Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study
IntroductionNutrition during pregnancy significantly impacts maternal and birth outcomes. A key factor contributing to the rise in adverse maternal and birth outcomes is poor nutrition. Produce prescription programs have the potential to address pregnancy-related adverse outcomes such as hypertensiv...
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Frontiers Media S.A.
2025-01-01
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| author | Helene Vilme Fang Fang Zhang Perrie O’Tierney-Ginn Perrie O’Tierney-Ginn Chenchen H. Sun Oyedolapo A. Anyanwu Rukhshan Fahmi Sara C. Folta |
| author_facet | Helene Vilme Fang Fang Zhang Perrie O’Tierney-Ginn Perrie O’Tierney-Ginn Chenchen H. Sun Oyedolapo A. Anyanwu Rukhshan Fahmi Sara C. Folta |
| author_sort | Helene Vilme |
| collection | DOAJ |
| description | IntroductionNutrition during pregnancy significantly impacts maternal and birth outcomes. A key factor contributing to the rise in adverse maternal and birth outcomes is poor nutrition. Produce prescription programs have the potential to address pregnancy-related adverse outcomes such as hypertensive disorders and gestational diabetes, but scientific evidence is limited.PurposeTo conduct qualitative interviews to gain an in-depth understanding of how, why, and in what context should produce prescriptions be implemented to best meet the needs of pregnant women in a clinical setting.MethodsWe conducted interviews with 11 patients with low incomes and/or experiencing food insecurity and 11 clinic staff from a major metropolitan OB/GYN clinic. Interview questions were designed to understand attitudes toward participating in or helping implement a produce prescription program. We analyzed the data using a deductive qualitative content analysis approach.ResultsBoth patients and clinic staff perceived many benefits to this type of program, including easing financial strain, removing barriers to access, and addressing nutrition security during pregnancy. Both groups described a need to consider participants’ autonomy in the program design. Patients also perceived some drawbacks to the home delivery aspect, such as limited participation by patients due to unstable housing. Staff expressed some concerns about the staff time needed to implement this type of program.ConclusionThere was strong support for produce prescription programs for this population; however, results indicate that they may best meet needs if patient autonomy and delivery-related barriers are considered in the design. Designating screening and enrollment tasks for ancillary staff may facilitate implementation in clinics. |
| format | Article |
| id | doaj-art-e77c62ce9a66431c82c2535edfceaaba |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-e77c62ce9a66431c82c2535edfceaaba2025-01-15T06:10:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14629081462908Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative studyHelene Vilme0Fang Fang Zhang1Perrie O’Tierney-Ginn2Perrie O’Tierney-Ginn3Chenchen H. Sun4Oyedolapo A. Anyanwu5Rukhshan Fahmi6Sara C. Folta7Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesSchool of Medicine, Tufts University, Boston, MA, United StatesSchool of Medicine, Tufts University, Boston, MA, United StatesFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United StatesIntroductionNutrition during pregnancy significantly impacts maternal and birth outcomes. A key factor contributing to the rise in adverse maternal and birth outcomes is poor nutrition. Produce prescription programs have the potential to address pregnancy-related adverse outcomes such as hypertensive disorders and gestational diabetes, but scientific evidence is limited.PurposeTo conduct qualitative interviews to gain an in-depth understanding of how, why, and in what context should produce prescriptions be implemented to best meet the needs of pregnant women in a clinical setting.MethodsWe conducted interviews with 11 patients with low incomes and/or experiencing food insecurity and 11 clinic staff from a major metropolitan OB/GYN clinic. Interview questions were designed to understand attitudes toward participating in or helping implement a produce prescription program. We analyzed the data using a deductive qualitative content analysis approach.ResultsBoth patients and clinic staff perceived many benefits to this type of program, including easing financial strain, removing barriers to access, and addressing nutrition security during pregnancy. Both groups described a need to consider participants’ autonomy in the program design. Patients also perceived some drawbacks to the home delivery aspect, such as limited participation by patients due to unstable housing. Staff expressed some concerns about the staff time needed to implement this type of program.ConclusionThere was strong support for produce prescription programs for this population; however, results indicate that they may best meet needs if patient autonomy and delivery-related barriers are considered in the design. Designating screening and enrollment tasks for ancillary staff may facilitate implementation in clinics.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1462908/fullproduce prescriptionmaternal healthnutritionfood insecurityfood is medicine |
| spellingShingle | Helene Vilme Fang Fang Zhang Perrie O’Tierney-Ginn Perrie O’Tierney-Ginn Chenchen H. Sun Oyedolapo A. Anyanwu Rukhshan Fahmi Sara C. Folta Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study Frontiers in Public Health produce prescription maternal health nutrition food insecurity food is medicine |
| title | Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study |
| title_full | Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study |
| title_fullStr | Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study |
| title_full_unstemmed | Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study |
| title_short | Gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes: a qualitative study |
| title_sort | gaining stakeholder perspectives to shape a produce prescription program to improve maternal and birth outcomes a qualitative study |
| topic | produce prescription maternal health nutrition food insecurity food is medicine |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1462908/full |
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