Virtually all San Diego County CalFresh participants (known as SNAP nationwide) have been receiving monthly text messages in multiple languages encouraging them to eat more fruits and vegetables and directing them to a dedicated multilingual website with more information. The County of San Diego Health and Human Services Agency may be the first SNAP administering agency in the US to use text messages to share nutrition information and promote a healthy diet. This effort began in 2020 in partnership with the University of California, Nutrition Policy Institute and the UC San Diego Center for Community Health. Building on previous survey results, UC researchers conducted focus groups in English and Spanish with text message recipients to elicit their experience of the messages. CalFresh participants reported overwhelmingly positive perceptions of the effort, including increased fruit and vegetable intake, trying unfamiliar produce items, improved perceptions of CalFresh, and feelings that the agency cares about their health and well-being. Participants want the effort to continue with more frequent messages. Text messaging participants is a relatively low-cost approach that SNAP agencies can use to encourage diet improvement, optimization of food dollars, and to enhance perceptions of and experiences with SNAP. Focus group results were published in the journal Nutrients by Celeste Felix, Ron Strochlic, and Wendi Gosliner from the Nutrition Policy Institute, Blanca Melendrez and Shanna Wright from the UC San Diego Center for Community Health, and Hao Teng from Teachers College, Colombia University.
A new research brief developed by the Nutrition Policy Institute details findings from an evaluation of the California Nutrition Incentive Program, a program that provides CalFresh shoppers with a dollar-for-dollar match when purchasing California-grown produce at participating farmers markets and other retail outlets. In this evaluation, NPI researchers conducted surveys and interviews with a convenience sample of CalFresh shoppers and food store managers. Overall, CalFresh shoppers reported overwhelmingly positive experiences using CNIP and store managers also found the program to be beneficial. While the results showed that CNIP utilization did not have statistically significant impacts on quantitative measures of shoppers' produce intake or food security, shoppers did report that CNIP influenced the kinds of fruits and vegetables they bought and also attributed being able to buy more fruits and vegetables to this program. CalFresh shoppers wanted CNIP to continue and supported it expanding to other retail outlets.
- Author: Katherine Lanca
- Editor: Danielle L. Lee
- Editor: Wendi Gosliner
- Editor: Ron Strochlic
The Supplemental Nutrition Assistance Program (SNAP), known as CalFresh in California, provides monthly electronic benefits for food purchases to over 40 million individuals with low incomes across the US. However, SNAP agencies do not typically provide participants with information about food or nutrition. A pilot study was conducted to understand whether a CalFresh agency can send food and nutrition-based text messages, and if so, whether they can be effective. NPI researchers received a grant from the California Department of Food and Agriculture's Specialty Crop Block Grant Program to test the idea. In collaboration with UCSD, ideas42, and the San Diego County Health and Human Services Agency, five monthly SMS text messages in English and Spanish were sent to over 170,000 SNAP households. Each text message contained a link to a website offering additional information on topics including the health benefits of different fruits and vegetables, cost-savings associated with seasonal produce, recipes and tips to reduce food waste. After 5 months, survey respondents showed a significant increase in knowledge about selecting, storing, and preparing fruits and vegetables. Over half of respondents self-reported purchasing and eating more California-grown fruits and vegetables at follow-up and nearly all respondents expressed interest in continuing to receive text messages. The findings suggest that text messages are a promising strategy to provide useful and relevant information on food and nutrition to SNAP participants. The research, published in the Journal of Medical Internet Research, was conducted by Wendi Gosliner, Celeste Felix, Ron Strochlic, and Hannah Thompson from the Nutrition Policy Institute, University of California, Agriculture and Natural Resources; Shana Wright and Blanca Melendrez from the UC San Diego Center for Community Health; Allison Yates-Berg from ideas42; and Hao Tang from Colombia University. Funding for this project was made possible by the U.S. Department of Agriculture's (USDA) Agricultural Marketing Service through grant 19-0001-054. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the USDA. Additional funding was received from the National Institutes of Health grant UL1TR001442.
- Author: Danielle L. Lee
- Editor: Ron Strochlic
The annual CalFresh Forum, hosted by Nourish California in partnership with the California Department of Social Services, brings together key stakeholders from across California to acknowledge outstanding work, identify opportunities, and discuss strategies to improve the reach and impact of CalFresh. Nutrition Policy Institute researchers Wendi Gosliner, Celeste Felix and Ron Strochlic will have a virtual booth at the Forum to highlight the successful CalFresh Text Messaging pilot project. From September 2020 to March 2021, over 172,000 San Diego CalFresh participants received text messages in English or Spanish from CDSS including a link directing recipients to a website with information on selecting, storing and preparing California-grown fruits and vegetables; health benefits; tips to reduce food waste; and recipes – including TikTok videos. The project was made possible in partnership with 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 CalFresh Forum will be hosted in-person and virtually February 15-16, 2023 at the Holiday Inn Sacramento Downtown – Arena and the Whova Virtual Platform.
- Author: Cate Seel
- Contributor: Wendi Gosliner
- Contributor: Ron Strochlic
- Contributor: Sridharshi Hewawitharana
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Nutrition Policy Institute researchers conducted an evaluation of the California Nutrition Incentive Program (CNIP), which provides CalFresh (the California division of the Supplemental Nutrition Assistance Program) participants with dollar-for-dollar incentives for the purchase of California-grown fruits and vegetables (FV). The study explored FV purchases, FV intake, and food security among CalFresh shoppers at farmers markets not participating in CNIP, farmers markets offering $10 and $20 maximum matching incentives, and nearby supermarkets not offering incentives. Their findings indicate that higher CNIP maximum incentive levels are associated with greater odds of participants purchasing fruits and vegetables at farmers markets. While the researchers found no significant difference in overall food security between shoppers at farmers markets offering different maximum incentive levels, each additional incentive dollar received was associated with reduced odds of food insecurity. Although incentives did not lead to a quantitatively measurable change in produce consumption, participants did self-report a perceived increase in produce consumption and were able to purchase a wider variety of FV and support their local communities and growers. Most shoppers reported that CNIP is important in their decision to shop at farmers markets and expressed high levels of satisfaction with CNIP as well as a desire to see the program expand. Findings were published in the journal Nutrients in June 2022. The study was conducted by researchers Wendi Gosliner, Sridharshi Hewawitharana, Ron Strochlic, Celeste Felix, and Caroline Long from the Nutrition Policy Institute, University of California Division of Agriculture and Natural Resources. It was funded by California Department of Food and Agriculture award number 17-0212-005-SF.