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Tuesday, April 24 • 9:00am - 9:20am
A Review Of Double Up Food Bucks As A Strategy To Improve Health

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Diet-related chronic diseases are among the leading causes of death in America. Many of these conditions are preventable and reversible through changes in diet, particularly by increasing the consumption of fresh fruits and vegetables. As these diet-related chronic diseases affect lower socio-economic classes disproportionately, many organizations employ strategies to influence fresh produce consumption among these populations. One such strategy is the Double Up Food Bucks (DUFB) program developed by the “Fair Food Network,” which incentivizes the purchase of fresh produce by Supplemental Nutrition Assistance Program (SNAP) recipients. The aim of this study is to examine the literature on the effectiveness of DUFB programs on increasing healthy food consumption and improving health. This study is a narrative literature review. The methods include a search of relevant articles and an examination of incentivized nutritional programs as compared to nutritional education efforts and to restrictions on purchases. The review also seeks to summarize the progress and results of the many nationwide DUFB programs. Search terms included SNAP, DUFB, healthy food incentives, food access, and effects of incentives on health/nutrition. This review includes three randomized controlled trials, six reviews and longitudinal analyses, two longitudinal quasi-experimental studies, one mixed- method study, one case study, one cross-sectional survey, and one graduate thesis, as well as data reported by the “Fair Food Network” in their annual reports. This paper also highlights obstacles and barriers to reaching target populations. The review summarizes opportunities for future research on the impact of incentive programs on health behaviors and exposes gaps in program outcomes. Analyses suggest that incentivized nutritional programs are effective in increasing the purchase and consumption of fresh produce among SNAP recipients, but also that this strategy may have limited impact on improving the overall health of this population.


Tuesday April 24, 2018 9:00am - 9:20am PDT
406 Sherrill Center