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Abstract：
BACKGROUND: To describe pediatric Produce Prescription (PRx) interventions and their study designs, outcomes, and opportunities for future research.
METHODS: A scoping review framework was used to describe PRx interventions published between January 2000 and September 2023. Articles from online databases were uploaded into Covidence. Data on study characteristics, outcomes of interest (health, food insecurity (FI), nutritional and culinary efficacy, and fruit and vegetable (F/V) consumption), and feasibility were extracted. The Mixed Methods Appraisal Tool (MMAT) was used for quality assessment.
RESULTS: 19 articles met inclusion criteria. Ten studies were quantitative, five were qualitative, and four used mixed-methods. Interventions included food vouchers (n = 14) or food box/pantries (n = 5). Four studies allowed food items in addition to F/Vs. Six studies measured changes in FI and five reported a statistically significant decrease. Seven studies measured changes in F/V consumption and five reported a statistically significant increase. One study reported a statistically significant reduction in child BMI z-score. Most studies reported high feasibility. Few studies used high-quality methods.
CONCLUSIONS: Pediatric PRx interventions show promising potential to reduce FI and improve diet quality and health-related outcomes. Future studies should utilize rigorous study designs and validated assessment tools to understand the impact of pediatric PRx on health.
CONCLUSIONS: This work offers a summary of programmatic outcomes including retention, redemption, incentives, nutrition education, study design and quality limitations to help inform future work. We found positive impacts of pediatric produce prescriptions (PRx) on FI, F/V consumption, and nutritional knowledge and culinary skills. More high-quality, rigorous studies are needed to understand the best delivery and design of PRx and their impact on child behavior and health outcomes. This work provides support for the need for rigorous studies and the potential for PRx to play a role in multi-pronged strategies that address pediatric FI and diet-related disease.
METHODS: A scoping review framework was used to describe PRx interventions published between January 2000 and September 2023. Articles from online databases were uploaded into Covidence. Data on study characteristics, outcomes of interest (health, food insecurity (FI), nutritional and culinary efficacy, and fruit and vegetable (F/V) consumption), and feasibility were extracted. The Mixed Methods Appraisal Tool (MMAT) was used for quality assessment.
RESULTS: 19 articles met inclusion criteria. Ten studies were quantitative, five were qualitative, and four used mixed-methods. Interventions included food vouchers (n = 14) or food box/pantries (n = 5). Four studies allowed food items in addition to F/Vs. Six studies measured changes in FI and five reported a statistically significant decrease. Seven studies measured changes in F/V consumption and five reported a statistically significant increase. One study reported a statistically significant reduction in child BMI z-score. Most studies reported high feasibility. Few studies used high-quality methods.
CONCLUSIONS: Pediatric PRx interventions show promising potential to reduce FI and improve diet quality and health-related outcomes. Future studies should utilize rigorous study designs and validated assessment tools to understand the impact of pediatric PRx on health.
CONCLUSIONS: This work offers a summary of programmatic outcomes including retention, redemption, incentives, nutrition education, study design and quality limitations to help inform future work. We found positive impacts of pediatric produce prescriptions (PRx) on FI, F/V consumption, and nutritional knowledge and culinary skills. More high-quality, rigorous studies are needed to understand the best delivery and design of PRx and their impact on child behavior and health outcomes. This work provides support for the need for rigorous studies and the potential for PRx to play a role in multi-pronged strategies that address pediatric FI and diet-related disease.
摘要：
背景：为了描述儿科生产处方（PRx）干预措施及其研究设计，结果，以及未来研究的机会。
方法：使用范围界定审查框架来描述2000年1月至2023年9月之间发布的PRx干预措施。来自在线数据库的文章被上传到Covidence。有关研究特征的数据，感兴趣的结果(健康，粮食不安全(FI)，营养和烹饪功效，和水果和蔬菜(F/V)消费)，并提取了可行性。采用混合方法评价工具(MMAT)进行质量评价。
结果：19篇文章符合纳入标准。十项研究是定量的，五个是定性的，四个使用混合方法。干预措施包括食品券（n=14）或食品盒/食品室（n=5）。四项研究允许除了F/Vs之外的食物项目。六项研究测量了FI的变化，五项报告了统计学上的显着下降。七项研究测量了F/V消耗的变化，五项报告了统计学上的显着增加。一项研究报道了儿童BMIz得分的统计学显着降低。大多数研究报告了很高的可行性。很少有研究使用高质量的方法。
结论：儿科PRx干预显示出降低FI、改善饮食质量和健康相关结局的潜力。未来的研究应利用严格的研究设计和经过验证的评估工具来了解小儿PRx对健康的影响。
结论：这项工作总结了计划成果，包括保留，赎回,激励机制，营养教育,研究设计和质量限制，以帮助告知未来的工作。我们发现儿科产品处方(PRx)对FI的积极影响，F/V消耗，营养知识和烹饪技能。更多的高品质，需要进行严格的研究，以了解PRx的最佳交付和设计及其对儿童行为和健康结果的影响。这项工作为严格研究的需求以及PRx在解决儿科FI和饮食相关疾病的多管齐下策略中发挥作用的潜力提供了支持。
方法：使用范围界定审查框架来描述2000年1月至2023年9月之间发布的PRx干预措施。来自在线数据库的文章被上传到Covidence。有关研究特征的数据，感兴趣的结果(健康，粮食不安全(FI)，营养和烹饪功效，和水果和蔬菜(F/V)消费)，并提取了可行性。采用混合方法评价工具(MMAT)进行质量评价。
结果：19篇文章符合纳入标准。十项研究是定量的，五个是定性的，四个使用混合方法。干预措施包括食品券（n=14）或食品盒/食品室（n=5）。四项研究允许除了F/Vs之外的食物项目。六项研究测量了FI的变化，五项报告了统计学上的显着下降。七项研究测量了F/V消耗的变化，五项报告了统计学上的显着增加。一项研究报道了儿童BMIz得分的统计学显着降低。大多数研究报告了很高的可行性。很少有研究使用高质量的方法。
结论：儿科PRx干预显示出降低FI、改善饮食质量和健康相关结局的潜力。未来的研究应利用严格的研究设计和经过验证的评估工具来了解小儿PRx对健康的影响。
结论：这项工作总结了计划成果，包括保留，赎回,激励机制，营养教育,研究设计和质量限制，以帮助告知未来的工作。我们发现儿科产品处方(PRx)对FI的积极影响，F/V消耗，营养知识和烹饪技能。更多的高品质，需要进行严格的研究，以了解PRx的最佳交付和设计及其对儿童行为和健康结果的影响。这项工作为严格研究的需求以及PRx在解决儿科FI和饮食相关疾病的多管齐下策略中发挥作用的潜力提供了支持。
