The FRESH Study – The FResh Bucks Economic IncentiveS and Health outcomes study – is a mixed-methods evaluation of the Fresh Bucks program, a fruit and vegetable incentive program in Seattle, Washington. We draw upon community-based participatory research methods to evaluate the implementation and impact of Fresh Bucks. We aim to answer the following questions:
- What is the impact of the Fresh Bucks program on fruit and vegetable intake and food security?
- Which Fresh Bucks Program strategies contribute to improved implementation and positive experiences for Fresh Bucks customers?
- What is the impact of long-term participation in Fresh Bucks on cardiometabolic health?
Fresh Bucks is administered by the Office of Sustainability and Environment at the City of Seattle. More information about the program’s administration can be found here.
Study Team
The FRESH Study team includes qualitative and quantitative researchers from UW School of Public Health, UW Department of Economics, & UC Irvine
ISBNPA 2026
We are excited to present recent updates from our work at ISBNPA 2026. Swing by to learn more about Fresh Bucks enrollment, food security and customer experiences
Recent Findings
Analyses recently published in JAMA Network Open find improvements in food security and fruit and vegetable consumption following random assignment to enroll in Fresh Bucks