The Experts below are selected from a list of 7665 Experts worldwide ranked by ideXlab platform
Darcy A Freedman - One of the best experts on this subject based on the ideXlab platform.
-
consensus modeling to develop the Farmers Market readiness assessment and decision instrument
Translational behavioral medicine, 2017Co-Authors: Jarrod E Dalton, David Ngendahimana, Pat Bebo, Ashley Davis, Daniel Remley, Carol Smathers, Darcy A FreedmanAbstract:Nutrition-related policy, system, and environmental (PSE) interventions such as Farmers’ Markets have been recommended as effective strategies for promoting healthy diet for chronic disease prevention. Tools are needed to assess community readiness and capacity factors influencing successful Farmers’ Market implementation among diverse practitioners in different community contexts. We describe a multiphase consensus modeling approach used to develop a diagnostic tool for assessing readiness and capacity to implement Farmers’ Market interventions among public health and community nutrition practitioners working with low-income populations in diverse contexts. Modeling methods included the following: phase 1, qualitative study with community stakeholders to explore facilitators and barriers influencing successful implementation of Farmers’ Market interventions in low-income communities; phase 2, development of indicators based on operationalization of qualitative findings; phase 3, assessment of relevance and importance of indicators and themes through consensus conference with expert panel; phase 4, refinement of indicators based on consensus conference; and phase 5, pilot test of the assessment tool. Findings illuminate a range of implementation factors influencing Farmers’ Market PSE interventions and offer guidance for tailoring intervention delivery based on levels of community, practitioner, and organizational readiness and capacity.
-
Farmers Market use patterns among supplemental nutrition assistance program recipients with high access to Farmers Markets
Journal of Nutrition Education and Behavior, 2017Co-Authors: Darcy A Freedman, Erika S Trapl, Punam Ohrivachaspati, Susan A Flocke, En Jung Shon, Kristen Matlack, Amanda Osborne, Elaine A BorawskiAbstract:Abstract Objective Evaluate Farmers' Market (FM) use patterns among Supplemental Nutrition Assistance Program (SNAP) recipients. Design Cross-sectional survey administered June to August, 2015. Setting Cleveland and East Cleveland, OH. Participants A total of 304 SNAP recipients with children. Participants lived within 1 mile of 1 of 17 FMs. Most were African American (82.6%) and female (88.1%), and had received SNAP for ≥5 years (65.8%). Main Outcome Measures Patterns of FM shopping, awareness of FM near home and of healthy food incentive program, use of SNAP to buy fruits and vegetables and to buy other foods at FMs, receipt of healthy food incentive program. Analysis Two-stage cluster analysis to identify segments with similar FM use patterns. Bivariate statistics including chi-square and ANOVA to evaluate main outcomes, with significance at P ≤ .05. Results A total of 42% reported FM use in the past year. Current FM shoppers (n = 129) were segmented into 4 clusters: single Market, public Market, multiple Market, and high frequency. Clusters differed significantly in awareness of FM near home and the incentive program, use of SNAP to buy fruit and vegetables at FMs, and receipt of incentive. Conclusions and Implications Findings highlight distinct types of FM use and had implications for tailoring outreach to maximize first time and repeat use of FMs among SNAP recipients.
-
systematic review of factors influencing Farmers Market use overall and among low income populations
Journal of the Academy of Nutrition and Dietetics, 2016Co-Authors: Darcy A Freedman, Nicole Vaudrin, Christine Schneider, Erika S Trapl, Punam Ohrivachaspati, Morgan Taggart, Ariel M Cascio, Colleen C Walsh, Susan A FlockeAbstract:Abstract Background Recent evidence indicates a widening gap in fruit and vegetable (F/V) consumption between high- and low-income Americans. This gap is related, in part, to decreased access to food retailers that sell fresh F/V in low-income communities. Farmers' Markets are identified as a strategy for improving F/V consumption by increasing access to these foods. Objectives The aim of this systematic review was to examine literature published from 1994 to 2014 to identify facilitators and barriers of Farmers' Markets use, particularly among low-income consumers. Design Peer-reviewed literature was identified in Ebsco Host (Academic Search Complete). Inclusion criteria for abstract review was primary research focused on Farmers' Market use identifying 87 studies for full-text review. Full-text review identified articles focused on facilitators and/or barriers of Farmers' Market use resulting in 49 articles. At least two reviewers completed review of all articles. Results Of the 49 articles, 39% specified inclusion of low-income consumers and fewer than 15% focused on racial and ethnic minorities. Few studies were guided by theory and/or used standardized metrics. Results indicate Farmers' Market use is influenced by multiple economic, service delivery, spatial-temporal, social, and personal factors. Among studies that included low-income populations (n=19), key barriers to Farmers' Market use were perceptions that food assistance benefits were not accepted, belief that food variety at Farmers' Markets was limited, lack of access to transportation, lack of racial/ethnic diversity in the Market space, and mismatch between Markets and personal lifestyles. There is wide variation in study design and reporting standards and infrequent use of standardized measures limiting comparisons across studies. Conclusions There is a need to establish valid and reliable metrics and reporting standards for evaluating Farmers' Markets. Findings may inform interventions, programs, and policies to promote Farmers' Market use.
