Send to

Choose Destination
J Sch Health. 2019 May;89(5):373-381. doi: 10.1111/josh.12747.

Identifying Indicators of Readiness and Capacity for Implementing Farm-to-School Interventions.

Author information

Department of Pediatrics, Center for Child Health and Policy, Case Western Reserve University, 11100 Euclid Avenue MS 6036 Cleveland, OH 44106.
College of Food, Agricultural, and Environmental Sciences, Ohio State University Extension, The Ohio State University, 219C Parker Food Science and Technology Building, 2015 Fyffe Court, Columbus, OH 43210.
Ohio SNAP-Ed, College of Food and Environmental Sciences & Education and Human Ecology, OSU Extension and Human Sciences, 315 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210.
Creating Healthy Communities, Ohio Department of Health, 35 E Chestnut Street, 5th Floor, Columbus, OH 43215.
Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, 11000 Cedar Avenue, Cleveland, OH 44106.
Department of Population and Quantitative Health Sciences, Case Western Reserve University, 11000 Cedar Avenue, Room 443, Cleveland, OH 44106.



Farm-to-school interventions are recommended strategies to improve dietary behaviors among school-aged children. Tools are needed to assess community readiness and capacity to optimize farm-to-school implementation. The objective of this study was to identify and prioritize factors to inform tailored farm-to-school implementation by practitioners working in diverse contexts.


Practitioners and community residents (N = 194) participated in semistructured interviews (N = 18) and focus groups (N = 23). Thematic analysis was conducted to identify themes and subthemes influencing farm-to-school implementation. The subthemes were operationalized into measureable indicators. The themes and their associated indicators were prioritized through a consensus conference with an expert panel (N = 18).


The qualitative data analysis and consensus conference yielded 4 themes and 17 indicators associated with community readiness and capacity to implement farm-to-school. The themes represent school capacity, networks and relationships, organizational and practitioner capacity, and community resources and motivations.


Findings highlight a range of indicators of community readiness and capacity needed to support farm-to-school implementation. Results offer guidance for tailoring intervention delivery based on levels of community, school, practitioner, and organizational readiness and capacity.


childhood obesity; community readiness; farm-to-school; fruit and vegetable consumption; healthy nutrition; nutrition education


Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center