Objectives/Goals: Trust among stakeholders is vital for effective implementation, boosting collaboration, and ensuring long-term commitment to a program. In the past decade, PRx has gained traction, but trust between farmers and healthcare clinics remains understudied. This study aims to identify facilitators and barriers to building trust for PRx implementation. Methods/Study Population: We partnered with 3 primary care clinics within a healthcare system in Atlanta, GA, conducting 7 one-hour focus group discussions (FGDs) with providers, residents, and staff (6-8 participants each), and 13 one-hour semi-structured interviews with healthcare administrators. Seventeen organic fruit and vegetable farmers within 2 hours of Atlanta were recruited via Georgia Organics and snowball sampling for 1-hour semi-structured interviews. FGDs and interview guides were based on the Exploration, Preparation, Implementation, and Sustainment framework’s preparation phase. FGDs were held in person; interviews were in person/Zoom. Sessions were recorded, then transcribed verbatim by a professional transcription company. The data were analyzed using a team-based rapid qualitative analytic approach. Results/Anticipated Results: Farmers and healthcare personnel stressed the importance of communication for building trust in a partnership for PRx implementation. They both value commitment but are concerned about mutual engagement and reliability in the PRx. Healthcare personnel worry about unmet patient needs and disappointment, and farmers worry about unsold produce and financial losses. Farmers feel that healthcare systems do not understand their operations due to differences in work culture, bureaucratic barriers, and staff turnover, which hinder trust. Healthcare workers want to understand farmers’ operations but lack the experience to initiate discussions and to integrate them into their workflow. Both reported that building trust involves having early conversations to establish alignment with their mission and workflows. Discussion/Significance of Impact: Findings highlight that building trust is crucial for farmers and healthcare personnel in PRx, starting with setting shared goals, recognizing sector differences, and promptly addressing barriers early in the partnership. Future efforts could involve stakeholders in co-design to foster mutual understanding and strengthen PRx implementation.
Lacayo et al. (Wed,) studied this question.