Loyola Stritch School of Medicine, Maywood, IL, USA.
Am J Health Promot. 2024 May;38(4):522-527. doi: 10.1177/08901171241233094. Epub 2024 Feb 12.
The purpose of this study was to explore a food-insecure, low income, predominantly African American community's experiences with a produce prescription program (PPP).
Researchers conducted 3 focus groups and 4 individual interviews with Maywood Veggie Rx (VRxM) participants asking questions about the logistics of the program while also exploring ideas around health, food, and community.
This produce prescription program took place in Maywood, Illinois which is an urban underserved community with 23.5 K people, most of whom are Black/African American (61%) and Hispanic (32%).
The 24 participants interviewed through focus groups and individual interviews were enrolled in the 2021-2022 VRxM program. Participants were mainly female, with only three participants being males. Ages ranged between 34 and 74 years of age with a mean age of 56.3.
Qualitative data from transcripts were then coded via a grounded theory approach to identify common themes.
A research team of seven including the two Co-PIs, three medical students and two dietetic interns identified 278 codes which were then condensed into 117 codes and then placed into 9 categories. Researchers identified three recurrent themes among the experiences of VRxM participants: (1) trust building, (2) culturally relevant and adaptive nutrition education, and (3) bidirectional feedback. These three themes mirror many of the principles of Community Based Participatory Research (CBPR).
The study findings identify common themes among the experiences of VRxM which are in line with the collaborative approach of CBPR principles. Produce Prescription Programs should utilize CBPR principles in the creation and implementation of programming to improve the participant experience. Future research should include additional focus groups on new iterations of VRxM and should also include those people who chose not to participate in VRxM to explore barriers to participation.
本研究旨在探讨一个面临粮食不安全、收入较低、以非裔美国人为主的社区参与农产品处方计划(PPP)的经历。
研究人员对 24 名参加梅伍德蔬菜 Rx(VRxM)计划的参与者进行了 3 次焦点小组和 4 次个人访谈,询问了有关该计划后勤的问题,同时探讨了与健康、食品和社区相关的想法。
该农产品处方计划在伊利诺伊州的梅伍德进行,这是一个城市服务不足的社区,人口为 23.5 万,其中大多数是非裔美国人(61%)和西班牙裔(32%)。
通过焦点小组和个人访谈进行访谈的 24 名参与者参加了 2021-2022 年的 VRxM 计划。参与者主要是女性,只有 3 名参与者是男性。年龄在 34 岁至 74 岁之间,平均年龄为 56.3 岁。
对来自转录本的定性数据进行了扎根理论方法的编码,以确定共同的主题。
包括两名共同负责人、三名医学生和两名饮食实习生在内的一个七人研究团队确定了 278 个代码,然后将这些代码浓缩为 117 个代码,并将其分为 9 个类别。研究人员在 VRxM 参与者的经历中发现了三个反复出现的主题:(1)建立信任,(2)具有文化相关性和适应性的营养教育,以及(3)双向反馈。这三个主题反映了社区参与式研究(CBPR)的许多原则。
研究结果确定了 VRxM 参与者经历中的共同主题,这些主题与 CBPR 原则的协作方法一致。农产品处方计划应在创建和实施计划时利用 CBPR 原则,以改善参与者的体验。未来的研究应包括对新的 VRxM 迭代的额外焦点小组,并应包括那些选择不参加 VRxM 的人,以探讨参与障碍。