Identifying Barriers to and Facilitators of Using a Mobile Fruit and Vegetable Market Intervention Delivered to Low-Income Housing Sites: A Concept Mapping Study.

Identifying Barriers to and Facilitators of Using a Mobile Fruit and Vegetable Market Intervention Delivered to Low-Income Housing Sites: A Concept Mapping Study.
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DOI:
10.1177/1090198121998287
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发表时间:
2022-03
期刊:
Health education & behavior : the official publication of the Society for Public Health Education
影响因子:
--
通讯作者:
Gans K
Gans K
中科院分区:
其他
文献类型:
--
作者:
Dulin A;Mealy R;Whittaker S;Cardel M;Wang J;Risica PM;Gans K

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流动水果和蔬菜(F&V)市场可能是在低收入和种族/少数民族群体中提高F&V摄入量的一个有前途的战略。然而,在最大限度地扩大这类市场的触角和利用方面仍然存在挑战。因此,这项研究确定了居住在接受市场的低收入住房中的居民对使用移动F&V市场的感知障碍和促进者。具体地说,本文报告了“活得好,生活得好”(LWVB)干预措施的后续可接受性研究结果。我们与收到Fresh to You(FTY)市场的住房社区的居民进行了概念图绘制。参与者生成、分类和评级有关市场使用的障碍和促进者的声明。我们根据居民的市场利用水平比较了评级数据,并创建了一张地图,展示了陈述如何聚集成概念主题。我们保留了66个独特的参与者生成的陈述。出现了8个专题组;4个与障碍有关:财务/促销、与生产有关的、日程安排/知识和后勤/认识障碍,4个与促进者有关:生产/人员配置、促销、可获得性和多层次市场促进者。在更频繁地在市场购物与不经常在市场购物的参与者之间,评级存在很强的相关性(r=0.94)。与会者认为,资金障碍、市场推广、市场准入难易程度、产品品种和质量以及人员配置是影响FTY市场使用的关键因素。这项研究强调了在目标人群中确定移动F&V市场使用的感知障碍和促进者的重要性,以便为未来扩大此类方法的努力提供信息。
Mobile fruit and vegetable (F&V) markets may be a promising strategy to improve F&V intake among low-income and racial/ethnic minority groups. However, challenges remain in terms of maximizing the reach and utilization of such markets. Therefore, this study identifies perceived barriers to and facilitators of utilizing a mobile F&V market among residents who lived in low-income housing that received the markets. Specifically, this article reports the results of the follow-up acceptability study of the “Live Well, Viva Bien” (LWVB) intervention. We conducted concept mapping with residents in housing communities that received the Fresh to You (FTY) markets. Participants generated, sorted, and rated statements concerning barriers to and facilitators of market use. We compared the rating data by residents’ level of market utilization and created a map representing how statements clustered into conceptual themes. We retained 66 unique participant-generated statements. Eight thematic clusters emerged; four pertained to barriers: financial/promotion, produce-related, scheduling/knowledge, and logistic/awareness barriers, and four related to facilitators: produce/staffing, promotion, accessibility, and multilevel market facilitators. There was a strong correlation in ratings between participants who more frequently versus less frequently shopped at the markets (r = 0.94). Participants identified financial barriers, market promotion, ease of market accessibility, produce variety and quality, and staffing as key factors influencing FTY market use. This study highlights the importance of identifying the perceived barriers to and facilitators of mobile F&V market use among target populations to inform future efforts to scale up such approaches.
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作者:
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