Liew Yin, Brown Leanne J, Madden Renaye, Alston Laura, Urquhart Lisa, Heaney Susan, Schumacher Tracy
School of Health Sciences, University of Newcastle, Callaghan, New South Wales, Australia.
Department of Rural Health, University of Newcastle, Tamworth, New South Wales, Australia.
Curr Nutr Rep. 2025 Jun 28;14(1):87. doi: 10.1007/s13668-025-00674-9.
Rural communities experience higher rates of adverse health outcomes compared to their urban counterparts, and involving community members in intervention design and implementation is increasingly recognized as a pivotal factor in fostering successful intervention outcomes. This review aims to synthesize the evidence on rural food environment modifications globally, and to understand the role and involvement of community members in these interventions. Eligible records were dated between 1st January 2011 and 6th September 2024. Two independent reviewers conducted screening, quality assessment, and data extraction. Studies were included if they addressed a food environment, described food environment modifications, indicated community involvement, were based in regional or rural areas and published in English. The Mixed Methods Appraisal Tool was used to assess the risk of bias. Results were reported as a narrative synthesis.
Thirty-three studies were eligible for inclusion following appraisal of full texts, comprised of 46 reports. Of these, 12 studies (16 reports) focused on First Nations populations and will be reported separately, due to the complex and sensitive nature of engaging with these communities. Therefore, 21 studies (30 reports) were included in this review. Study designs were heterogenous. Restaurants, supermarkets and schools were a common focus for modifications, while some programs simultaneously targeted several food environments. However, community involvement was inconsistently reported across studies, making conclusions about involvement difficult.
Standardized reporting of the involvement of community members is needed to ensure systematic and authentic approaches to community involvement are integrated into rural public health interventions and research to enhance success.
Prospero; CRD42023400455.
The online version contains supplementary material available at 10.1007/s13668-025-00674-9.
与城市社区相比，农村社区的不良健康结局发生率更高，让社区成员参与干预设计和实施越来越被视为取得成功干预结果的关键因素。本综述旨在综合全球范围内关于农村食物环境改善的证据，并了解社区成员在这些干预措施中的作用和参与情况。纳入的记录时间为2011年1月1日至2024年9月6日。两名独立评审员进行筛选、质量评估和数据提取。如果研究涉及食物环境、描述了食物环境改善、表明有社区参与、基于地区或农村地区且以英文发表，则纳入研究。使用混合方法评估工具评估偏倚风险。结果以叙述性综述的形式呈现。
在对全文进行评估后，有33项研究符合纳入标准，共46份报告。其中，12项研究（16份报告）聚焦于原住民群体，由于与这些社区合作的性质复杂且敏感，将单独报告。因此，本综述纳入了21项研究（30份报告）。研究设计多种多样。餐馆、超市和学校是常见的改善重点，而一些项目同时针对多个食物环境。然而，各研究中对社区参与的报告并不一致，难以就参与情况得出结论。
需要对社区成员的参与情况进行标准化报告，以确保将系统且真实的社区参与方法纳入农村公共卫生干预措施和研究中，从而提高成功率。
国际系统评价注册库（Prospero）；注册号CRD42023400455。
在线版本包含补充材料，可在10.1007/s13668-025-00674-9获取。
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