-
identifying emergent social networks at a federally qualified health center based Farmers Market
American Journal of Community Psychology, 2014Co-Authors: Kassandra A Alia, Darcy A Freedman, Heather M Brandt, Teri BrowneAbstract:Identifying potential mechanisms connecting Farmers’ Market interventions with health, economic, and community outcomes could inform strategies for addressing health disparities. The present study used social network theory to guide the in-depth examination of naturally occurring social interactions at a Farmers’ Market located at a federally qualified health center located in a rural, low-income community. Trained observers recorded 61 observation logs at the Market over 18 weeks. Thematic analysis revealed a range of actors and nonhuman facilitators instrumental to the Farmers’ Market context. These actors connected with one another for communication and relationship development, economic and financial exchange, education, resource sharing, community ownership of the Farmers’ Market, and conflict resolution. These interactions provided opportunities for social networks to develop among attendees, which may have facilitated the acquisition of social supports related to improved health, economic and community outcomes. Results provide insight into the role social networks may play in mediating the relationship between a Farmers’ Market intervention and individual benefits. Findings also contribute to defining the typology of social networks, which may further disentangle the complex relationships between social networks and health outcomes. Future research should identify strategies for purposefully targeting social networks as a way to reduce diet-related health disparities.
-
comparing Farmers Market revenue trends before and after the implementation of a monetary incentive for recipients of food assistance
Preventing Chronic Disease, 2014Co-Authors: Darcy A Freedman, Kassandra A Alia, Amy Mattisonfaye, Aaron M Guest, James R HebertAbstract:Introduction We examined the influence of an intervention to increase fruit and vegetable purchases at Farmers’ Markets for recipients of food assistance, Shop N Save (SNS), on revenue trends at a Farmers’ Market located at a federally qualified health center (FQHC) in rural South Carolina. We compared revenue trends for 20 weeks before the intervention (2011) and 20 weeks after (2012).
James R Hebert - One of the best experts on this subject based on the ideXlab platform.
-
comparing Farmers Market revenue trends before and after the implementation of a monetary incentive for recipients of food assistance
Preventing Chronic Disease, 2014Co-Authors: Darcy A Freedman, Kassandra A Alia, Amy Mattisonfaye, Aaron M Guest, James R HebertAbstract:Introduction We examined the influence of an intervention to increase fruit and vegetable purchases at Farmers’ Markets for recipients of food assistance, Shop N Save (SNS), on revenue trends at a Farmers’ Market located at a federally qualified health center (FQHC) in rural South Carolina. We compared revenue trends for 20 weeks before the intervention (2011) and 20 weeks after (2012).
-
provider communication and role modeling related to patients perceptions and use of a federally qualified health center based Farmers Market
Health Promotion Practice, 2014Co-Authors: Daniela B Friedman, Darcy A Freedman, Heather M Brandt, Vicki M Young, Seul Ki Choi, Edith C Anadu, Natalia Carvalho, Thomas G Hurley, James R HebertAbstract:Farmers’ Markets have the potential to improve the health of underserved communities, shape people’s perceptions, values, and behaviors about healthy eating, and serve as a social space for both community members and vendors. This study explored the influence of health care provider communication and role modeling for diabetic patients within the context of a Farmers’ Market located at a federally qualified health center. Although provider communication about diet decreased over time, communication strategies included: providing patients with “prescriptions” and vouchers for Market purchases; educating patients about diet; and modeling healthy purchases. Data from patient interviews and provider surveys revealed that patients enjoyed social aspects of the Market including interactions with their health care provider, and providers distributed prescriptions and vouchers to patients, shopped at the Market, and believed that the Market had potential to improve the health of staff and patients of the federall...
