Saxe-Custack A, Egan S, Farmer B, Pulka K, Sampson A. Caregiver-Reported Barriers to Engagement in a Pediatric Fresh Fruit and Vegetable Prescription Program. Journal of Nutritional Science. In Press.
Saxe-Custack A, LaChance J, Kerver JM. A Fresh Fruit and Vegetable Prescription Program for Prenatal Patients in Flint, Michigan: Baseline Food Security and Dietary Intake. Nutrients. 2024;16(8):1234. DOI: https://doi.org/10.3390/nu16081234
Saxe-Custack A., Sadler RC,‘Nobody shops at the neighborhood store’: leveraging a community’s pediatric fresh produce prescription program to inform future participating store redemption locations.Cities & Health. 2023;8(1):70-81. DOI: https://doi.org/10.1080/23748834.2023.2281764
Saxe-Custack A, Egan S, Sadler R, Wojciechowski T. Relative impacts of a virtual cooking and nutrition program for children and families.Appetite. 2023;191: 107041. OI: https://doi.org/10.1016/j.appet.2023.107041
Saxe-Custack A, Todem D, Anthony J, Kerver J, LaChance J, Hanna-Attisha M. Effect of a pediatric fruit and vegetable prescription program on child dietary patterns, food security, and weight status: a study protocol. BMC Public Health. 2022;22(1):150. DOI: 10.1186/s12889-022-12544-y
Saxe-Custack A, Egan S. Flint Families Cook: A virtual cooking and nutrition program for families. Journal of Nutrition Education and Behavior. 2022;54:359-363. DOI: https://doi.org/10.1016/j.jneb.2022.01.002
Saxe-Custack A, Lofton H, Dawson C, Egan S, Hanna-Attisha M. “The shelves are bare”: The impact of COVID-19 on families enrolled in a pediatric produce prescription program. Cureus. 2022;14(11):e31540. DOI: https://doi.org/10.7759/cureus.31540
Saxe-Custack A, LaChance J, Hanna-Attisha M, Goldsworthy M, Ceja T. Household supplemental Nutrition Assistance Program participation is associated with higher fruit and vegetable consumption. Journal of Nutrition Education and Behavior. 2021. 53(12):P1060-1065. DOI: https://doi.org/10.1016/j.jneb.2021.06.017.
Saxe-Custack A, LaChance J, Jess J, Hanna-Attisha M. Influence of a pediatric fruit and vegetable prescription program on child dietary patterns and food security. Nutrients. 2021; 13(8):2619. DOI: https://doi.org/10.3390/nu13082619.
Saxe-Custack A, Goldsworthy M, Lofton HC, Hanna-Attisha M, Nweke O. Family perceptions of a cooking and nutrition program for low-income children and adolescents. Global Pediatric Health. 2021; DOI: https://doi.org/10.1177/2333794X21989525
Saxe-Custack A, LaChance J, Hanna-Attisha M, Dawson C. Flint Kids Cook: Positive influence of a farmers’ market cooking and nutrition programme on health-related quality of life of US children in a low-income, urban community. Public Health Nutrition. 2020;24(6):1492-1500. DOI: https://doi.org/10.1017/S136898002000395X
Saxe-Custack A, Sadler R, LaChance J, Hanna-Attisha M, Ceja T. Participation in a fruit and vegetable prescription program for pediatric patients is positively associated with farmers' market shopping. International Journal of Environmental Research and Public Health. 2020; 17(12): E4202. DOI: https://doi.org/10.3390/ijerph17124202
Saxe-Custack A, LaChance J, Hanna-Attisha M. Child consumption of whole fruit and fruit juice following six months of exposure to a pediatric fruit and vegetable prescription program. Nutrients. 2020; 12(1):25. DOI: https://doi.org/10.3390/nu12010025
Saxe-Custack A, Lofton HC, Hanna-Attisha M, Tata Z, Ceja T, LaChance J. Caregiver experiences with an innovative farmers' market incentive program for children in Flint, Michigan. Global Pediatric Health. 2019;6:2333794X19870989. DOI: https://doi.org/10.1177/2333794X19870989
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Community Foundation of Greater Flint
05/01/2024 to 04/30/2025
Fresh Produce Prescriptions for Women and Children in Need
Although research has suggested that exposure to this FVPP among youth 8-18 years leads to improvements in dietary patterns, food security, and shopping behaviors, we have also documented challenges with program engagement—including limited redemption sites —that have worsened since the COVID-19 pandemic. The current proposal supports the cost of fruit and vegetable prescriptions at participating pediatric and OB/GYN clinics as the PPHI Nutrition Team partners with one major chain grocery store to expand redemption sites across Genesee County. Researchers will monitor trends in prescription distribution and redemption rates through 2024.
