scholarly journals Diabetes and Health Friendly Food Pantry Shelf Design and Implementation (P04-056-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Madison Kelly ◽  
Seung-Yeon Lee
Keyword(s):  
Community Based Participatory Research ◽  
Food Choices ◽  
Grocery Store ◽  
Healthy Foods ◽  
Dietary Recommendations ◽  
Community Based ◽  
Food Pantry ◽  
Partnership Development ◽  
Funding Sources ◽  
Before And After

Abstract Objectives The objective of this pilot study was to develop and examine the feasibility of implementing the “Most Diabetes and Health Friendly Shelf” initiative at an urban choice food pantry. Methods The “Most Diabetes and Health Friendly Shelf” initiative was developed using grocery store marketing techniques and community based participatory research (CBPR). The CBPR team designed marketing materials and food categorization criteria based on a literature review and current dietary recommendations. The program was designed to assist food pantry users in identifying healthy foods. We highlighted healthier food options within each pantry section using grocery store marketing techniques: priming, colored labeling, framing, and placement. Clients choose items from the highlighted intervention shelf or general shelf. The program was pilot tested in a choice pantry in Cincinnati, OH and usage was tracked for 6 months as part of a longitudinal observational study. The number of items on the intervention shelf versus general shelf was counted before and after pantry sessions. The total number items available, number items taken, and percentage items taken was tracked, calculated, then compared by section and shelf. Results Clients chose a higher total number of items from the intervention shelf (1987 items) compared to the general shelf (1863 items). The intervention shelf had a higher percentage of items taken per month (32–47%) compared to the general shelf (25–45%); however the percentage items taken from the general shelf increased overtime. There was no clear pattern of choices shown across food sections, suggesting factors other than nutrition impacted food choices. CBPR was a feasible mechanism to develop ideas and create an affordable, realistic, and attractive intervention. Despite this, results may be improved and better sustained with an individual assigned to training and marketing the intervention. Conclusions Findings suggested the initiative may be a feasible intervention to implement into a choice food pantry setting. Food pantry clients chose a higher percentage of diabetes-friendly foods, however further research is needed on identifying further outside factors that influence food choices within this population. Funding Sources The Center for Clinical and Translational Science and Training, Partnership Development Grant.

scholarly journals The Pilot Study of Most Diabetes and Health Friendly Food Pantry Shelves Initiative (P04-015-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Alyssa Fyre ◽  
Dolores Mcmahon ◽  
Melinda Butsch Kovacic ◽  
Seung-Yeon Lee
Keyword(s):  
Chronic Diseases ◽  
Food Choices ◽  
Grocery Store ◽  
Cross Sectional ◽  
Food Pantry ◽  
Partnership Development ◽  
Funding Sources ◽  
Low Sodium ◽  
Canned Vegetables ◽  
Canned Fruit

Abstract Objectives The “Most Diabetes and Health Friendly Shelves” initiative was designed to help choice food pantry clients improve their food choices to prevent or manage diabetes or other diet-related chronic diseases. The objective of this study was to assess perceptions about the initiative and any changes in food choices and shopping behaviors after the initiative was implemented at a choice food pantry. Methods A cross sectional quantitative study was conducted using a self-administered survey. Fifty food pantry clients completed the survey after eight months of implementing the initiative at an urban choice food pantry. The “Most Diabetes and Health Friendly Shelves,”sections of food shelves at a choice food pantry, contained healthier food options and they were marked with green tape and magnets. The goal of the initiative was to facilitate clients to choose healthier food options in an easy and quick way. A poster to introduce the initiative was hung and an education brochure was distributed to clients. The survey was composed of demographics and 47 questions on perceptions about the initiative and food choices and shopping behaviors at the food pantry as well as the grocery store. Descriptive statistics were conducted using SPSS. Results The majority of participants were non-Hispanic white (58%), females (58%). Less than half (44%) had high blood pressure and one-quarter (24%) had diabetes. Most participants (72%) perceived the shelves as helpful in managing or preventing diet related chronic diseases. The poster and brochure were perceived easy/very easy to use (55%, 63%) and understand (78%, 88%), respectively. The most frequently reported food items taken from the shelves included canned vegetables (82%), canned fruit (80%), and beans (74%). Participants reported that they started reading Nutrition Facts labels (44%, 50%) and selecting low-sodium (42%, 34%) or low-sugar options (30%, 22%), whole grain foods (30%, 20%), and fresh produce (36%, 32%) at the pantry and grocery store, respectively, after the implementation of the initiative. Conclusions Findings suggested that most participants were receptive to the “Most Diabetes and Health Friendly Shelves” initiative and it had potential to lead to positive changes in food selections and shopping behaviors in choice food pantry clients. Funding Sources The Center for Clinical and Translational Science and Training, Partnership Development Grant.

