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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Bibliographic Details
Published in:	International journal of environmental research and public health 2019-01, Vol.16 (1), p.112
Main Authors:	Brown, Clare, Laws, Cara, Leonard, Dympna, Campbell, Sandy, Merone, Lea, Hammond, Melinda, Thompson, Kani, Canuto, Karla, Brimblecombe, Julie
Format:	Article
Language:	eng
Subjects:	Adult Australia Child Chronic illnesses Community Cooking Cost control Costs and Cost Analysis Customers Data collection Discounts Disease Feasibility Feasibility Studies Feeding Behavior - psychology Female Food Fruit Fruits Grocery stores Health disparities Households Humans Interviews Low income groups Motivation Native peoples Nutrition research Oceanic Ancestry Group - psychology Purchasing Qualitative analysis Reward Sales Urban areas Vegetables
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Summary:	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.
ISSN:	1660-4601 1661-7827 1660-4601