title: A Mixed-Methods Evaluation of a SNAP-Ed Farmers' Market-Based Nutrition Education Program.
abstract: OBJECTIVE
  Evaluate the effectiveness of the Stellar Farmers' Market program.
  
  
  METHODS
  Mixed methods including focus groups and a quasi-experiment comparing a control group of market shoppers who had never attended a class, participants attending 1 class, and participants attending ≥ 2 classes.
  
  
  METHODS
  Eighteen farmers' markets in New York City.
  
  
  METHODS
  A total of 2,063 survey respondents; 47 focus group participants.
  
  
  METHODS
  Farmers' market-based nutrition education and cooking classes paired with vouchers for fresh produce.
  
  
  METHODS
  Attitudes, self-efficacy, and behaviors regarding fruit and vegetable (FV) preparation and consumption.
  
  
  METHODS
  Bivariate and regression analysis examined differences in outcomes as a function of number of classes attended. Qualitative analysis based on a grounded theory approach.
  
  
  RESULTS
  Attending ≥ 1 classes was associated with more positive attitudes toward consuming FV; attending ≥ 2 classes was associated with greater FV consumption and higher self-efficacy to prepare and consume produce. Respondents attending ≥ 2 classes consumed almost one-half cup more FV daily than others. These associations remained after controlling for age, race/ethnicity, education, and gender.
  
  
  CONCLUSIONS
  Offering nutrition education and cooking classes at farmers' markets may contribute to improving attitudes, self-efficacy, and behaviors regarding produce preparation and consumption in low-income populations.
authors.affiliation: Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Gotham Center, Long Island City, NY. Electronic address: rdannefe@health.nyc.gov.
authors.forename: Rachel
authors.initials: R
authors.lastname: Dannefer
authors.affiliation: Health and Wellness Division, Go!Healthy Program, The Children's Aid Society, New York, NY.
authors.forename: Alyson
authors.initials: A
authors.lastname: Abrami
authors.affiliation: ActiveHealth Management, New York, NY.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Rapoport
authors.affiliation: Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Pathu
authors.initials: P
authors.lastname: Sriphanlop
authors.affiliation: Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Gotham Center, Long Island City, NY.
authors.forename: Rachel
authors.initials: R
authors.lastname: Sacks
authors.affiliation: Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Gotham Center, Long Island City, NY.
authors.forename: Michael
authors.initials: M
authors.lastname: Johns
mesh_terms: D000293:Adolescent; D000328:Adult; D005247:Feeding Behavior; D005260:Female; D017144:Focus Groups; D063105:Food Assistance; D005523:Food Supply / Q000379:methods*; D005638:Fruit; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D052756:Nutritional Sciences; D014675:Vegetables; D055815:Young Adult
keywords: Supplemental Nutrition Assistance Program; diet; food assistance; fruits; self-efficacy; vegetables