-
a Farmers Market at a federally qualified health center improves fruit and vegetable intake among low income diabetics
Preventive Medicine, 2013Co-Authors: Darcy A Freedman, Seul Ki Choi, Edith C Anadu, Thomas G Hurley, James R HebertAbstract:Abstract Objective A 22-week federally qualified health center (FQHC)-based Farmers' Market (FM) and personal financial incentive intervention designed to improve access to and consumption of fruits and vegetables (FVs) among low-income diabetics in rural South Carolina was evaluated. Methods A mixed methods, one-group, repeated-measures design was used. Data were collected in 2011 before (May/June), during (August), and after (November) the intervention with 41 diabetes patients from the FQHC. FV consumption was assessed using a validated National Cancer Institute FV screener modified to include FV sold at the FM. Sales receipts were recorded for all FM transactions. A mixed-model, repeated measures analysis of variance was used to assess intervention effects on FV consumption. Predictors of changes in FV consumption were examined using logistic regression. Results A marginally significant (p = 0.07) average increase of 1.6 servings of total FV consumption per day occurred. The odds of achieving significant improvements in FV consumption increased for diabetics using financial incentives for payment at the FM (OR: 38.8, 95% CI: 3.4–449.6) and for those frequenting the FM more often (OR: 2.1, 95% CI: 1.1–4.0). Conclusions Results reveal a dose–response relationship between the intervention and FV improvements and emphasize the importance of addressing economic barriers to food access.
-
assessing readiness for establishing a Farmers Market at a community health center
Journal of Community Health, 2012Co-Authors: Darcy A Freedman, Heather M Brandt, Omar Y Whiteside, Vicki M Young, Daniela B Friedman, James R HebertAbstract:Farmers’ Markets are community health promotion interventions that increase access to fresh fruits and vegetables. As Farmers’ Markets continue to develop, it is important to strategically locate them in settings that are accessible to populations disparately affected by health disparities. One potential setting is a community health center. The goal of this analysis is to extend existing research on community readiness to identify indicators of preparedness among community health centers for establishing onsite Farmers’ Markets. The sampling frame for the readiness assessment included all community health centers in South Carolina (N = 20) representing 163 practice sites. Data collection included two brief online surveys, in-depth key informant interviews, and secondary analysis of contextual data. Five themes related to readiness for establishing a Farmers Market at a community health center were identified: capacity, social capital, awareness of health problems and solutions, logistical factors, and sustainability. Findings from this study provide guidance to researchers and community health center staff as they explore the development of environmental interventions focused on reducing diet-related health conditions by improving access to healthy foods.
Heidi Anderson - One of the best experts on this subject based on the ideXlab platform.
-
food security status and produce intake and behaviors of special supplemental nutrition program for women infants and children and Farmers Market nutrition program participants
Journal of The American Dietetic Association, 2007Co-Authors: Mary L Kropf, David H Holben, John P Holcomb, Heidi AndersonAbstract:Abstract Objective This study identified differences between women from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)− and WIC/Farmers' Market Nutrition Program−participating households regarding household food security status, fruit and vegetable intake and behaviors, perceived diet quality, and education level; and assessed the relationship between household food security status and perceived diet quality and perceived health. Design, subjects/setting Cross-sectional survey of women from Athens County, Ohio (WIC, n=829; Farmers' Market Nutrition Program, n=246) living in WIC households. Results Of 228 participants completing the food security portion of the survey, 61 (26.8%) were living in food secure households, while 47 (20.6%), 75 (32.9%), and 45 (19.7%) were living in households at risk for (marginal) food insecurity, with low food security, and with very low food security, respectively. For the entire sample, food insecurity was associated with poorer diet quality ( r =−0.248, P 2 =2.117, P =0.548) did not differ between groups. Farmers' Market Nutrition Program reported higher education levels ( P =0.027). Unlike fruit intake ( t test, P =0.769), vegetable intake servings were greater among Farmers' Market Nutrition Program (2.2±1.2), compared to WIC (1.9±1.0) ( t test, P =0.040). Both perceived benefit (χ 2 =4.574, P =0.032) and perceived diet quality (χ 2 =7.219, P =0.027) were greater for Farmers' Market Nutrition Program. Conclusions Farmers' Market Nutrition Program participants exhibit more indicators of a healthful diet, but appear not to be more food secure. Nutrition education regarding the benefits of fresh produce intake can help to improve diet quality and increase Farmers' Market Nutrition Program participation.
Sarah B Laditka - One of the best experts on this subject based on the ideXlab platform.
