Use of a Produce Prescription Program to Address Chronic Disease and Nutrition Security in Rural Appalachia: Outcomes and Lessons Learned from FARMacy WV

-tests were conducted to assess outcome changes. Statistically significant improvements in food security, fruit and vegetable consumption and statistically and clinically significant changes in HbA1c, especially among those with higher levels at baseline, were achieved. Participants expressed high levels of satisfaction with all aspects of the program. Clinical-community-based PRx programs involving multi-sector partnerships were effective in supporting local food economies and improving nutrition-related behaviors and clinical health outcomes among participants in rural Appalachian communities.