Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community
Poor diet including inadequate fruit and vegetable consumption is a major contributor to the global burden of disease. Aboriginal and Torres Strait Islander Australians experience a disproportionate level of preventable chronic disease and successful strategies to support Aboriginal and Torres Strai...
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doaj-f36a4f05f49a4ab18b177475513cc19a2020-11-24T22:53:41ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-01-0116111210.3390/ijerph16010112ijerph16010112Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal CommunityClare Brown0Cara Laws1Dympna Leonard2Sandy Campbell3Lea Merone4Melinda Hammond5Kani Thompson6Karla Canuto7Julie Brimblecombe8Apunipima Cape York Health Council, 4870 Cairns, AustraliaApunipima Cape York Health Council, 4870 Cairns, AustraliaAustralian Institute of Tropical Health and Medicine, College of Public Health Medical and Veterinary Sciences, James Cook University, 4870 Cairns, AustraliaCentre for Indigenous Health Equity Research, Central Queensland University, 4870 Cairns, AustraliaApunipima Cape York Health Council, 4870 Cairns, AustraliaApunipima Cape York Health Council, 4870 Cairns, AustraliaApunipima Cape York Health Council, 4870 Cairns, AustraliaApunipima Cape York Health Council, 4870 Cairns, AustraliaDepartment of Nutrition, Dietetics and Food, Monash University, 3168 Melbourne, AustraliaPoor diet including inadequate fruit and vegetable consumption is a major contributor to the global burden of disease. Aboriginal and Torres Strait Islander Australians experience a disproportionate level of preventable chronic disease and successful strategies to support Aboriginal and Torres Strait Islander people living in remote areas to consume more fruit and vegetables can help address health disadvantage. Healthy Choice Rewards was a mixed methods study to investigate the feasibility of a monetary incentive: store vouchers, to promote fruit and vegetable purchasing in a remote Australian Aboriginal community. Multiple challenges were identified in implementation, including limited nutrition workforce. Challenges related to the community store included frequent store closures and amended trading times, staffing issues and poor infrastructure to support fruit and vegetable promotion. No statistically significant increases in fruit or vegetable purchases were observed in the short time frame of this study. Despite this, community members reported high acceptability of the program, especially for women with children. Optimal implementation including, sufficient time and funding resources, with consideration of the most vulnerable could go some way to addressing inequities in food affordability for remote community residents.http://www.mdpi.com/1660-4601/16/1/112Aboriginal and Torres Strait Islanderremotecommunity storefruit and vegetablesincentivesubsidyfood securitynutritiondiet |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clare Brown Cara Laws Dympna Leonard Sandy Campbell Lea Merone Melinda Hammond Kani Thompson Karla Canuto Julie Brimblecombe |
spellingShingle |
Clare Brown Cara Laws Dympna Leonard Sandy Campbell Lea Merone Melinda Hammond Kani Thompson Karla Canuto Julie Brimblecombe Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community International Journal of Environmental Research and Public Health Aboriginal and Torres Strait Islander remote community store fruit and vegetables incentive subsidy food security nutrition diet |
author_facet |
Clare Brown Cara Laws Dympna Leonard Sandy Campbell Lea Merone Melinda Hammond Kani Thompson Karla Canuto Julie Brimblecombe |
author_sort |
Clare Brown |
title |
Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community |
title_short |
Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community |
title_full |
Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community |
title_fullStr |
Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community |
title_full_unstemmed |
Healthy Choice Rewards: A Feasibility Trial of Incentives to Influence Consumer Food Choices in a Remote Australian Aboriginal Community |
title_sort |
healthy choice rewards: a feasibility trial of incentives to influence consumer food choices in a remote australian aboriginal community |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-01-01 |
description |
Poor diet including inadequate fruit and vegetable consumption is a major contributor to the global burden of disease. Aboriginal and Torres Strait Islander Australians experience a disproportionate level of preventable chronic disease and successful strategies to support Aboriginal and Torres Strait Islander people living in remote areas to consume more fruit and vegetables can help address health disadvantage. Healthy Choice Rewards was a mixed methods study to investigate the feasibility of a monetary incentive: store vouchers, to promote fruit and vegetable purchasing in a remote Australian Aboriginal community. Multiple challenges were identified in implementation, including limited nutrition workforce. Challenges related to the community store included frequent store closures and amended trading times, staffing issues and poor infrastructure to support fruit and vegetable promotion. No statistically significant increases in fruit or vegetable purchases were observed in the short time frame of this study. Despite this, community members reported high acceptability of the program, especially for women with children. Optimal implementation including, sufficient time and funding resources, with consideration of the most vulnerable could go some way to addressing inequities in food affordability for remote community residents. |
topic |
Aboriginal and Torres Strait Islander remote community store fruit and vegetables incentive subsidy food security nutrition diet |
url |
http://www.mdpi.com/1660-4601/16/1/112 |
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