title: Provider communication and role modeling related to patients' perceptions and use of a federally qualified health center-based farmers' market.
abstract: Farmers' markets have the potential to improve the health of underserved communities, shape people's perceptions, values, and behaviors about healthy eating, and serve as a social space for both community members and vendors. This study explored the influence of health care provider communication and role modeling for diabetic patients within the context of a farmers' market located at a federally qualified health center. Although provider communication about diet decreased over time, communication strategies included: providing patients with "prescriptions" and vouchers for market purchases; educating patients about diet; and modeling healthy purchases. Data from patient interviews and provider surveys revealed that patients enjoyed social aspects of the market including interactions with their health care provider, and providers distributed prescriptions and vouchers to patients, shopped at the market, and believed that the market had potential to improve the health of staff and patients of the federally qualified health center. Provider modeling of healthy behaviors may influence patients' food-related perceptions and dietary behaviors.
authors.affiliation: 1University of South Carolina, Columbia, SC, USA.
authors.forename: Daniela B
authors.initials: DB
authors.lastname: Friedman
authors.forename: Darcy A
authors.initials: DA
authors.lastname: Freedman
authors.forename: Seul Ki
authors.initials: SK
authors.lastname: Choi
authors.forename: Edith C
authors.initials: EC
authors.lastname: Anadu
authors.forename: Heather M
authors.initials: HM
authors.lastname: Brandt
authors.forename: Natalia
authors.initials: N
authors.lastname: Carvalho
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Hurley
authors.forename: Vicki M
authors.initials: VM
authors.lastname: Young
authors.forename: James R
authors.initials: JR
authors.lastname: Hébert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000383:Agriculture; D002140:California; D003132:Commerce; D003142:Communication; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000523:psychology; D005260:Female; D005518:Food Preferences; D033161:Government Regulation; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D036301:Qualitative Research
keywords: communication intervention; diabetes; farmers’ market; federally qualified health center; obesity prevention; patient-provider communication