Stakeholder Perspectives on the Acceptability, Design, and Integration of Produce Prescriptions for People with Type 2 Diabetes in Australia: A Formative Study

Kristy K. Law (), Kathy Trieu, Jennifer Madz, Daisy H. Coyle, Kimberly Glover, Maoyi Tian, Yuze Xin, David Simmons, Jencia Wong and Jason H. Y. Wu
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Kristy K. Law: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
Kathy Trieu: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
Jennifer Madz: Diabetes Australia, Sydney, NSW 2037, Australia
Daisy H. Coyle: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
Kimberly Glover: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
Maoyi Tian: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia
Yuze Xin: School of Public Health, Harbin Medical University, Harbin 150081, China
David Simmons: School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia
Jencia Wong: Diabetes Centre, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Jason H. Y. Wu: The George Institute for Global Health, University of New South Wales, Sydney, NSW 2000, Australia

IJERPH, 2024, vol. 21, issue 10, 1-18

Abstract: Produce prescription programs can benefit both individuals and health systems; however, best practices for integrating such programs into the Australian health system are yet unknown. This study explored stakeholders’ perspectives on the acceptability, potential design and integration of produce prescription programs for adults with type 2 diabetes in Australia. Purposive sampling was used to recruit 22 participants for an online workshop, representing six stakeholder groups (government, healthcare service, clinician, food retailer, consumer, non-government organisation). Participant responses were gathered through workshop discussions and a virtual collaboration tool (Mural). The workshop was video-recorded and transcribed verbatim, and thematic analysis was conducted using a deductive–inductive approach. Stakeholders recognised produce prescription as an acceptable intervention; however, they identified challenges to implementation related to contextuality, accessibility, and sustainability. Stakeholders were vocal about the approach (e.g., community-led) and infrastructure (e.g., screening tools) needed to support program design and implementation but expressed diverse views about potential funding models, indicating a need for further investigation. Aligning evaluation outcomes with existing measures in local, State and Federal initiatives was recommended, and entry points for integration were identified within and outside of the Australian health sector. Our findings provide clear considerations for future produce prescription interventions for people with type 2 diabetes.

Keywords: qualitative research; nutrition; food insecurity; healthcare; Food is Medicine; type 2 diabetes; social prescription (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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