J Acad Nutr Diet. 2023 Dec;123(12):1749-1762.e2. doi: 10.1016/j.jand.2023.07.024. Epub 2023 Jul 27.
Capacity-oriented approaches have the potential to reduce food insecurity (FI) and promote nutrition and health equity in low-resource settings.
The objective of this study was to identify multilevel capacities in San Diego County, CA that key informants from diverse food- and nutrition-related stakeholder agencies perceived to be helping to address FI.
Trained qualitative interviewers conducted face-to-face, semi-structured interviews (30-60 minutes) with key informants. The Socioecological Model and a capacity-oriented approach informed interview guides.
PARTICIPANTS/SETTING: Participants were key informants (n = 23) from diverse purposively sampled stakeholder agencies (n = 16) providing food or nutrition services and programs across San Diego County. Interviews were conducted between April 2019 and December 2021.
Interviews were audio-recorded, transcribed verbatim, and checked for accuracy. The research team conducted thematic content analysis to identify themes.
Two interrelated themes, within-agency capacities and across-agency partnerships, collectively appeared to influence each individual agency's ability to provide tailored, holistic care to their clients and, thus, expand each agency's reach and impact to address the 4 domains of food security (ie, quantity, quality, psychological, and social). Multilevel (ie, individual, interpersonal, organizational, and macro) within-agency human, social, and cultural capital (eg, volunteers, staff-client relationships, and cultural competency) positively influenced the reach and impact of the individual agencies by enabling them to provide clients with personalized, holistic care. Alongside within-agency capacities, multilevel (ie, interpersonal, organizational, community, and macro levels) across-agency partnerships allowed individual agencies to address FI more effectively and holistically by connecting clients to other services (eg, housing and mental health) related to the circumstances of FI.
In San Diego County, multilevel capacities in the form of within-agency capacities and across-agency partnerships collectively influenced the effectiveness of stakeholder agencies in addressing the 4 domains of FI among at-risk households. Future research should consider how to evaluate the impact of these existing capacities on FI.
以能力为导向的方法有可能减少粮食不安全（FI），并促进资源匮乏环境中的营养和健康公平。
本研究的目的是确定加利福尼亚州圣地亚哥县的多层次能力，这些能力是来自不同食品和营养相关利益攸关方机构的主要信息提供者认为有助于解决 FI 的能力。
经过培训的定性访谈员与圣地亚哥县的主要信息提供者（n=23）进行了面对面、半结构化访谈（30-60 分钟）。社会生态模型和能力导向方法为访谈指南提供了信息。
参与者/设置：参与者是来自不同有目的抽样利益攸关方机构（n=16）的主要信息提供者，这些机构在圣地亚哥县提供食品或营养服务和计划。访谈于 2019 年 4 月至 2021 年 12 月进行。
访谈进行了录音、逐字记录，并检查准确性。研究团队进行了主题内容分析，以确定主题。
两个相互关联的主题，即机构内能力和机构间伙伴关系，共同影响每个机构为客户提供量身定制、全面关怀的能力，从而扩大每个机构的服务范围和影响力，以解决粮食安全的四个领域（即数量、质量、心理和社会）。多层次（即个人、人际、组织和宏观）机构内的人力、社会和文化资本（例如，志愿者、员工-客户关系和文化能力）通过使他们能够为客户提供个性化、全面的关怀，积极影响各个机构的服务范围和影响力。除了机构内能力外，多层次（即人际、组织、社区和宏观层面）的机构间伙伴关系使各个机构能够通过将客户与与粮食不安全相关的其他服务（例如住房和心理健康）联系起来，更有效地全面解决粮食不安全问题。
在圣地亚哥县，以机构内能力和机构间伙伴关系形式存在的多层次能力共同影响了利益攸关方机构在解决高危家庭粮食不安全四个领域方面的有效性。未来的研究应该考虑如何评估这些现有能力对粮食不安全的影响。