-
Farmers Market use among african american women participating in the special supplemental nutrition program for women infants and children
Journal of The American Dietetic Association, 2010Co-Authors: Elizabeth F Racine, Ashley Vaughn, Sarah B LaditkaAbstract:Abstract This quasi-experimental pilot study explored Farmers' Market use among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants and the effects of previous Farmers' Market Nutrition Program participation on Farmers' Market use. African-American women who were pregnant and enrolling in WIC in Washington, DC (n=71), and Charlotte, NC (n=108), participated in the study. Surveys were completed in May and June 2007 measuring Farmers' Market use, barriers to Farmers' Market use, previous Farmers' Market Nutrition Program participation, previous redemption of Farmers' Market Nutrition Program vouchers, and dietary consumption. Women in Washington, DC, might have previously participated in the Farmers' Market Nutrition Program, while women in Charlotte had no previous Farmers' Market Nutrition Program participation. Analyses included descriptive, χ 2 statistic, analysis of variance, and unadjusted and multiple logistic regression. Participants' average age was 24 years, average education was 12.2 years, and average daily fruit/vegetable consumption was 7.5 servings. Participants in Charlotte and Washington, DC, without previous Farmers' Market Nutrition Program participation had similar Farmers' Market use rates (32.4% and 40%, respectively); those with previous Farmers' Market Nutrition Program participation in Washington, DC, had higher Farmers' Market use rates (61%) ( P =0.006). Previous participation in the Farmers' Market Nutrition Program (odds ratio [OR]: 3.30; 95% confidence interval [CI]: 1.57 to 6.93), previous redemption of Farmers' Market Nutrition Program vouchers (OR: 4.96; CI: 2.15 to 11.45), and higher fruit/vegetable consumption (OR: 2.59; CI: 1.31 to 5.12) were associated with Farmers' Market use. Controlling for city, women who previously redeemed Farmers' Market Nutrition Program vouchers were more likely to use a Farmers' Market (OR: 6.90; CI: 1.54 to 31.00). Commonly reported barriers were lack of Farmers' Markets close to home and lack of transportation to Farmers' Markets. Women who received and redeemed Farmers' Market Nutrition Program vouchers were much more likely to purchase fruits/vegetables at Farmers' Markets. Future research to explore barriers and incentives for Farmers' Market use among WIC participants in urban and rural settings is warranted.
Deborah Klein Walker - One of the best experts on this subject based on the ideXlab platform.
-
impacts of a Farmers Market incentive programme on fruit and vegetable access purchase and consumption
Public Health Nutrition, 2015Co-Authors: Lauren Ew Olsho, Gayle Payne, Deborah Klein Walker, Sabrina Baronberg, Jan Jernigan, Alyson AbramiAbstract:Objective The present study examines the impact of Health Bucks, a Farmers’ Market incentive programme, on awareness of and access to Farmers’ Markets, and fruit and vegetable purchase and consumption in low-income New York City neighbourhoods. Design The evaluation used two primary data collection methods: (i) an on-site point-of-purchase survey of Farmers’ Market shoppers; and (ii) a random-digit-dial telephone survey of residents in neighbourhoods where the programme operates. Additionally, we conducted a quasi-experimental analysis examining differential time trends in consumption before and after programme introduction using secondary Community Health Survey (CHS) data. Setting New York City Farmers’ Markets and communities. Subjects Farmers’ Market shoppers ( n 2287) completing point-of-purchase surveys in a representative sample of New York City Farmers’ Markets in 2010; residents ( n 1025) completing random-digit-dial telephone survey interviews in 2010; and respondents ( n 35 606) completing CHS interviews in 2002, 2004, 2008 and 2009. Results Greater Health Bucks exposure was associated with: (i) greater awareness of Farmers’ Markets; (ii) increased frequency and amount of Farmers’ Market purchases; and (iii) greater likelihood of a self-reported year-over-year increase in fruit and vegetable consumption. However, our CHS analysis did not detect impacts on consumption. Conclusions While our study provides promising evidence that use of Farmers’ Market incentives is associated with increased awareness and use of Farmers’ Markets, additional research is needed to better understand impacts on fruit and vegetable consumption.
-
implementing a Farmers Market incentive program perspectives on the new york city health bucks program
Preventing Chronic Disease, 2013Co-Authors: Gayle Payne, Jan Jernigan, Holly Wethington, Lauren Olsho, Rosanne P Farris, Deborah Klein WalkerAbstract:Introduction One strategy for lowering the prevalence of obesity is to increase access to and affordability of fruits and vegetables through Farmers’ Markets. However, little has been documented in the literature on the implementation of such efforts. To address this gap, the Division of Nutrition, Physical Activity, and Obesity (DNPAO) sponsored an evaluation of the New York City Health Bucks program, a Farmers’ Market coupon incentive program intended to increase access to fresh fruits and vegetables in underserved neighborhoods while supporting local Farmers.
