Preferences for Healthy Carryout Meals in Low-Income Neighborhoods of Baltimore City

Jeffries, Jayne K.; Lee, Seung Hee; Frick, Kevin D.; Gittelsohn, Joel

doi:10.1177/1524839912465290

Cited by 13 publications

(8 citation statements)

References 25 publications

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“…Ground-truthing was indeed arduous, but the data gathered on the types and array of food sources within each recreation center zone was consistent with previous literature on the Baltimore City food environment 19,20 . In addition, the high accuracy of the BFSS program in finding vaguely described food sources is encouraging for future research endeavors which seeks to gather specialized information from groups who are often challenged by recall inaccuracy.…”

Section: Discussionsupporting

confidence: 81%

Where Do Low-Income Children Get Food? Combining Ground-Truthing and Technology to Improve Accuracy in Establishing Children’s Food Purchasing Behaviors

Coakley

Steeves

Jones-Smith

et al. 2014

Journal of Hunger & Environmental Nutrition

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Developing nutrition-focused environmental interventions for youth requires accurate assessment of where they purchase food. We have developed an innovative, technology-based method to improve the accuracy of food source recall among children using a tablet PC and ground-truthing methodologies. As part of the B'more Healthy Communties for Kids study, we mapped and digitally photographed every food source within a half-mile radius of 14 Baltimore City recreation centers. This food source database was then used with children from the surrounding neighborhoods to search for and identify the food sources they frequent. This novel integration of traditional data collection and technology enables researchers to gather highly accurate information on food source usage among children in Baltimore City. Funding is provided by the NICHD U-54 Grant #1U54HD070725-02.

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Section: Discussionsupporting

confidence: 81%

Where Do Low-Income Children Get Food? Combining Ground-Truthing and Technology to Improve Accuracy in Establishing Children’s Food Purchasing Behaviors

Coakley

Steeves

Jones-Smith

et al. 2014

Journal of Hunger & Environmental Nutrition

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“…Of the 13 interventions (15–49) that met the inclusion criteria, 12 interventions (15–18,21,22,24–35,37–41,45–48) were described in peer-reviewed publications. Personal communications (e-mail correspondence, telephone interviews) (n = 11) (15–27,30,31,37–49), informal documentation (reports, intervention materials) (n = 5) (19,20,26,43,44,49), and websites (n = 5) (23,36,42,43,49) were also sources of information (Table 1a, 1b, 1c, 1d).…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 8 interventions did more extensive formative research, including qualitative (eg, focus groups, in-depth interviews) and quantitative (eg, surveys) data collection. Some interventions published separate reports on their formative research (15,18,21,22,25,28,41,45,46,49). …”

Section: Resultsmentioning

confidence: 99%

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Community-Based Interventions in Prepared-Food Sources: A Systematic Review

Gittelsohn¹,

Lee‐Kwan²,

Batorsky³

2013

Prev. Chronic Dis.

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IntroductionFood purchased from prepared-food sources has become a major part of the American diet and is linked to increased rates of chronic disease. Many interventions targeting prepared-food sources have been initiated with the goal of promoting healthful options. The objective of this study was to provide a systematic review of interventions in prepared-food sources in community settings.MethodsWe used PubMed and Google Scholar and identified 13 interventions that met these criteria: 1) focused on prepared-food sources in public community settings, 2) used an impact evaluation, 3) had written documentation, and 4) took place after 1990. We conducted interviews with intervention staff to obtain additional information. Reviewers extracted and reported data in table format to ensure comparability.ResultsInterventions mostly targeted an urban population, predominantly white, in a range of income levels. The most common framework used was social marketing theory. Most interventions used a nonexperimental design. All made use of signage and menu labeling to promote healthful food options. Several promoted more healthful cooking methods; only one introduced new healthful menu options. Levels of feasibility and sustainability were high; sales results showed increased purchasing of healthful options. Measures among consumers were limited but in many cases showed improved awareness and frequency of purchase of promoted foods.ConclusionInterventions in prepared-food sources show initial promising results at the store level. Future studies should focus on improved study designs, expanding intervention strategies beyond signage and assessing impact among consumers.

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“…A forced-choice conjoint analysis questionnaire was administered to a convenience sample of customers (n = 50) recruited from two randomly selected carry-outs in the BHC study, one located in East Baltimore and the other in West Baltimore [21]. The questionnaire was used to measure the relative perceived value of specific features of a combination meal and measure the demand for the particular combination of entrée (i.e.…”

Section: Methodsmentioning

confidence: 99%

Development and implementation of the Baltimore healthy carry-outs feasibility trial: process evaluation results

et al. 2013

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BackgroundPrepared food sources, including fast food restaurants and carry-outs, are common in low-income urban areas. These establishments provide foods high in calories, sugar, fat, and sodium. The aims of the study were to (1) describe the development and implementation of a carry-out intervention to provide and promote healthy food choices in prepared food sources, and (2) to assess its feasibility through a process evaluation.MethodsTo promote healthy eating in this setting, a culturally appropriate intervention was developed based on formative research from direct observation, interviews and focus groups. We implemented a 7-month feasibility trial in 8 carry-outs (4 intervention and 4 comparison) in low-income neighborhoods in Baltimore, MD. The trial included three phases: 1) Improving menu boards and labeling to promote healthier items; 2) Promoting healthy sides and beverages and introducing new items; and 3) Introducing affordable healthier combo meals and improving food preparation methods. A process evaluation was conducted to assess intervention reach, dose received, and fidelity using sales receipts, carry-out visit observations, and an intervention exposure assessment.ResultsOn average, Baltimore Healthy Carry-outs (BHC) increased customer reach at intervention carry-outs; purchases increased by 36.8% at the end of the study compared to baseline. Additionally, menu boards and labels were seen by 100.0% and 84.2% of individuals (n = 101), respectively, at study completion compared to baseline. Customers reported purchasing specific foods due to the presence of a photo on the menu board (65.3%) or menu labeling (42.6%), suggesting moderate to high dose received. Promoted entrée availability and revised menu and poster presence all demonstrated high fidelity and feasibility.ConclusionsThe results suggest that BHC is a culturally acceptable intervention. The program was also immediately adopted by the Baltimore City Food Policy Initiative as a city-wide intervention in its public markets.

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Preferences for Healthy Carryout Meals in Low-Income Neighborhoods of Baltimore City

Abstract: Results suggested specific foods to improve the bundling of healthy combination meals. The selection of preferred promotion foods is important in the success of environmental nutrition interventions.

Cited by 13 publications

References 25 publications

Where Do Low-Income Children Get Food? Combining Ground-Truthing and Technology to Improve Accuracy in Establishing Children’s Food Purchasing Behaviors

Where Do Low-Income Children Get Food? Combining Ground-Truthing and Technology to Improve Accuracy in Establishing Children’s Food Purchasing Behaviors

Community-Based Interventions in Prepared-Food Sources: A Systematic Review

Development and implementation of the Baltimore healthy carry-outs feasibility trial: process evaluation results

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