A Supermarket Double-Dollar Incentive Program Increases Purchases of Fresh Fruits and Vegetables Among Low-Income Families With Children: The Healthy Double Study

Abstract Objective To carry out a pilot study to determine whether a supermarket double-dollar fruit and vegetable (FV 95% confidence interval [CI], $0.29 to $3.88). The largest increase was for fresh FV 95% CI, $0.49 to $3.44). Secondary analyses revealed greater increases in FV 95% CI, $1.93 to $8.34) than among non–SNAP eligible participants who redeemed coupons ($3.88; 95% CI, $1.67 to $6.08). Conclusions and Implications A double-dollar pricing incentive increased F&V spending in a low-income community despite the moderate uptake of the coupon redemption. Customers who were eligible for SNAP saw the greatest F&V spending increases. Financial incentives for F&V are an effective strategy for food assistance programs to increase healthy purchases and improve dietary intake in low-income families.