Food Security Clinical Trial
Official title:
Voices for Food: Utilizing Food Policy Councils to Bridge the Gap Between Food Security and Healthy Food Choices
This study evaluates the effectiveness of coaching and Voices for Food materials on establishing Food Policy Councils (FPCs) and using guided client choice in rural food pantries to improve food security and diet quality among food pantry clients, and to improve the food environment in rural, midwestern food pantries. Half of the communities received coaching and the Voices for Food kit, the other half only received the Voices for Food kit.
Community coaching is a a strategy that helps community leaders plan for and overcome
challenges to community development. Interventions at the community level are most effective
when they are conceived and led by locals. Community coaches can aid the local community in
the development of FPCs in rural communities. FPCs have the potential to improve the
nutritional quality of available food, and connect a diverse network of food system
stakeholders from the public, private and nonprofit sectors, which includes local food
pantries. Food pantry users are food insecure and avoid hunger by consuming low cost and
shelf stable food items. Guided client choice is a system of distribution that can be
employed in food pantries and supported by FPCs. Guided client-choice is a model of
distribution in which pantry clients choose the foods they would like from the pantry based
upon family size and is formatted based upon USDA MyPlate. Guided client choice has been
shown to meet the needs of the pantry client base better than the traditional model of
distribution often found in food pantries. Food pantries have the opportunity to meet the
nutritional needs of the food insecure population.
Voices for Food is a multi-leveled socio-ecological, longitudinal, matched treatment and
comparison study to develop food policy councils (FPCs), and improve food security and diet
quality in rural communities. Voices for Food was conducted in 24 rural, high poverty
counties in South Dakota, Indiana, Missouri, Michigan, Nebraska and Ohio. Counties were
assigned to a treatment (n=12) or comparison (n=12) group.
Intervention activities focus on three key components that impact food security: 1) community
coaching by Extension Educators/field staff, 2) FPC development, and 3) development of a
MyChoice (guided client choice) food pantry. Community coaching, along with the Voices for
Food kit was only provided to treatment counties. Comparison communities only received the
Voices for Food kit. Evaluation components focus on three levels of the intervention: 1)
Community (FPCs), 2) Food Pantry Organization and Food Environment, and 3) Pantry Client &
Families. Participants in this study were community stakeholders, food pantry directors,
staff/volunteers and food pantry clients. Pantry food access/availability including pantry
food quality and quantity, household food security and pantry client dietary intake are
dependent variables.
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