Chrisinger Benjamin W, Ramos Ana, Shaykis Fred, Martinez Tanya, Banchoff Ann W, Winter Sandra J, King Abby C
Stanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA, United States.
The Food Trust, Philadelphia, PA, United States.
Front Public Health. 2018 Mar 26;6:89. doi: 10.3389/fpubh.2018.00089. eCollection 2018.
Over the last 6 years, a coordinated "healthy corner store" network has helped an increasing number of local storeowners stock healthy, affordable foods in Camden, New Jersey, a city with high rates of poverty and unemployment, and where most residents have little or no access to large food retailers. The initiative's funders and stakeholders wanted to directly engage Camden residents in evaluating this effort to increase healthy food access. In a departure from traditional survey- or focus group-based evaluations, we used an evidence-based community-engaged citizen science research model (called ) that has been deployed in a variety of neighborhood settings to assess how different features of the built environment both affect community health and wellbeing, and empower participants to create change. Employing the model, participants documented neighborhood features in and around Camden corner stores through geo-located photos and audio narratives. Eight adult participants who lived and/or worked in a predefined neighborhood of Camden were recruited by convenience sample and visited two corner stores participating in the healthy corner store initiative (one highly-engaged in the initiative and the other less-engaged), as well as an optional third corner store of their choosing. Facilitators then helped participants use their collected data (in total, 134 images and 96 audio recordings) to identify and prioritize issues as a group, and brainstorm and advocate for potential solutions. Three priority themes were selected by participants from the full theme list ( = 9) based on perceived importance and feasibility: healthy product selection and display, store environment, and store outdoor appearance and cleanliness. Participants devised and presented a set of action steps to community leaders, and stakeholders have begun to incorporate these ideas into plans for the future of the healthy corner store network. Key elements of healthy corner stores were identified as positive, and other priorities, such as improvements to safety, exterior facades, and physical accessibility, may find common ground with other community development initiatives in Camden. Ultimately, this pilot study demonstrated the potential of citizen science to provide a systematic and data-driven process for public health stakeholders to authentically engage community residents in program evaluation.
在过去6年里，一个协调一致的“健康街角商店”网络帮助新泽西州卡姆登市越来越多的当地店主储备健康且价格实惠的食品。卡姆登市贫困率和失业率很高，大多数居民很少或根本无法光顾大型食品零售商。该倡议的资助者和利益相关者希望让卡姆登市居民直接参与评估这项增加健康食品供应的工作。与基于传统调查或焦点小组的评估不同，我们采用了一种基于证据的社区参与式公民科学研究模式（称为 ），该模式已在各种社区环境中应用，以评估建筑环境的不同特征如何既影响社区健康和福祉，又使参与者有能力推动变革。采用该 模式，参与者通过地理位置照片和音频叙述记录了卡姆登街角商店及其周边的社区特征。通过便利抽样招募了8名在卡姆登市预定义社区生活和/或工作的成年参与者，他们走访了两家参与健康街角商店倡议的街角商店（一家积极参与该倡议，另一家参与度较低），以及一家他们选择的可选第三家街角商店。然后，协调人帮助参与者使用他们收集的数据（总共134张图像和96段音频记录），作为一个团队来识别问题并确定优先次序，并集思广益并倡导潜在的解决方案。参与者根据感知到的重要性和可行性从完整的主题列表（ = 9）中选择了三个优先主题：健康产品选择和展示、商店环境以及商店外观和清洁度。参与者为社区领袖制定并提出了一系列行动步骤，利益相关者已开始将这些想法纳入健康街角商店网络的未来规划。健康街角商店的关键要素被确定为积极的，其他优先事项，如安全、外立面和物理可达性的改善，可能会与卡姆登市的其他社区发展倡议找到共同点。最终，这项试点研究证明了公民科学在为公共卫生利益相关者提供一个系统的、数据驱动的过程，以使社区居民真正参与项目评估方面的潜力。