scholarly journals “Food Meant Everything to Me, Now Food Is Something I Eat:” Managing Emotions, Perceptions, and Awareness of Food and Eating After Bariatric Surgery

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1356-1356
Author(s):  
Deema Ujayli ◽  
Isabella Quadrini ◽  
Amanda Lynch
Keyword(s):  
Bariatric Surgery ◽  
Emotional Eating ◽  
Beaumont Hospital ◽  
Food Choices ◽  
Theory Approach ◽  
Structured Interviews ◽  
Cognitive Changes ◽  
Funding Sources ◽  
Post Surgery ◽  
Before And After

Abstract Objectives This study explores the cognitive changes made by bariatric surgery patients, focusing on their perceptions of food, the role of food in their lives, and what drives them to make their food choices. Comparing pre-surgery and post-surgery experiences provides insight into the dietary changes that occur as a result of bariatric surgery. Methods Thirty bariatric surgery patients (24 women, 6 men) completed dietary and behavior questionnaires and participated in semi-structured interviews pre-surgery, and at 6 and 12 months post-surgery. Interview questions covered participants’ weight histories, dietary behaviors, perceptions of food, and surgery experiences. Verbatim interview transcripts were coded and analyzed using a constructivist, grounded theory approach. Emergent themes were compared across time points and within each time point to identify patterns of change and common experiences. Results Relationship to food emerged as a multidimensional phenomenon that included emotional eating, beliefs about the function of food and nutrients, and positive or negative perceptions of food. The majority of participants reported emotional eating before surgery. Post-surgery, half of the participants no longer struggled with emotional eating. The four most common emotions that led to eating were stress, depression, boredom, and happiness. The primary theme relating to the function of food was a shift from “living to eat” to “eating to live.” With this shift came an increased awareness and appreciation of food, nutrients, and health. Participants’ perceptions of food and eating were either positive, encompassing feelings of enjoyment, happiness, and/or appreciation, or negative, expressed by feelings of frustration, anxiety, and fear. Perceptions of food were influenced by pre-surgery relationship to food, dieting history, and current contexts. Conclusions Bariatric surgery patients have strong and multifaceted connections to food before and after surgery. Relationship to food impacts food choices as well as the mental effort and energy put forth in making dietary decisions. Understanding these relationships may be an important aspect of post-surgical counseling, particularly for patients experiencing less than ideal weight loss outcomes. Funding Sources Oakland University and William Beaumont Hospital.

scholarly journals Somali, Latino and Hmong parents’ perceptions and approaches about raising healthy-weight children: a community-based participatory research study

2017 ◽  
Vol 21 (6) ◽  
pp. 1079-1093 ◽  
Author(s):  
Chrisa Arcan ◽  
Kathleen A Culhane-Pera ◽  
Shannon Pergament ◽  
Maira Rosas-Lee ◽  
Mai Bao Xiong
Keyword(s):  
Childhood Obesity ◽  
Cultural Identity ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Healthy Children ◽  
Structural Factors ◽  
Healthy Weight ◽  
Healthy Foods ◽  
Traditional Foods ◽  
Community Based

AbstractObjectiveImmigrants in the USA are confronted with health disparities, including childhood obesity and obesity-related chronic diseases. We aimed to identify perceptions of childhood body weight, approaches to raising healthy children and desires for supportive programmes of Somali, Latino and Hmong (SLM) parents in the Twin Cities, Minnesota, USA.DesignUsing community-based participatory research, ten focus groups (FG) were conducted with sixty-seven parents (n 28 Somali, three FG; n 19 Latino, four FG; n 20 Hmong, three FG) of 3–12-year-old children in their native language. Demographic information was collected.ResultsSLM parents perceived that health is not necessarily weight-based; childhood obesity is caused by overeating, eating unhealthy foods and sedentary activities; traditional foods are generally healthy while American foods are generally unhealthy; and healthy children are inherently physically active. Parents identified their goals as feeding children so they would be healthy and happy, helping them be active and safe, and teaching them to cook traditional foods to be self-sufficient and maintain their cultural identity. Parents were challenged by children’s unhealthy food and sedentary preferences, their own uncertainties about healthy foods and behaviours, and structural factors. Parents thought interventions could help them with these challenges, including information about healthy foods, age-appropriate portion sizes, safe places to be active and strategies tailored to their cultural norms.ConclusionsSLM parents are trying to raise healthy-weight children based on their understanding of children’s health, weight, diet and physical activity, while dealing with social, economic and environmental challenges and trying to maintain cultural identity and traditions.

