Healthy Choice Rewards: a feasibility trial of incentives to influence consumer food choices in a remote Australian Aboriginal community

Brown, Clare, Laws, Cara, Leonard, Dympna, Campbell, Sandy, Merone, Lea, Hammond, Melinda, Thompson, Kani, Canuto, Karla, and Brimblecombe, Julie (2019) 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, 16 (1). 112.

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Abstract

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.

Item ID: 62892
Item Type: Article (Research - C1)
ISSN: 1660-4601
Keywords: Aboriginal and Torres Strait Islander; remote; community store; fruit and vegetables; incentive; subsidy; food security; nutrition; diet
Copyright Information: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Date Deposited: 21 Apr 2020 00:16
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3210 Nutrition and dietetics > 321005 Public health nutrition @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920301 Aboriginal and Torres Strait Islander Health - Determinants of Health @ 100%
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