(P10-27-26) Integrating the KC Fresh Rx Produce Prescription Program in Clinical Settings to Address Chronic Disease and Enhance Food Security

Objectives: KC Fresh Rx provided Medicaid recipients at four clinics with monthly funds on a reloadable gift card that could only be used to buy eligible fresh produce at 25 local grocery stores. Led by a registered dietitian, the program combines nutrition education, cooking demonstrations and digital outreach for sharing recipes, tips and handouts. Our aim was to evaluate its impact on cardiovascular health risks, produce consumption, and food security.

Methods: The 3-year KC Fresh Rx study targeted Medicaid recipients who met clinical markers for non-insulin dependent type 2 diabetes or pre-diabetes (HbA1c 5.7–6.4%), and/or hypertension or pre-hypertension (120–139/80–89 mm Hg) and have experienced food insecurity in the past year. Each year a new cohort of patients underwent evaluations at baseline and six months to measure changes in HbA1c, blood pressure, and healthcare utilization. The evaluation also assessed fruit and vegetable consumption, food security status, and participant knowledge regarding the procurement, storage, and preparation of fresh produce.

Results: Across three years, 145 patients (23 males, 118 females, 4 not identified, mean age 45; 56% SNAP/food pantry users) enrolled and 139 completed the program (96% retention). Key clinical improvements included a significant reduction in HbA1c (6.08% to 5.89%) with 31% of the sample improving their A1c levels (p < 0.001). Mean systolic blood pressure decreased (128 to 125 mmHg, p=0.024) while mean diastolic pressure decreased (81 to 79 mmHg, p=0.037). Participants increased produce intake by 0.5 cups/day, utilizing a 93% redemption rate of distributed funds ($82/$88 monthly). Consequently, food security improved for 33% of the sample (p=0.003) and preventative well-visits increased (p=0.043). 

Conclusions: By significantly improving glycemic control, blood pressure, and food security through high program engagement, KC Fresh Rx effectively reduced cardiovascular risks. These positive clinical and behavioral outcomes suggest the program is a viable model for clinic-based integration.

Funding Sources: USDA National Institute of Food and Agriculture