Feasibility of a farm-to-WIC intervention
Feasibility of a farm-to-WIC intervention
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DOI：
10.1017/s1368980019001976
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发表时间：
2019-12-01
影响因子：
3.2
通讯作者：
Abuhadba, Lina
中科院分区：
文献类型：
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作者：
Di Noia, Jennifer;Monica, Dorothy;Abuhadba, Lina
目的：考察以wci为基础的农贸市场、营养教育、配方示范和品尝、发放等干预措施是否可以按计划实施，以及接受者是否接受该计划。此外，研究人员还调查了该地点的水果和蔬菜（F&V）的可得性、品种和价格，以及农贸市场营养计划代金券兑换率（相对于其他14个WIC机构地点的兑换率）。设计：采用现场数据评价方案实施情况。通过参与者数据评估可接受性。背景：位于新泽西州的大型城市WIC（妇女、婴儿和儿童特殊补充营养计划）机构。参与者：54名在市场上购买食品和饮料的女性。结果：利益相关者沟通和协调的差距，中午售罄的F&V和人员配备水平影响了实施的保真度。市场上平均每天有12种（sd 3）食品和饮料可供选择（总共25种独特的食品和饮料）。在19种商品中，有13种商品的价格低于当地农贸市场。有市场网站的代金券兑换率（46%）高于其他14个网站的代金券兑换率（39%,P < 0中心点01）。在7分制中，对该计划的平均满意度为6分9分（sd为0分6分）。所有的参与者都表示，由于位置方便，食品和饮料的质量以及工作人员的乐于助人，他们有意再次在市场上购买食品和饮料。建议提高F&V的利用率和品种。结论：通过改善利益相关者的沟通和协调，F&V的可用性和多样性，以及人员配备，干预是可行的。
Objective: To examine whether an intervention consisting of a WIC-based farmers' market, nutrition education, recipe demonstrations and tastings, and handouts could be implemented as intended and the acceptability of the programme to recipients. The availability, variety and prices of fruits and vegetables (F&V) and the Farmers' Market Nutrition Program voucher redemption rate at the site with market (relative to the rate among fourteen other WIC agency sites) also were examined. Design: Site-level data were used to evaluate programme implementation. Acceptability was assessed with participant data. Setting: A large, New Jersey-based, urban WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) agency. Participants: Fifty-four women who purchased F&V at the market. Results: Gaps in stakeholder communication and coordination, F&V selling out by midday and staffing levels affected implementation fidelity. On average, 12 (sd 3) F&V were available daily at the market (twenty-five unique F&V in total). For thirteen of nineteen items, prices were lower at the WIC-based market than area farmers' markets. The voucher redemption rate at the site with the market (46 %) was higher than the rate among the fourteen other sites (39 %; P < 0 center dot 01). The mean rating of satisfaction with the programme was 6 center dot 9 (sd 0 center dot 6) on a 7-point scale. All participants reported intending to purchase F&V again at the market, owing to the convenient location, quality of the F&V and helpfulness of the staff. Improving F&V availability and variety were recommended. Conclusions: The intervention is feasible with improved stakeholder communication and coordination, F&V availability and variety, and staffing.