Financial incentives and purchase restrictions in a food benefit program affect the types of foods and beverages purchased: Results from a randomized trial

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Abstract

Background: This research evaluated the effects of financial incentives and purchase restrictions on food purchasing in a food benefit program for low income people. Methods: Participants (n=279) were randomized to groups: 1) Incentive- 30% financial incentive for fruits and vegetables purchased with food benefits; 2) Restriction- no purchase of sugar-sweetened beverages, sweet baked goods, or candies with food benefits; 3) Incentive plus Restriction; or 4) Control- no incentive or restrictions. Participants received a study-specific debit card where funds were added monthly for 12-weeks. Food purchase receipts were collected over 16 weeks. Total dollars spent on grocery purchases and by targeted food categories were computed from receipts. Group differences were examined using general linear models. Results: Weekly purchases of fruit significantly increased in the Incentive plus Restriction ($4.8) compared to the Restriction ($1.7) and Control ($2.1) groups (p <.01). Sugar-sweetened beverage purchases significantly decreased in the Incentive plus Restriction ($0.8 per week) and Restriction ($-1.4 per week) groups compared to the Control group (+$1.5; p<.0001). Sweet baked goods purchases significantly decreased in the Restriction ($0.70 per week) compared to the Control group (+$0.82 per week; p <.01). Conclusions: Paired financial incentives and restrictions on foods and beverages purchased with food program funds may support more healthful food purchases compared to no incentives or restrictions. Clinical trial registration: Clinicaltrials.gov Identifier: NCT02643576.

Original languageEnglish (US)
Article number127
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Volume14
Issue number1
DOIs
StatePublished - Sep 16 2017

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Food and Beverages
Motivation
Food
Beverages
Financial Management
Control Groups
Fruit
Candy
Vegetables
Linear Models
Clinical Trials

Keywords

  • Financial incentives
  • Food purchases
  • Low income
  • Restrictions
  • SNAP (supplemental nutrition assistance program)

Cite this

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title = "Financial incentives and purchase restrictions in a food benefit program affect the types of foods and beverages purchased: Results from a randomized trial",
abstract = "Background: This research evaluated the effects of financial incentives and purchase restrictions on food purchasing in a food benefit program for low income people. Methods: Participants (n=279) were randomized to groups: 1) Incentive- 30{\%} financial incentive for fruits and vegetables purchased with food benefits; 2) Restriction- no purchase of sugar-sweetened beverages, sweet baked goods, or candies with food benefits; 3) Incentive plus Restriction; or 4) Control- no incentive or restrictions. Participants received a study-specific debit card where funds were added monthly for 12-weeks. Food purchase receipts were collected over 16 weeks. Total dollars spent on grocery purchases and by targeted food categories were computed from receipts. Group differences were examined using general linear models. Results: Weekly purchases of fruit significantly increased in the Incentive plus Restriction ($4.8) compared to the Restriction ($1.7) and Control ($2.1) groups (p <.01). Sugar-sweetened beverage purchases significantly decreased in the Incentive plus Restriction ($0.8 per week) and Restriction ($-1.4 per week) groups compared to the Control group (+$1.5; p<.0001). Sweet baked goods purchases significantly decreased in the Restriction ($0.70 per week) compared to the Control group (+$0.82 per week; p <.01). Conclusions: Paired financial incentives and restrictions on foods and beverages purchased with food program funds may support more healthful food purchases compared to no incentives or restrictions. Clinical trial registration: Clinicaltrials.gov Identifier: NCT02643576.",
keywords = "Financial incentives, Food purchases, Low income, Restrictions, SNAP (supplemental nutrition assistance program)",
author = "French, {Simone A} and Rydell, {Sarah A.} and Nathan Mitchell and Michael Oakes and Brian Elbel and Harnack, {Lisa J}",
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T1 - Financial incentives and purchase restrictions in a food benefit program affect the types of foods and beverages purchased

T2 - Results from a randomized trial

AU - French, Simone A

AU - Rydell, Sarah A.

AU - Mitchell, Nathan

AU - Oakes, Michael

AU - Elbel, Brian

AU - Harnack, Lisa J

PY - 2017/9/16

Y1 - 2017/9/16

N2 - Background: This research evaluated the effects of financial incentives and purchase restrictions on food purchasing in a food benefit program for low income people. Methods: Participants (n=279) were randomized to groups: 1) Incentive- 30% financial incentive for fruits and vegetables purchased with food benefits; 2) Restriction- no purchase of sugar-sweetened beverages, sweet baked goods, or candies with food benefits; 3) Incentive plus Restriction; or 4) Control- no incentive or restrictions. Participants received a study-specific debit card where funds were added monthly for 12-weeks. Food purchase receipts were collected over 16 weeks. Total dollars spent on grocery purchases and by targeted food categories were computed from receipts. Group differences were examined using general linear models. Results: Weekly purchases of fruit significantly increased in the Incentive plus Restriction ($4.8) compared to the Restriction ($1.7) and Control ($2.1) groups (p <.01). Sugar-sweetened beverage purchases significantly decreased in the Incentive plus Restriction ($0.8 per week) and Restriction ($-1.4 per week) groups compared to the Control group (+$1.5; p<.0001). Sweet baked goods purchases significantly decreased in the Restriction ($0.70 per week) compared to the Control group (+$0.82 per week; p <.01). Conclusions: Paired financial incentives and restrictions on foods and beverages purchased with food program funds may support more healthful food purchases compared to no incentives or restrictions. Clinical trial registration: Clinicaltrials.gov Identifier: NCT02643576.

AB - Background: This research evaluated the effects of financial incentives and purchase restrictions on food purchasing in a food benefit program for low income people. Methods: Participants (n=279) were randomized to groups: 1) Incentive- 30% financial incentive for fruits and vegetables purchased with food benefits; 2) Restriction- no purchase of sugar-sweetened beverages, sweet baked goods, or candies with food benefits; 3) Incentive plus Restriction; or 4) Control- no incentive or restrictions. Participants received a study-specific debit card where funds were added monthly for 12-weeks. Food purchase receipts were collected over 16 weeks. Total dollars spent on grocery purchases and by targeted food categories were computed from receipts. Group differences were examined using general linear models. Results: Weekly purchases of fruit significantly increased in the Incentive plus Restriction ($4.8) compared to the Restriction ($1.7) and Control ($2.1) groups (p <.01). Sugar-sweetened beverage purchases significantly decreased in the Incentive plus Restriction ($0.8 per week) and Restriction ($-1.4 per week) groups compared to the Control group (+$1.5; p<.0001). Sweet baked goods purchases significantly decreased in the Restriction ($0.70 per week) compared to the Control group (+$0.82 per week; p <.01). Conclusions: Paired financial incentives and restrictions on foods and beverages purchased with food program funds may support more healthful food purchases compared to no incentives or restrictions. Clinical trial registration: Clinicaltrials.gov Identifier: NCT02643576.

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