Lee Ryan M, Rothstein Jessica D, Gergen Jessica, Zachary Drew A, Smith Joyce C, Palmer Anne M, Gittelsohn Joel, Surkan Pamela J
Johns Hopkins University, Baltimore, MD, USA Johns Hopkins Center for a Livable Future, Baltimore, MD, USA.
Johns Hopkins University, Baltimore, MD, USA.
Health Promot Pract. 2015 Nov;16(6):849-58. doi: 10.1177/1524839915599359. Epub 2015 Aug 21.
Supermarket-based interventions are one approach to improving the local food environment and reducing obesity and chronic disease in low-income populations. We implemented a multicomponent intervention that aimed to reduce environmental barriers to healthy food purchasing in a supermarket in Southwest Baltimore. The intervention, Eat Right-Live Well! used: shelf labels and in-store displays promoting healthy foods, sales and promotions on healthy foods, in-store taste tests, increasing healthy food products, community outreach events to promote the intervention, and employee training. We evaluated program implementation through store environment, taste test session, and community event evaluation forms as well as an Employee Impact Questionnaire. The stocking, labeling, and advertising of promoted foods were implemented with high and moderate fidelity. Taste test sessions were implemented with moderate reach and low dose. Community outreach events were implemented with high reach and dose. Supermarket employee training had no significant impact on employees' knowledge, self-efficacy, or behavioral intention for helping customers with healthy purchasing or related topics of nutrition and food safety. In summary, components of this intervention to promote healthy eating were implemented with varying success within a large supermarket. Greater participation from management and employees could improve implementation.
基于超市的干预措施是改善当地食品环境、减少低收入人群肥胖和慢性病的一种方法。我们实施了一项多成分干预措施，旨在减少巴尔的摩西南部一家超市中购买健康食品的环境障碍。这项名为“正确饮食，健康生活！”的干预措施包括：用于推广健康食品的货架标签和店内展示、健康食品的促销活动、店内试吃、增加健康食品种类、开展社区外展活动以推广该干预措施以及员工培训。我们通过商店环境、试吃活动和社区活动评估表以及一份员工影响调查问卷来评估项目实施情况。推广食品的上架、标签标注和广告宣传的实施程度较高且适中。试吃活动的覆盖范围适中但参与度较低。社区外展活动的覆盖范围和参与度都很高。超市员工培训对员工在帮助顾客进行健康采购或营养与食品安全相关主题方面的知识、自我效能感或行为意图没有显著影响。总之，这项促进健康饮食的干预措施的各个组成部分在一家大型超市内的实施效果各不相同。管理层和员工更多的参与可能会改善实施情况。
