jueves, 7 de agosto de 2014

Preventing Chronic Disease | Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative - CDC

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Preventing Chronic Disease | Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative - CDC



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Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative

Maryann Mason, PhD; Hatidza Zaganjor, MPH; Christine T. Bozlak, PhD, MPH; Colleen Lammel-Harmon, RD, LDN, CPRP; Lucy Gomez-Feliciano; Adam B. Becker, PhD, MPH

Suggested citation for this article: Mason M, Zaganjor H, Bozlak CT, Lammel-Harmon C, Gomez-Feliciano L, Becker AB. Working With Community Partners to Implement and Evaluate the Chicago Park District’s 100% Healthier Snack Vending Initiative. Prev Chronic Dis 2014;11:140141. DOI: http://dx.doi.org/10.5888/pcd11.140141External Web Site Icon.
PEER REVIEWED

Abstract

Background
The objective of this case study was to evaluate the acceptability, sales impact, and implementation barriers for the Chicago Park District’s 100% Healthier Snack Vending Initiative to strengthen and support future healthful vending efforts.
Community Context
The Chicago Park District is the largest municipal park system in the United States, serving almost 200,000 children annually through after-school and summer programs. Chicago is one of the first US cities to improve park food environments through more healthful snack vending.
Methods
A community-based participatory evaluation engaged community and academic partners, who shared in all aspects of the research. From spring 2011 to fall 2012, we collected data through observation, surveys, and interviews on staff and patron acceptance of snack vending items, purchasing behaviors, and machine operations at a sample of 10 Chicago parks. A new snack vending contract included nutrition standards for serving sizes, calories, sugar, fat, and sodium for all items. Fifteen months of snack vending sales data were collected from all 98 snack vending machines in park field houses.
Outcomes
Staff (100%) and patrons (88%) reacted positively to the initiative. Average monthly per-machine sales increased during 15 months ($84 to $371). Vendor compliance issues included stocking noncompliant items and delayed restocking.
Interpretation
The initiative resulted in improved park food environments. Diverse partner engagement, participatory evaluation, and early attention to compliance can be important supports for healthful vending initiatives. Consumer acceptance and increasing revenues can help to counter fears of revenue loss that can pose barriers to adoption.

Acknowledgments

Support for this work came from the Robert Wood Johnson Foundation’s HKHC Chicago project (grant no. 65613) and a seed grant from the Alliance for Research in Chicagoland Communities (ARCC), a program of the Community-Engaged Research Center in Northwestern University’s Clinical and Translational Sciences Institute (NUCATS). Additional funding was provided through the NUCATS Community-Engaged Research Center’s Community Engaged Research Team Support program.

Author Information

Corresponding Author: Maryann Mason, PhD, Assistant Research Professor, Departments of Pediatrics and Preventive Medicine, Feinberg School of Medicine, Northwestern University, 225 E. Chicago Ave, Box 157, Chicago, IL 60611. Telephone: 312-227-7026. E-mail: Mmason@luriechildrens.org.
Author Affiliations: Hatidza Zaganjor, Lucy Gomez-Feliciano, Logan Square Neighborhood Association, Chicago, Illinois; Christine T. Bozlak, University at Albany School of Public Health, Rensselaer, New York; Colleen Lammel-Harmon, Chicago Park District, Chicago, Illinois; Adam B. Becker, Consortium to Lower Obesity in Chicago Children, Ann and Robert H. Lurie Children’s Hospital of Chicago. Dr Mason is also affiliated with the Consortium to Lower Obesity in Chicago Children.

References

  1. Freedman DA, Bell BA, Collins LV. The Veggie Project: a case study of a multi-component farmers’ market intervention. J Prim Prev 2011;32(3-4):213–24. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  2. Jaskiewicz L, Dombrowski RD, Drummond H, Barnett GM, Mason M, Welter C. Partnering with community institutions to increase access to healthful foods across municipalities. Prev Chronic Dis 2013;10:E167. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  3. Gittelsohn J, Song HJ, Suratkar S, Kumar MB, Henry EG, Sharma S, et al. An urban food store intervention positively affects food-related psychosocial variables and food behaviors. Health Educ Behav 2010;37(3):390–402. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  4. A healthy food financing initiative: an innovative approach to improve health and spark economic development. Oakland (CA): Policy Link; 2012. http://thefoodtrust.org/uploads/media_items/hffi-one-pager.original.pdf. Accessed May 16, 2014.
  5. Callaghan C, Mandich G, He M. Healthier snacks in school vending machines: a pilot project in four Ontario high schools. Can J Diet Pract Res 2010;71(4):186–91. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  6. Schwartz MB, Novak SA, Fiore SS. The impact of removing snacks of low nutritional value from middle schools. Health Educ Behav 2009;36(6):999–1011. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  7. Van Hulst A, Barnett TA, Déry V, Côté G, Colin C. Health-promoting vending machines: evaluation of a pediatric hospital intervention. Can J Diet Pract Res 2013;74(1):28–34. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  8. Delaware State Parks. Munch better at Delaware state parks. http://www.destateparks.com/general_info/healthy-eating.asp. Accessed December 4, 2013.
  9. Arlington F. Healthy vending initiative. http://www.arlingtonva.us/portals/topics/HealthyVending.aspx. Accessed December 4, 2013.
  10. Parks P, Living A. A research synthesis. San Diego (CA): Active Living Research; 2010. http://www.activelivingresearch.org/files/Synthesis_Mowen_Feb2010_0.pdf. Accessed December 4, 2013.
  11. Blanck HM, Allen D, Bashir Z, Gordon N, Goodman A, Merriam D, et al. Let’s go to the park today: the role of parks in obesity prevention and improving the public’s health. Child Obes 2012;8(5):423–8. PubMedExternal Web Site Icon
  12. State and county quickfacts: Chicago (city), Illinois. US Census Bureau; 2013. http://quickfacts.census.gov/qfd/states/17/1714000.html. Accessed February 2, 2014.
  13. Overweight and obesity among Chicago public schools students 2010–12. Chicago (IL): Chicago Department of Public Health; 2013. http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/HCUpdateMar2013.pdf. Accessed May 16, 2013.
  14. Food Deserts in Chicago. A report of the Illinois Advisory Committee to the United States Commission on Civil Rights; 2011. http://www.usccr.gov/pubs/IL-FoodDeserts-2011.pdf. Accessed February 13, 2014.
  15. Vending machine business. Frequently asked questions: vending machines business profits; 2012. http://vendingmachinebusiness.us/is-vending-machine-business-profitable/. Accessed February 2, 2014.
  16. Khan LK, Sobush K, Keener D, Goodman K, Lowry A, Kakietek J, et al. Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm Rep 2009;58(RR07):1–26. PubMedExternal Web Site Icon
  17. Brownson RC, Haire-Joshu D, Luke DA. Shaping the context of health: a review of environmental and policy approaches in the prevention of chronic diseases. Annu Rev Public Health 2006.27:341–70. PubMedExternal Web Site Icon
  18. French SA, Hannan PJ, Harnack LJ, Mitchell NR, Toomey TL, Gerlach A. Pricing and availability intervention in vending machines at four bus garages. J Occup Environ Med 2010;52(Suppl 1):S29–33. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  19. French SA, Jeffery RW, Story M, Breitlow KK, Baxter JS, Hannan P, et al. Pricing and promotion effects on low-fat vending snack purchases: the CHIPS Study. Am J Public Health 2001;91(1):112–7. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  20. Fiske A, Cullen KW. Effects of promotional materials on vending machines sales of low-fat items in teachers’ lounges. J Am Diet Assoc 2004;104(1):90–3. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon

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