Kasprzak Christina M, Lally Anne E, Schoonover Julia J, Gallicchio Deanna, Haynes-Maslow Lindsey, Vermont Leah N, Ammerman Alice S, Raja Samina, Tumiel-Berhalter Laurene, Tirabassi Jill N, Leone Lucia A
Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, USA.
Department of Anthropology, The College of Arts and Sciences, University at Buffalo, Buffalo, USA.
BMC Public Health. 2022 Apr 16;22(1):776. doi: 10.1186/s12889-022-13207-8.
Mobile produce markets are becoming an increasingly prevalent, accepted, and effective strategy for improving fruit and vegetable (F&V) access and consumption across underserved and lower-income communities. However, there is limited published research on mobile market operations. The goal of this research is to identify the challenges mobile markets face and ways to potentially mitigate those challenges. We will also discuss implications of our findings for future implementation of evidence-based food access interventions.
We conducted 21 semi-structured key informant (KI) interviews to assess common practices of mobile market organizations that had been operating for 2 + years. We asked KIs about their organizational structure, operations, procurement and logistics, evaluation efforts, marketing and community engagement, success and challenges. A primary qualitative analysis involved deductive coding using qualitative software. A secondary qualitative analysis identified subthemes related to common challenges and remedial practices. A deductive coding process was applied to match identified challenges to the appropriate Consolidated Framework for Implementation Research (CFIR).
The leading challenges cited by KIs correspond to the CFIR domains of inner setting (e.g., funding and resources), outer setting (e.g., navigating regulations), and process (e.g., engaging community partnership). Practices that may mitigate challenges include maximizing ancillary services, adopting innovative volunteer and staffing structures, and formalizing agreements with community partners.
Common and persistent challenges ought to be addressed to ensure and enhance the positive public health impacts of mobile produce markets. Contextual factors, particularly organizational factors, that impact implementation should also be considered when implementing an evidence-based intervention at a mobile market. Further research is needed to determine which innovative solutions are the most effective in mitigating challenges, improving implementation, and enhancing sustainability of mobile markets.
移动农产品市场正日益成为一种普遍、被认可且有效的策略，用于改善服务不足和低收入社区的水果和蔬菜（F&V）获取与消费情况。然而，关于移动市场运营的已发表研究有限。本研究的目的是确定移动市场面临的挑战以及潜在缓解这些挑战的方法。我们还将讨论研究结果对基于证据的食品获取干预措施未来实施的影响。
我们进行了21次半结构化关键信息提供者（KI）访谈，以评估运营超过2年的移动市场组织的常见做法。我们询问关键信息提供者有关其组织结构、运营、采购与物流、评估工作、营销与社区参与、成功与挑战等方面的情况。初步定性分析涉及使用定性软件进行演绎编码。二次定性分析确定了与常见挑战和补救措施相关的子主题。应用演绎编码过程将已识别的挑战与适当的实施研究综合框架（CFIR）相匹配。
关键信息提供者提到的主要挑战对应于CFIR的内部环境（如资金和资源）、外部环境（如应对法规）和过程（如建立社区伙伴关系）等领域。可能缓解挑战的做法包括最大化辅助服务、采用创新的志愿者和人员配置结构以及与社区伙伴正式达成协议。
应解决常见且持续存在的挑战，以确保并增强移动农产品市场对公众健康的积极影响。在移动市场实施基于证据的干预措施时，还应考虑影响实施的背景因素，特别是组织因素。需要进一步研究以确定哪些创新解决方案在缓解挑战、改善实施和增强移动市场可持续性方面最有效。
