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While PPRs show promise in increasing FV intake and reducing food insecurity, more research is needed to understand effective implementation. To determine how PPRs work in different settings, and to describe implementation characteristics. In-depth interviews were conducted with PPR project implementers using a semi-structured guide based on the Consolidated Framework for Implementation Research (CFIR). PPR sites were selected through maximum variation and interviewees at each site were selected using snowball sampling. Interviews were recorded, transcribed, and coded using NVivo software using a deductive codebook, with two researchers coding each interview. Interviewees included 33 individuals across 13 PPR projects. The analysis identified themes across CFIR constructs: (i) project characteristics (e.g. eligibility, nutrition education, adaptations to local context, relative advantage, cost), (ii) characteristics of individuals (e.g. participants, food retailers, healthcare staff, role delineation, networks), (iii) evidence (e.g. economic impact, FV Intake, household food security and health-related outcomes, scope and impact), (iv) implementation climate (e.g. project genesis, alignment with organization values, leadership engagement, geography, technology), and (v) challenges (e.g. COVID-19 impacts, capacity limitations). Interviewees also provided recommendations for resources that would be helpful in their PPR implementation, such as \u201cplug and play\u201d materials to reduce setup burden. This study highlights PPR implementation characteristics, which can elucidate which features may be most effective in particular contexts. There was also an identified need for further investigation into fostering healthcare organization buy-in and engagement.<\/jats:p>","DOI":"10.1093\/tbm\/ibaf012","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T17:16:58Z","timestamp":1742404618000},"source":"Crossref","is-referenced-by-count":3,"title":["Unpacking scalability in produce prescription: A qualitative implementation science investigation using the Consolidated Framework for Implementation Research"],"prefix":"10.1093","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8989-667X","authenticated-orcid":false,"given":"Courtney A","family":"Parks","sequence":"first","affiliation":[{"name":"Center for Nutrition & Health Impact , 14301 FNB Parkway, Suite 100, Omaha, NE 68154 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7578-305X","authenticated-orcid":false,"given":"Patricia","family":"Rodriguez Espinosa","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine , 291 Campus Drive Li Ka Shing Building Stanford, CA 94305-5101 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9390-2449","authenticated-orcid":false,"given":"Amy L","family":"Yaroch","sequence":"additional","affiliation":[{"name":"Center for Nutrition & Health Impact , 14301 FNB Parkway, Suite 100, Omaha, NE 68154 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-ting","family":"Chen","sequence":"additional","affiliation":[{"name":"Stanford University, Department of Epidemiology and Population Health , 300 Pasteur Drive, Stanford, CA 94305 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Center for Nutrition & Health Impact , 14301 FNB Parkway, Suite 100, Omaha, NE 68154 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