scholarly journals Community-based cooking programme ‘Eat Better Feel Better’ can improve child and family eating behaviours in low socioeconomic groups

2019 ◽  
Vol 74 (2) ◽  
pp. 190-196 ◽  
Author(s):  
Ada Lizbeth Garcia ◽  
Nurie Athifa ◽  
Elizabeth Hammond ◽  
Alison Parrett ◽  
Anne Gebbie-Diben
Keyword(s):  
Food Choices ◽  
Portion Size ◽  
Food Label ◽  
Eating Behaviours ◽  
Community Based ◽  
Low Socioeconomic ◽  
Food Literacy ◽  
Sugary Drinks ◽  
Before And After

BackgroundThe immediate and sustained impacts of the Eat Better Feel Better cooking programme (EBFBCP) on food choices and eating behaviours in families and children were evaluated.MethodsThe EBFBCP (6 weeks, 2 hours/week) was delivered by community-based organisations in Greater Glasgow and Clyde, Scotland. Before, after and at follow-up, parents/caregivers completed short pictorial questionnaires to report family/child eating behaviours and food literacy.ResultsIn total, 83 EBFBCPs were delivered and 516 participants enrolled, of which 432 were parents and caregivers. Questionnaire completion rates were 57% (n=250) for before and after and 13% (n=58) for follow-up. Most participants (80%) were female, 25–44 years old (51%) and considered socioeconomically deprived (80%). The immediate effects of the EBFBCP on eating behaviours and food literacy were families ate less takeaway/fast foods (10% reduction, p=0.019) and ready meals (15% reduction, p=0.003) and cooked more from scratch (20% increase, p<0.001). Children’s consumption of discretionary food/drinks was significantly reduced after the EBFBCP for sugary drinks (10% reduction, p=0.012), savoury snacks (18%, p=0.012), biscuits (17%, p=0.007), sweets/chocolates (23%, p=0.002), fried/roasted potatoes (17%, p<0.001) and savoury pastries (11%, p<0.001). The number of fruit (15%, p=0.008) and vegetable portions (10%, p<0.001) increased, while the number of biscuit portions decreased (13%, p=0.005). Parental food label reading increased (calories, 22%; fat, 23%; sugar, 22%; ingredients, 19%; and portion size, 19%). Most changes were sustained at a median of 10 months’ follow-up.ConclusionThe EBFBCP improved children’s and families’ food choices and behaviours. The EBFBCP can be recommended to support families to make better food choices.

scholarly journals A Pilot Study on the Most Diabetes and Health Friendly Shelves Initiative: A Qualitative Analysis (P04-016-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Dolores Mcmahon ◽  
Alyssa Fyre ◽  
Melinda Butsch Kovacic ◽  
Seung-Yeon Lee
Keyword(s):  
Chronic Diseases ◽  
Eating Behaviors ◽  
Eating Habits ◽  
Positive Impact ◽  
Food Choices ◽  
Sodium Content ◽  
Cross Sectional ◽  
Food Pantry ◽  
Partnership Development ◽  
The Impact

