Farmers’ Market Voucher Initiative to Improve Diabetes Control in Older Adults

Published:October 26, 2021DOI:


      • Social determinants of health, including food insecurity, are important factors in diabetic management.
      • A pilot program to increase fruit and vegetable consumption at a farmers’ market may improve healthy dietary habits.
      • A voucher initiative for older clients with diabetes at a Federally Qualified Health Center was designed to improve diabetes control.


      This pilot study investigated reported fruit and vegetable consumption and diabetic control for older patients with a diagnoses of diabetes and food insecurity at a rural Midwestern Federally Qualified Health Center. Vouchers ($40 per month for 3 months) were provided for fruits and vegetables at a local farmers’ market during a 12-week program (June 2020-August 2020). Data revealed a statistically significant increase in reported green vegetable consumption and farmers’ market visits postintervention. There was not a significant change in hemoglobin A1c, body mass index, or other reported produce consumption.


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      Jacqulene Pick Harris, DNP, GNP-BC, is director, Department of Nursing at Benedictine College, Atchison, KS, and can be contacted at [email protected]


      Carol Bett, PhD, RN, is an associate teaching professor at Wichita State, Wichita, KS.


      Voncella McCleary-Jones, PhD, RN, CNE, is associate dean of Academics, Faculty, and Student Affairs at the College of Health Professions at Wichita State University, Wichita, KS.