Strazza K, Jordan J, Ferriola-Bruckenstein K, Kane H, Whitehill J, Teachout E, Yarnoff B. Approaches for Implementing Healthy Food Interventions in Settings With Limited Resources: A Case Study of Sodium Reduction Interventions in
Emergency Food Programs Addressing Food Insecurity.
Am J Health Promot 2022;
36:487-496. [PMID:
34860600 PMCID:
PMC9297099 DOI:
10.1177/08901171211056121]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE
This study describes how recipients of the Centers for Disease Control and Prevention funded Sodium Reduction in Communities Program (SRCP) worked with emergency food programs to improve access to healthy food to address chronic conditions.
DESIGN
SRCP recipients partnered with emergency food programs to implement sodium reduction strategies including nutrition standards, procurement practices, environmental strategies, and behavioral economics approaches.
SETTING
SRCP recipients and emergency food programs in Washington County and Benton County, Arkansas and King County, Washington.
SUBJECTS
SRCP recipient staff, emergency food program staff, and key stakeholders.
MEASURES
We conducted semi-structured interviews with key stakeholders and systematic review of program documents.
ANALYSIS
Data were analyzed using effects matrices for each recipient. Matrices were organized using select implementation science constructs and compared in a cross-case analysis.
RESULTS
Despite limited resources, emergency food programs can implement sodium reduction interventions which may provide greater access to healthy foods and lead to reductions in health disparities. Emergency food programs successfully implemented sodium reduction interventions by building on the external and internal settings; selecting strategies that align with existing processes; implementing change incrementally and engaging staff, volunteers, and clients; and sustaining changes.
CONCLUSION
Findings contribute to understanding the ways in which emergency food programs and other organizations with limited resources have implemented public health nutrition interventions addressing food insecurity and improving access to healthy foods. These strategies may be transferable to other settings with limited resources.
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