Virtually all San Diego County CalFresh participants (known as SNAP nationwide) have been receiving monthly text messages in multiple languages encouraging them to eat more fruits and vegetables and directing them to a dedicated multilingual website with more information. The County of San Diego Health and Human Services Agency may be the first SNAP administering agency in the US to use text messages to share nutrition information and promote a healthy diet. This effort began in 2020 in partnership with the University of California, Nutrition Policy Institute and the UC San Diego Center for Community Health. Building on previous survey results, UC researchers conducted focus groups in English and Spanish with text message recipients to elicit their experience of the messages. CalFresh participants reported overwhelmingly positive perceptions of the effort, including increased fruit and vegetable intake, trying unfamiliar produce items, improved perceptions of CalFresh, and feelings that the agency cares about their health and well-being. Participants want the effort to continue with more frequent messages. Text messaging participants is a relatively low-cost approach that SNAP agencies can use to encourage diet improvement, optimization of food dollars, and to enhance perceptions of and experiences with SNAP. Focus group results were published in the journal Nutrients by Celeste Felix, Ron Strochlic, and Wendi Gosliner from the Nutrition Policy Institute, Blanca Melendrez and Shanna Wright from the UC San Diego Center for Community Health, and Hao Teng from Teachers College, Colombia University.
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