weekly produce deliveries helped participants adopt healthier eating habits and improve physical and mental health. 

One-on-one counseling and community education fostered motivation and self-efficacy, showing that FIM programs are most effective when they combine food access with tailored behavioral support.

Despite strong commitment to healthy eating, participants struggled to maintain habits post-program due to cost and transportation challenges.

Summary of Conclusion/Findings

The Fresh Food Rx (FFRx) program was a 12-month produce prescription intervention in North Carolina targeting Medicaid-insured adults with food insecurity and metabolic conditions. Participants received weekly produce boxes, personalized nutrition counseling, and community-based education. The study, using the RE-AIM framework, found that participants reported improved dietary knowledge, increased fruit and vegetable intake, better physical and mental health, and stronger motivation for self-care. Engagement was driven by consistent produce access, financial relief, and social connection, while barriers included transportation, scheduling conflicts, and limited produce customization. Many participants expressed a desire to maintain healthy habits post-program but faced systemic challenges like affordability and access. The study highlights the importance of flexible, participant-centered design and calls for sustainable funding and infrastructure to scale Food is Medicine programs.