Mary Ann Swetland Center for Environmental Health, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
J Nutr Sci. 2023 Jul 19;12:e81. doi: 10.1017/jns.2023.64. eCollection 2023.
The Supplemental Nutrition Assistance Program-Education identified food pantries as a targeted setting for policy, system, and environmental (PSE) interventions to promote healthy eating among households who rely on pantries to supplement their food needs. The present study sought to identify factors influencing capacity and readiness to implement healthy eating PSE interventions in food pantries. Qualitative interviews were conducted via zoom with twenty-six community residents with experience receiving SNAP benefits and twelve SNAP-Ed staff in rural and urban counties in Ohio to identify themes and indicators related to community/organisational capacity and readiness to implement healthy eating PSE interventions in food pantries. Themes and related indicators generated based on inductive and deductive coding of interview transcripts were prioritised and weighted by eleven community nutrition experts during a virtual consensus conference. Five themes emerged; expert-derived weights (scaled low, 0 to high, 1) reflect the perceived importance of each to implementation of healthy eating PSE interventions in food pantries: food pantry capacity and logistics [0⋅252], networks and relationships [0⋅228], community nutrition practitioner capacity [0⋅212], food pantry user characteristics [0⋅156], and stigma and stereotypes [0⋅1⋅52]. Overall, seventeen indicators were identified reflecting these themes. Successful and sustained PSE interventions at food pantries will require a tailored approach that considers food pantries' capacity, needs and opportunities within the community, and capacity of community nutrition practitioners. The themes and indicators identified provide guidance for responsive PSE approaches in food pantries that meet communities where they are.
补充营养援助计划-教育确定食品储藏室为政策、系统和环境（PSE）干预的目标场所，以促进依靠储藏室来补充食物需求的家庭健康饮食。本研究旨在确定影响食品储藏室实施健康饮食 PSE 干预能力和准备情况的因素。通过 zoom 对俄亥俄州农村和城市县的 26 名有接受 SNAP 福利经验的社区居民和 12 名 SNAP-Ed 工作人员进行了定性访谈，以确定与社区/组织实施食品储藏室健康饮食 PSE 干预能力和准备情况相关的主题和指标。根据访谈记录的归纳和演绎编码生成主题和相关指标，并在虚拟共识会议上由 11 名社区营养专家对其进行优先排序和加权。五个主题出现；专家衍生权重（低至高，0 至 1）反映了它们对食品储藏室实施健康饮食 PSE 干预的重要性：食品储藏室能力和物流[0.252]、网络和关系[0.228]、社区营养从业者能力[0.212]、食品储藏室用户特征[0.156]和耻辱和刻板印象[0.1⋅52]。总体而言，确定了十七个反映这些主题的指标。要在食品储藏室成功实施和持续开展 PSE 干预，需要采取一种量身定制的方法，考虑到食品储藏室在社区中的能力、需求和机会，以及社区营养从业者的能力。确定的主题和指标为在满足社区需求的食品储藏室中实施响应式 PSE 方法提供了指导。
