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Annual Meeting of the American Public Health Association October 31, 2012
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Nashville’s CPPW Corner Store Initiative: Methods and Measurement Celia Larson, PhD Director of Evaluation Alisa Haushalter, DNP, RN Project Director Bill Paul, MPH, MD Director of Health Annual Meeting of the American Public Health Association October 31, 2012
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Nashville’s CPPW Corner Store Initiative: Methods and Measurement Celia Larson, PhD Director of Evaluation Alisa Haushalter, DNP, RN Project Director Bill Paul, MPH, MD Director of Health. Annual Meeting of the American Public Health Association October 31, 2012. The Challenges. - PowerPoint PPT Presentation
Transcript of Annual Meeting of the American Public Health Association October 31, 2012
Nashville’s CPPW Corner Store Initiative: Methods and Measurement Celia Larson, PhDDirector of Evaluation Alisa Haushalter, DNP, RNProject DirectorBill Paul, MPH, MDDirector of Health
Annual Meeting of the American Public Health Association
October 31, 2012
The ChallengesGeographic areas that lack full service grocery stores are known as food deserts.
These areas have been shown to have:higher rates of obesity, chronic diseases, as well as, lower rates of fruit and vegetable
availability and consumption.
Primarily populated with low-income and racial and ethnic minority individuals and families.
Three food deserts were identified in the service area.
The Strengths Strong Partnerships in each food desert
Leaders of religious institutions Community organizations Community leaders
Food Advocacy (organizations and individuals) 501c3 – Community Food Advocates Mobile Market Metro Farmers Market
Preliminary work prior to grant achieved:Emerging community awareness of the problem. Broad identification of population areas in need. Establishment of a mobile food supplier.
CPPW Corner Store Objective:
Access to healthy foods and beverages will be
improved among low income residents by
increasing shelf space by 20% for selling healthy
foods and beverages in corner stores located
in 3 geographic areas that are defined as food
deserts in low-income neighborhoods.
MethodsRefinement of Food Desert
Definition & Geography
Store Selection for Intervention
Strategy Development & Implementation
Assessment Tools & Process
Refinement of Food Desert Definition & Geography Four food deserts establishedCorner/Convenience stores were
mapped.
Data Sources: Census Data and Metro Planning & Transit Departments Data
Store Selection for Intervention Criteria developed to select stores to receive intervention
Presence of assets and resources in neighborhoods
5 stores selected
Presence of Assets and Resources for each Store
Store
Sidewal
ks
Schools/Childcare Facilities
Public Housing/Residential
Religious Institutions
Business
es
Parks/Community Centers
Store
A
Store
B
Store
C
Store
D
Store
E
Strategy Development and Implementation
Listening sessions held in each neighborhood
Interviews conducted with store proprietors
Community Sensitive Strategies
Strategy Development and Implementation Technical Assistance
Structural support items such as displays and coolers
Procurement of products not currently retailed
How to promote and direct consumers to items
Neighborhood PartnershipsFaith CommunityBusiness Community
Communications Campaign Corner Store Logo NashVitality CampaignBillboards & Print Ads
Assessment Tools & Process Baseline Assessment to Inform
StrategiesProprietor Interviews Neighborhood Listening Sessions
Pre-Post Measures: Store AuditsStore Audits: Nutrition Environment
Measures Survey-Corner Stores (NEMS-CS) Tool
Pre-Post Measures: Customer Intercepts Store Customer Intercepts: Standardized
NEMS protocol and training materials
Evaluation Results Qualitative Analysis Results – Proprietor Perceptions
Store
A
Store
B
Store
C
Store
D
Store
E
Barriers
Neighborhood Crime / Shoplifting Structural support for selling items (coolers/displays)
Strengths
Dense residential area
High foot traffic
Families - primary customer
Only store in area/great location
Role of Store Supports community as a sponsor of sports or events Customers proud of or like having store in neighborhood
Evaluation Results Qualitative Analysis Results – Neighborhood Listening Sessions
Themes identifiedConsumer Education (Clergy & Residents)
Poor Quality Produce (Clergy & Residents)
Mistrust of Store Owners (Clergy & Residents)
Mistrust of Government (Clergy & Residents)
Evaluation Results: Store Outcomes Audit results (3 stores)
Fruit – Availability & variety increased in all stores
Vegetables – Availability & variety increased in all stores
Milk – Low fat availability increased in 2 of 3 stores
Whole Wheat Bread – Availability & variety increased in all stores
Evaluation Results: Store Outcomes Increase in Variety and Space Available
Fruit Va-riety
Vegetable Variety
Whole Wheat Bread Brands
Columns for Low Fat
Milk
3
10
1 1
15
35
2
29
PrePost
Evaluation Results: Consumer Purchases
Fruit
Vegetables
2% MilkWhole Wheat Bread
ChipsBeverages
Refrigerated Food
PastryDry Family Products
Prepared Food
CandyNuts, Seeds,Granola
1.3%
0.0%0.0%
0.0%30.3%
26.5%
16.4%11.3%
1.3%
10.1%
1.2%1.2%
5.5%11.9%
0.0%
0.0%20.1%
22.0%17.4%
9.1%
12.8%
0.9%0.0%
0.0%
PostPren = 89
n = 103
Lessons Learned to Date Start Small Community Engagement Expertise in Food Retail &
Marketing Utilize National Expertise Standardized Evaluation Communication Coordination of Efforts
Disclosures
This project was supported in part by a contract through Metro Public Health Department , Nashville , TN with a cooperative agreement (1U58DP002447-01) with the Centers for Disease Control and Prevention. Portions of this project’s work involve the Communities Putting Prevention to Work initiative supported by CDC funding. However the findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