Abstract Objectives The “Most Diabetes and Health Friendly Shelves” initiative was developed to assist choice food pantry clients improve food choices to prevent or manage diabetes or other diet-related chronic conditions. The objective this study was to explore the feasibility and acceptability of the program and its impact on food choices and management of health conditions in food pantry clients and volunteers at an urban food pantry. Methods A cross-sectional qualitative study was conducted using in-depth interviews. Thirteen pantry clients and six pantry volunteers completed the study after 9 months of the initiative beginning. Semi-structured questions were used to explore the overall perceptions of the shelves and the impact of the initiative on shopping and eating habits and diet-related chronic disease management. Interviews were recorded, transcribed, and coded by two researchers independently using NVivo 12. Major themes were identified and summarized. Results More than half of clients interviewed were female (n = 7), with most being Non-Hispanic white (n = 8) or Black American (n = 5). Less than half had high blood pressure (n = 6) and diabetes (n = 3). Most clients favored the shelves due to their convenience and overall appealing design. Significant impacts on food choices and shopping behaviors were identified with the common themes: becoming more selective to healthful foods, more aware of the nutritional value of food specifically sugar and sodium content, and more frequently reading Nutrition Fact labels. Several clients conveyed the positive impact the initiative had on management of their or a family members diabetes. On the contrary, a few clients expressed disinterest due to not having diet-related chronic diseases. Volunteers had positive impressions of the shelves suggesting they have encouraged clients to select healthier items, read Nutrition Facts labels more, and become more aware of diet-related chronic diseases. Conclusions Our findings suggested the initiative was feasible to be implemented and receptive to pantry clients at an urban choice food pantry. In addition, the initiative was shown to help achieve positive changes to shopping and eating behaviors with the possibility of improving the management of diet-related chronic diseases. Funding Sources The Center for Clinical and Translational Science and Training, Partnership Development Grant.

scholarly journals 2187 The role of community in an evolving community-university pilot award program

2018 ◽  
Vol 2 (S1) ◽  
pp. 75-75
Author(s):  
Sarah Wiehe ◽  
Gina E. M. Claxton ◽  
Lisa Staten ◽  
Ann Alley ◽  
Eric Beers ◽  
...  
Keyword(s):  
Rural Areas ◽  
Structural Changes ◽  
Review Process ◽  
Community Based Participatory Research ◽  
Grant Writing ◽  
Pilot Program ◽  
Community Based ◽  
University Partnerships ◽  
Award Program ◽  
Before And After

OBJECTIVES/SPECIFIC AIMS: To fulfill the Indiana Clinical and Translational Sciences Institute’s (Indiana CTSI) Community Health Partnerships’ (CHeP) mission of improving the health of Indiana residents through community-university partnerships, CHeP engaged with community partners to develop and implement a pilot award program for community-based participatory research, the Trailblazer Award (TA). The objective is to describe the engagement processes throughout the pilot program timeline and as the pilot program evolved over the 6-year period since the program started. METHODS/STUDY POPULATION: Though a process of engagement with community stakeholders, we assessed the process for each year of the TA, noting what changes occurred and how they occurred. Engagement for the TA process occurred during the following phases: RFA development, review, active project support, dissemination of project results, and project/partnership follow-up. RESULTS/ANTICIPATED RESULTS: During the RFA development phase, we decided to focus the award on health equity for 5 years; and we implemented structural changes to encourage new partnerships in underrepresented and rural areas. During the review phase, we incorporated both community and university reviewers and co-moderators. To increase capacity among our reviewer pool, we offered webinars and repeated opportunities to serve as reviewers. During the project support phase, we added the following: community-based CITI training; opportunities for networking with peer awardee teams; and community and academic co-led sessions on addressing recruitment barriers, grant writing, and dissemination to a community audiences. Through our active engagement of the CHeP Advisory Board, one Board member (from Indiana State Department of Health) leveraged matching funds for the TA, effectively doubling the number of projects supported each year. DISCUSSION/SIGNIFICANCE OF IMPACT: Whereas previous work has reported on engagement during the review process of pilot award applications, we discuss ways to extend engagement to include other aspects of a pilot program both before and after the review process. In our process, several key partners offered insightful changes that have resulted in a more engaged program.

scholarly journals WIC in Discount Variety Stores (P04-165-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Katelin Hudak ◽  
Rajib Paul ◽  
Shafie Gholizadeh ◽  
Wlodek Zadrozny ◽  
Elizabeth Racine
Keyword(s):  
Low Income ◽  
Moving Average ◽  
Arima Model ◽  
Grocery Store ◽  
Robert Wood Johnson Foundation ◽  
Healthy Foods ◽  
Assistance Program ◽  
Disadvantaged Communities ◽  
Funding Sources ◽  
Nutrition Assistance

