- Author: Mike Hsu
The buzz or chirp of an incoming text message started some San Diego County residents on the path to a healthier diet during this past year. In September 2020, most CalFresh participants in the county – more than 172,000 households – began receiving monthly text messages about the benefits of California-grown fruits and vegetables as part of a pilot program.
This novel approach to delivering nutrition messages to California food assistance program participants was developed by a partnership of the Nutrition Policy Institute of UC Agriculture and Natural Resources, the UC San Diego Center for Community Health and the County of San Diego Health and Human Services Agency, which administers CalFresh in the county.
The HHSA, which had been using its text messaging platform to send administrative reminders and alerts, was receptive to using the tool for sending nutrition-focused information. NPI and CCH partnered with ideas42, a firm that applies behavioral science to solutions for social change, to develop a series of five text messages promoting California-grown fruits and vegetables.
The text messages – originally delivered in English and Spanish, with the addition of Arabic beginning in July 2021 – were friendly and conversational in tone.
“In a text, you have very few characters you're communicating with people, so we wanted to make sure we were using cutting-edge behavioral science to construct those messages to have the most impact,” said Wendi Gosliner, NPI senior researcher and policy advisor.
Each text included a link directing recipients to a website developed as part of the project, with information on selecting, storing and preparing California-grown fruits and vegetables; health benefits; tips to reduce food waste; and recipes – including TikTok videos.
Initially running from September 2020 to March 2021, the pilot program was well-received. Nearly 90% of CalFresh participants responding to a survey said they appreciated receiving the texts. “It is very important for us to eat healthy, to teach our children to eat healthy,” wrote one participant. “I love the recipes…they're so delicious and easy to make…I'm very, very grateful for the help because without you guys, I would be struggling more and I just want a better life for my children.”
Gosliner said it was encouraging to see that two-thirds of the approximately 5,000 survey respondents reported eating more California-grown fruits and vegetables after receiving the messages, and 85% expressed a desire to see more texts.
“What we see is that there's definitely a decent-sized population of people participating in CalFresh –now this is just in San Diego County but imagine the entire state – who would benefit from having this kind of information available to them,” Gosliner said. “And there is at least a subset of people who really liked it.”
UC San Diego's Center for Community Health was instrumental in facilitating the partnership between UC ANR and the HHSA. Further, CCH, in partnership with the San Diego County Childhood Obesity Initiative, formed a community council composed of residents representing diverse communities throughout San Diego County. Together, the council facilitated CalFresh participants to take part in focus groups, which provided feedback and guidance on the messaging and design for online resources. Gosliner said the success of the text program has been a direct result of community input and involvement.
“The Center for Community Health-led focus groups were integral to ensuring CalFresh resources were accessible and informative to a wide range of CalFresh participants, and local individuals and families more broadly,” said Blanca Meléndrez, executive director at the UC San Diego Center for Community and Population Health, Altman Clinical Translational Research Institute. “In the process, the text-based campaign also placed a greater focus on the local production of nutritious fruits and vegetables, ensuring access to healthy and nutritious food in all communities, and building new streams of income for the region's farmers and producers.”
This effort also suggests a simple way to reach CalFresh participants and bridge gaps between the Supplemental Nutrition Assistance Program and programming that offers nutrition education and healthy eating resources.
“By combining UCSD and UC ANR knowledge about healthy eating with our outreach capability, we are able to reach thousands of families via text message each month,” said Michael Schmidt, human services operations manager for the HHSA. “With the click of a button, these families are provided with resources to assist them in making healthier lifestyle choices, supporting a region that is building better health, living safely and thriving.”
The effort has been so effective that HHSA has asked for additional messages, beyond the original five months' worth of texts and resources.
“The partnership between UC ANR's Nutrition Policy Institute, UC San Diego's Center for Community Health, the County of San Diego Health and Human Services Agency and San Diego County community residents brought together a great team to develop an innovative, technology-based intervention,” said Shana Wright, San Diego County Childhood Obesity Initiative co-director at CCH. “Each partner provided knowledge, resources and assets that enhanced the project beyond the initial pilot phase, exceeding preliminary expectations.”
Gosliner said the pilot program has been a “great example and wonderful experience” of partnership in action.
“You can sit with your research or program ideas for a long time but if you don't have people who can help you implement them, then they really aren't helpful in any way,” she said. “In this case, it was just a nice combination of an idea…with partners who wanted to work to make something happen.”
- Author: Jeannette E. Warnert
“Santa Cruz County farmers provide an array of quality fresh fruits and vegetables that can help residents to be healthier,” said Laura Tourte, UC Cooperative Extension advisor and one of the project's coordinators. “Everybody wins.”
The 40-page booklet – titled Fresh • Starts • Here – was developed by UCCE, the Palo Alto Medical Foundation (PAMF) and the Santa Cruz County Farm Bureau. It assembles a wide variety of resources into a compact form, with information about the seasons for local fruits and vegetables, nutritional information and directions for choosing, storing and preparing healthy foods using some of Santa Cruz County's top crops. Six farmers are profiled in the booklet along with four medical doctors and a registered dietitian, who provide suggestions about accessing fresh fruits and vegetables and reasons for eating them.
“It's not often you'll find stories about farmers and doctors in the same place, but it's a natural fit,” Tourte said. “Doctors know the health benefits of eating fresh fruits and vegetables, and farmers grow them.”
Dr. Karen Harrington, a family medicine physician, shared a seasonal salad recipe that includes cabbage, kale, tomatoes, bell peppers, cucumbers, scallions and parsley.
“Making a salad that uses many different fruits and vegetables and keeps for several days is a great and convenient way to help improve your health,” she said.
Pediatrician Casey Schirmer is pictured in the guide with his cousin Joe Schirmer, owner of an organic farming operation in Santa Cruz.
The development committee, local farmers and physicians donated their time and effort to the project. UCCE funded the printing of the first 2,000 copies of the booklet. The guide was recently the focus of three outreach events at PAMF clinics, where farmers and PAMF staff teamed up to distribute the guide and other health information at no cost to PAMF patients, visitors and staff. A Spanish language version – which was funded with contributions from UCCE, PAMF and Lakeside Organic Gardens – is in press and expected to be available to the community later this month.
Tourte said the committee has received more requests for the guide than they can currently accommodate. They are now seeking funding to print additional copies, and planning to partner with others in the community to share the information.
“This guide, two years in the making, is our group's foundational piece. It is the beginning of many more activities and educational events we have planned for the future,” Tourte said.
An initiative to enhance competitive and sustainable food systems is part of the UC Division of Agriculture and Natural Resources Strategic Vision 2025.