The British Columbia Farmers' Market Nutrition Coupon Program reduces short-term household food insecurity among adults with low incomes: a pragmatic randomized controlled trial.

Abstract
The British Columbia Farmers' Market Nutrition Coupon Program (BC FMNCP) provides households with low incomes with coupons to purchase healthy foods from farmers' markets.
To examine the impact of the BC FMNCP on the short-term household food insecurity, malnutrition risk, mental well-being, sense of community (secondary outcomes), and subjective social status (exploratory outcome) of adults with low incomes post-intervention and 16 weeks post-intervention.
Secondary analyses from a pragmatic randomized controlled trial conducted in 2019 that collected data at baseline, post-intervention, and 16 weeks post-intervention.
Adults ≥18 years with low incomes were randomized to a FMNCP group (n=143) or a no-intervention control group (n=142).
Participants in the FMNCP group received 16 coupon sheets valued at $21 Canadian dollars (CAD)/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Outcomes included short-term household food insecurity (modified version of Health Canada's 18-item Household Food Security Survey Module), malnutrition risk (Malnutrition Universal Screening Tool), mental well-being (Warwick-Edinburgh Mental Well-Being Scale), sense of community (Brief Sense of Community Scale), and subjective social status (MacArthur Scale of Subjective Social Status community scale).
Description
Keywords
healthy food subsidy, household food insecurity, low-income, psychosocial well-being, randomized controlled trial
Citation
Aktary, M. L., Dunn, S., Sajobi, T., O’Hara, H., Leblanc, P., McCormack, G. R., Caron-Roy, S., Lee, Y. Y., Reimer, R. A., Minaker, L. M., Raine, K. D., Godley, J., Downs, S., Nykiforuk, C. I. J., & Olstad, D. L. (2023). The British Columbia Farmers’ Market Nutrition Coupon Program reduces short-term household food insecurity among adults with low incomes: A pragmatic randomized controlled trial. Journal of the Academy of Nutrition and Dietetics. https://doi.org/10.1016/j.jand.2023.10.001