Abstract Objectives Many disadvantaged communities lack a full-line grocery store, which decreases the availability of healthy foods, and may contribute to health disparities in low-income populations. One national discount variety store chain (DVS) that is often located in low-income neighborhoods became an authorized vendor in the Special Supplemental Nutrition Assistance Program for Women, Infants and Children (WIC) in 10 pilot stores. The objective of this study was to evaluate how implementing WIC in DVS pilot stores affected sales of healthy, WIC-eligible foods. The second objective was to examine differences by tender type (WIC, SNAP, credit, cash). Methods We used DVS sales data and a differences-in-differences design to evaluate how WIC authorization affected sales of WIC-eligible foods in DVS pilot stores, compared to matched control stores. Differences in sales patterns by tender type was also investigated. Third, an Autoregressive Integrated Moving Average (ARIMA) model was used to assess time trends. Results Preliminary results indicate that becoming a WIC vendor significantly increased sales of healthy, WIC-eligible foods that DVS carried before authorization. Results remain significant while controlling for area demographics and retail competition. Conclusions Authorizing DVS stores to accept WIC benefits has the potential to increase the availability of healthy foods in low-income neighborhoods. If WIC-authorization is financially viable for small format variety stores, encouraging similar, small format variety stores to become WIC-authorized has the potential to improve food access. Funding Sources Robert Wood Johnson Foundation.

scholarly journals Applying Experiential Action Learning Pedagogy to an Intensive Course to Enhance Capacity to Conduct Community-Based Participatory Research

2019 ◽  
Vol 6 (3) ◽  
pp. 168-182 ◽  
Author(s):  
Chris M. Coombe ◽  
Amy J. Schulz ◽  
Wilma Brakefield-Caldwell ◽  
Carol Gray ◽  
J. Ricardo Guzman ◽  
...  
Keyword(s):  
Participatory Research ◽  
Course Design ◽  
Action Learning ◽  
Community Based Participatory Research ◽  
Learning Model ◽  
Course Evaluation ◽  
Learning Approaches ◽  
Community Based ◽  
Partnership Development ◽  
Intensive Course

Community-based participatory research (CBPR) is widely recognized as an effective approach to understand and address health inequities. Opportunities for public health practitioners and researchers to engage jointly with community partners in intensive colearning processes can build capacity for CBPR. Using active learning approaches that engage diverse partners can enhance partnership development, competence, and equity. Examination of such pedagogical approaches can strengthen understanding of their contributions to the effectiveness of CBPR capacity-building programs. This article describes a weeklong intensive course carried out by the Detroit Urban Research Center as the foundation for a yearlong training program to build the capacity of community-academic partnership teams to engage in CBPR in their own communities. The in-person CBPR course was developed and implemented by expert academic and community instructors and used an experiential action learning model that integrated CBPR principles and processes. We describe the course content and application of our collaborative, experiential action learning model to course design; present results from participant evaluation of course effectiveness, CBPR competence, and equitable partnership development; and examine the contributions of the pedagogical approach to outcomes central to successful CBPR. The participatory, formative course evaluation used multiple methods that included closed- and open-ended questionnaires to assess instructional effectiveness, participant competence on 12 core components of CBPR, and course impact on partner relationships. Evaluation findings suggest that an experiential action learning approach with attention to colearning, collaboration among diverse instructors and participants, and an environment that fosters and models equitable and trusting relationships can be effective in building CBPR capacity.

Stakeholder Perspectives on the Stigma of Suicide Attempt Survivors

Crisis ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Lindsay L. Sheehan ◽  
Patrick W. Corrigan ◽  
Maya A. Al-Khouja ◽  
Keyword(s):  
Suicide Attempt ◽  
Health Professionals ◽  
Attempted Suicide ◽  
Community Based Participatory Research ◽  
Public Stigma ◽  
Suicide Method ◽  
Community Based ◽  
Stakeholder Perspectives ◽  
Personal Experiences ◽  
Prejudice And Discrimination

Abstract. Background: Past scholarly efforts to describe and measure the stigma surrounding suicide have largely viewed suicide stigma from the perspective of the general public. Aims: In the spirit of community-based participatory research (CBPR), the current study brought together a diverse stakeholder team to qualitatively investigate the suicide stigma as experienced by those most intimately affected by suicide. Method: Seven focus groups (n = 62) were conducted with suicide attempt survivors, family members of those who died by suicide, and suicide loss therapists. Results: Themes were derived for stereotypes (n = 30), prejudice (n = 3), and discrimination (n = 4). People who attempted suicide were seen as attention-seeking, selfish, incompetent, emotionally weak, and immoral. Participants described personal experiences of prejudice and discrimination, including those with health professionals. Conclusion: Participants experienced public stigma, self-stigma, and label avoidance. Analyses reveal that the stigma of suicide shares similarities with stereotypes of mental illness, but also includes some important differences. Attempt survivors may be subject to double stigma, which impedes recovery and access to care.

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