Dietary Impact of Produce Prescriptions for Patients With Hypertension.
Dietary Impact of Produce Prescriptions for Patients With Hypertension.
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DOI：
10.5888/pcd15.180301
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发表时间：
2018-11-15
影响因子：
5.5
通讯作者：
Bolen S
中科院分区：
文献类型：
--
作者：
Trapl ES;Smith S;Joshi K;Osborne A;Benko M;Matos AT;Bolen S
对于在安全网诊所就诊高血压的情况下农产品处方的影响知之甚少。我们评估了对患者使用农贸市场以及与水果和蔬菜消费相关的饮食改变的干预效果。健康改善合作伙伴关系 — Cuyahoga 与 3 家诊所合作，整合、实施和评估高血压产品处方 (PRxHTN) 计划。 PRxHTN 涉及每月 3 次非医生就诊，包括血压测量、营养咨询和四张 10 美元的农贸市场农产品代金券，供食品不安全筛查呈阳性的高血压成年患者使用。在第 1 次和第 3 次访问中收集了饮食措施。通过农贸市场兑换日志跟踪优惠券的使用情况。来自 3 个诊所的 224 名参与者中，大多数是中年人（平均年龄 62 岁）、女性（72%）和非裔美国人（97%），高中及以下学历（62%）。百分之八十六的人访问农贸市场是为了使用他们的农产品优惠券，三分之一的人表示这是他们第一次访问农贸市场。参观农贸市场的中位数为 2 次（范围：0-6），兑换优惠券的中位数为 8 张（范围：0-12）。在有跟踪调查数据的子样本中（n = 137），水果和蔬菜消费量显着改善，快餐消费量下降。 PRxHTN 参与者访问了至少 1 个农贸市场，报告与饮食相关的提供者沟通有所增加，并表现出饮食行为的显着变化。 PRxHTN 可以作为将安全网诊所与农贸市场联系起来的强大模型，以促进社区资源利用并改善食品不安全的高血压患者的水果和蔬菜消费。
Little is known regarding the impact of produce prescriptions within the context of hypertension visits at safety net clinics. We evaluated intervention effectiveness on patient usage of farmers markets and dietary change related to fruit and vegetable consumption. Health Improvement Partnership — Cuyahoga worked with 3 clinics to integrate, implement, and evaluated a produce prescription for hypertension (PRxHTN) program. PRxHTN involves 3 monthly, nonphysician provider visits, comprising blood pressure measurement, nutrition counseling, and four $10 farmers market produce vouchers, for hypertensive adult patients screening positive for food insecurity. Dietary measures were collected at visits 1 and 3. Voucher use was tracked via farmers market redemption logs. Of the 224 participants from 3 clinics, most were middle-aged (mean age, 62 y), female (72%), and African American (97%) and had a high school education or less (62%). Eighty-six percent visited a farmers market to use their produce vouchers, with one-third reporting it was their first farmers market visit ever. Median number of farmers market visits was 2 (range: 0–6), and median number of vouchers redeemed was 8 (range: 0–12). Among the subsample with follow-up survey data (n = 137), significant improvement in fruit and vegetable consumption was observed as well as a decline in fast food consumption. PRxHTN participants visited at least 1 farmers market, reported increases in provider communication related to diet, and exhibited significant changes in dietary behavior. PRxHTN can serve as a strong model for linking safety net clinics with farmers markets to promote community resource use and improve fruit and vegetable consumption among food-insecure patients with hypertension.
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DOI：
10.1136/bmj.g4490
发表时间：
2014-07-29
期刊：
BMJ (Clinical research ed.)
影响因子：
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作者：
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10.1007/s13187-014-0656-4
发表时间：
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期刊：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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