4.1 Article

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

Journal

JOURNAL OF SCHOOL HEALTH
Volume 89, Issue 5, Pages 373-381

Publisher

WILEY
DOI: 10.1111/josh.12747

Keywords

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

Funding

  1. US Centers for Disease Control and Prevention Preventive Health and Health Services Block Grant [2B01OT009042-15]
  2. US Department of Agriculture Nutrition Education and Obesity Grant Program [G-1415-17-0847, G-1617-0452]
  3. Centers for Disease Control and Prevention Health Promotion and Disease Prevention Research Center [1U48DP005030]

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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.

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