'A community supported agriculture produce prescription pilot in the Northern Black Hills: Dakota Food Rx

Urban Farm DB summary

One in eight South Dakota residents faces food insecurity, which has been linked to higher prevalence of chronic diseases such as heart disease and diabetes. Against this backdrop, this study conducted a preliminary process and impact evaluation of Dakota Food Rx, a pilot community-supported agriculture (CSA) produce prescription (PRx) program in the Northern Black Hills of South Dakota. Healthcare providers (Prescribers) referred low-income and/or food-insecure adults with diet-related chronic disease (Patients) to receive weekly produce boxes from a local specialty producer (Grower); evaluation measures included patient pre-post surveys and key informant interviews with Prescribers, Growers and Patients. From June to November 2024, 30 patients participated, receiving 434 produce boxes (mean 14.5 per patient) valued at over $14,000. Ten pre-surveys and eight post-surveys were completed (seven pre-only, five post-only, three both), along with nine interviews. Overall program satisfaction was high, and patients responding at post-test reported higher food security and sense of community than at pre-test. Thematic analysis of the interviews indicated patients improved their diet, food access and overall health, and that relationships were built among program participants; however, Prescribers, Growers and Patients all reported having to adapt to the program, with future considerations including increased communication, improved workflow, and additional resources.