Hurley Foundation
01/01/2024 to 12/31/2024
Hurley Children’s Center Produce Prescription Program
With increasing evidence to support the benefits of the FVPP on dietary patterns, food security, food access, and shopping behaviors, the grant supports the cost of fresh produce prescriptions at Hurley Children’s Center as the program is expanded to include full-service grocery stores.
Stephanie and David Spina Family Foundation
01/01/2024 to 12/31/2024
Flint Kids Cook
Grounded in social cognitive theory, Flint Kids Cook focuses on improving self-efficacy for healthy cooking through interactive nutrition and food preparation activities. In January 2021, a virtual version of the program, entitled Flint Families Cook, was introduced. This grant supports continued implementation and evaluation of in-person Flint Kids Cook and Flint Kids Bake classes and virtual Flint Families Cook classes. Additionally, funds will be used to support the cost of fresh produce prescriptions at five medical clinics in Flint.
Centers for Disease Control and Prevention
09/01/2023 to 08/31/2028
Greater Flint Area REACH Project
The Greater Flint Area REACH Project is an implementation-ready project that leverages existing and emerging food system, breastfeeding continuum of care, and physical activity efforts to maximize REACH funding and close the gap to improve African American and Hispanic health in the Greater Flint Area. The pediatric fruit and vegetable prescription program is one key component of the REACH Project with resources supporting increased staffing to address challenges with program engagement as well as development and testing of digital prescriptions for ease of use among prescription program participants and vendors.
Michigan Health Endowment Fund
09/01/2023 to 08/31/2025
Improving Engagement in Produce Prescription Programs
To address important gaps in information and challenges with program engagement, the proposed project will: (1) examine the effectiveness of a prenatal fresh produce prescription programs with and without participation in Rx Kids (an unconditional cash incentive program from pregnant mothers in Flint); and (2) address prescription program engagement through redemption site expansion to full-service grocery stores.
Community Foundation of Greater Flint
06/01/2022 to 05/31/2024
Pediatric Produce Prescriptions for Health
With previous research demonstrating the effectiveness of pediatric fresh fruit and vegetable prescriptions among youth, the current proposal is a specific request for funding to support the cost of prescriptions through the Pediatric Public Health Initiative. Funding will support prescriptions at three pediatric clinics and two OB/GYN clinics that currently offer the program.
Michigan Health Endowment Fund
09/01/2021 to 06/30/2024
Expansion of Produce Prescriptions: A Prenatal Pilot
This project expands our evidence-based pediatric fruit and vegetable prescription program to the prenatal patients. This prenatal pilot program will start in one large Flint obstetric clinic, the Hurley Women’s Health Center, with the long-term goal of widespread adoption in Flint and beyond. The current grant also supports a study to assess program feasibility and preliminary effectiveness.
NIH-NICHD
09/01/2020 to 08/31/2024
R01 HD102527-01
Innovative Nutrition Practices in Pediatric Health Care: Assessment of a Fruit and Vegetable Prescription Program for Children in Need
The goal of the project is to assess the influence of pediatric fruit and vegetable prescription programs (FVPP) on food security, child dietary patterns, and weight status. We will compare demographically similar pediatric patient groups from three large urban clinics based on their exposure to a FVPP: high exposure (>24 months), moderate exposure (12-24 months), and no previous exposure. We will then introduce the FVPP to never exposed patients and compare changes in dietary intake, food security, and weight status. Results will provide novel knowledge regarding the role of FVPPs in addressing barriers to access and affordability of fresh produce.
ABC12: Getting nutrition back on track as kids head back to school
ABC12: Flint children’s fruit and vegetable prescriptions expand to county’s largest clinic
PBS News Hour: Flint Fights Lead Poisoning with Farmers Markets and Cooking Classes
U.S. News: Innovative Hub Feeds the Need for Fresh Produce in Flint
MSUToday: Flint inspires national nutrition prescription program in U.S. Farm Bill
Stateside, Michigan Radio NPR: Kids leave this Flint doctor’s office with a prescription for fruits and veggies
Michigan Good Food Fund: Food is helping Flint recover and reimagine itself
Today's Dietician: Fruit and veggie prescriptions encourage healthful eating in children
Flint Side: Prescriptions for nutrition: How culinary medicine is advancing health equity in Michigan
MSU Today: MSU scientists improve health for children and seniors through better nutrition
MSU College of Agriculture and Natural Resources: Flint Kids Cook - - MSU community collaborations
Gizmodo: After the water crisis, Thanksgiving in Flint is about healing