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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

1
Department of Pediatrics, Center for Child Health and Policy, Case Western Reserve University, 11100 Euclid Avenue MS 6036 Cleveland, OH 44106.
2
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.
3
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.
4
Creating Healthy Communities, Ohio Department of Health, 35 E Chestnut Street, 5th Floor, Columbus, OH 43215.
5
Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, 11000 Cedar Avenue, Cleveland, OH 44106.
6
Department of Population and Quantitative Health Sciences, Case Western Reserve University, 11000 Cedar Avenue, Room 443, Cleveland, OH 44106.

Abstract

BACKGROUND:

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.

METHODS:

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).

RESULTS:

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.

CONCLUSIONS:

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.

KEYWORDS:

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

PMID:
30932209
DOI:
10.1111/josh.12747

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