Validation of a Novel Method to Evaluate Community-Based Interventions That Improve Access to Fruits and Vegetables

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Publicado en:International Journal of Environmental Research and Public Health vol. 22, no. 2 (2025), p. 312
Autor principal: Ewald, Louisa
Otros Autores: LeGrand, Kate E, Claire-Lorentz Ugo-Ike, Honeycutt, Sally, Hall, Jennifer L, Gakidou, Emmanuela, Mokdad, Ali H, Roth, Gregory A
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024 7 |a 10.3390/ijerph22020312  |2 doi 
035 |a 3170982142 
045 2 |b d20250101  |b d20251231 
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100 1 |a Ewald, Louisa  |u Institute for Health Metrics and Evaluation, Seattle, WA 98105, USA; <email>louisa13@uw.edu</email> (L.E.); <email>kel15@uw.edu</email> (K.E.L.); <email>gakidou@uw.edu</email> (E.G.); <email>mokdaa@uw.edu</email> (A.H.M.) 
245 1 |a Validation of a Novel Method to Evaluate Community-Based Interventions That Improve Access to Fruits and Vegetables 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Background: Current evaluation tools are inadequate for assessing the impact of small-scale interventions, such as farmer’s markets or community meal programs, on fruit and vegetable consumption. This study analyzes the pilot data of a novel tool designed to evaluate community-based programs’ impact on fruit and vegetable consumption. Our research addresses the gap in effective evaluation methods for dietary behaviors within underserved populations. Methods: The survey tool was developed through a participatory research approach involving interest holders and community members. We conducted a pilot survey across four community-based programs, validated the findings, and compared them against the data from the Behavioral Risk Factor Surveillance System. Results: This pilot survey demonstrated a high completion rate of 98.2%. Notably, 62.5% of respondents reported an increased consumption of fruits and vegetables since participating in the programs and cited cost, time, and accessibility as primary barriers to healthy eating. There is a strong, though not significant, correlation of 0.876 (p = 0.12) between the pilot data of prevalence of daily fruit and vegetable consumption and the national average. Conclusion: Our findings suggest the survey tool effectively captures dietary behaviors and the influence of community-based programs. Further research is required to enhance its applicability in diverse settings and extend robust impact evaluation methods for these programs. 
651 4 |a United States--US 
651 4 |a California 
653 |a Food security 
653 |a Research methodology 
653 |a Validity 
653 |a Participatory research 
653 |a Health care 
653 |a Participation 
653 |a Questionnaires 
653 |a Public health 
653 |a Design 
653 |a Community 
653 |a Fruits 
653 |a Vegetables 
700 1 |a LeGrand, Kate E  |u Institute for Health Metrics and Evaluation, Seattle, WA 98105, USA; <email>louisa13@uw.edu</email> (L.E.); <email>kel15@uw.edu</email> (K.E.L.); <email>gakidou@uw.edu</email> (E.G.); <email>mokdaa@uw.edu</email> (A.H.M.) 
700 1 |a Claire-Lorentz Ugo-Ike  |u American Heart Association, Dallas, TX 75231, USA; <email>claire.ugo-ike@heart.org</email> (C.-L.U.-I.); <email>sally.honeycutt@heart.org</email> (S.H.); <email>jennifer.hall@heart.org</email> (J.L.H.) 
700 1 |a Honeycutt, Sally  |u American Heart Association, Dallas, TX 75231, USA; <email>claire.ugo-ike@heart.org</email> (C.-L.U.-I.); <email>sally.honeycutt@heart.org</email> (S.H.); <email>jennifer.hall@heart.org</email> (J.L.H.) 
700 1 |a Hall, Jennifer L  |u American Heart Association, Dallas, TX 75231, USA; <email>claire.ugo-ike@heart.org</email> (C.-L.U.-I.); <email>sally.honeycutt@heart.org</email> (S.H.); <email>jennifer.hall@heart.org</email> (J.L.H.) 
700 1 |a Gakidou, Emmanuela  |u Institute for Health Metrics and Evaluation, Seattle, WA 98105, USA; <email>louisa13@uw.edu</email> (L.E.); <email>kel15@uw.edu</email> (K.E.L.); <email>gakidou@uw.edu</email> (E.G.); <email>mokdaa@uw.edu</email> (A.H.M.) 
700 1 |a Mokdad, Ali H  |u Institute for Health Metrics and Evaluation, Seattle, WA 98105, USA; <email>louisa13@uw.edu</email> (L.E.); <email>kel15@uw.edu</email> (K.E.L.); <email>gakidou@uw.edu</email> (E.G.); <email>mokdaa@uw.edu</email> (A.H.M.) 
700 1 |a Roth, Gregory A  |u Institute for Health Metrics and Evaluation, Seattle, WA 98105, USA; <email>louisa13@uw.edu</email> (L.E.); <email>kel15@uw.edu</email> (K.E.L.); <email>gakidou@uw.edu</email> (E.G.); <email>mokdaa@uw.edu</email> (A.H.M.) 
773 0 |t International Journal of Environmental Research and Public Health  |g vol. 22, no. 2 (2025), p. 312 
786 0 |d ProQuest  |t Health & Medical Collection 
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