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Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert.
Sundberg, Michael A; Warren, Abigail C; VanWassenhove-Paetzold, Joan; George, Carmen; Carroll, Danya S; Becenti, Leandra Jewel; Martinez, Akeemi; Jones, Burrell; Bachman-Carter, Karen; Begay, Mae-Gilene; Wilmot, Taylor; Sandoval-Soland, Henrietta; MacKenzie, Onagh; Hamilton, Lindsey; Tsosie, Memarie; Bradburn, Caitlyn K; Ellis, Emilie; Malone, Jamy; Pon, Julia; Fitch, Ashley; Selig, Sara M; Gall, Gail; Shin, Sonya S.
Affiliation
  • Sundberg MA; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Warren AC; Department of Medicine, University of Minnesota School of Medicine, Minneapolis, MN55455, USA.
  • VanWassenhove-Paetzold J; Department of Paediatrics, University of Minnesota School of Medicine, Minneapolis, MN55455, USA.
  • George C; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Carroll DS; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Becenti LJ; Tufts Friedman School of Nutrition Science and Policy, Boston, MA02111, USA.
  • Martinez A; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Jones B; Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA02115, USA.
  • Bachman-Carter K; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Begay MG; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Wilmot T; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Sandoval-Soland H; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • MacKenzie O; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Hamilton L; Navajo Nation Community Health Representative Outreach Program, Navajo Department of Health, Window Rock, AZ86515, USA.
  • Tsosie M; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Bradburn CK; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Ellis E; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Malone J; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Pon J; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Fitch A; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Selig SM; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Gall G; Community Outreach and Patient Empowerment, Gallup, NM87301, USA.
  • Shin SS; Wholesome Wave, Bridgeport, CT06604, USA.
Public Health Nutr ; 23(12): 2199-2210, 2020 08.
Article in En | MEDLINE | ID: mdl-32398182
ABSTRACT

OBJECTIVE:

To utilise a community-based participatory approach in the design and implementation of an intervention targeting diet-related health problems on Navajo Nation.

DESIGN:

A dual strategy approach of community needs/assets assessment and engagement of cross-sectorial partners in programme design with systematic cyclical feedback for programme modifications.

SETTING:

Navajo Nation, USA.

PARTICIPANTS:

Navajo families with individuals meeting criteria for programme enrolment. Participant enrolment increased with iterative cycles.

RESULTS:

The Navajo Fruit and Vegetable Prescription (FVRx) Programme.

CONCLUSIONS:

A broad, community-driven and culturally relevant programme design has resulted in a programme able to maintain core programmatic principles, while also allowing for flexible adaptation to changing needs.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vegetables / Diet, Healthy / Fruit / Food Deserts Type of study: Evaluation_studies / Sysrev_observational_studies Aspects: Implementation_research Limits: Humans Country/Region as subject: America do norte Language: En Journal: Public Health Nutr Year: 2020 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Vegetables / Diet, Healthy / Fruit / Food Deserts Type of study: Evaluation_studies / Sysrev_observational_studies Aspects: Implementation_research Limits: Humans Country/Region as subject: America do norte Language: En Journal: Public Health Nutr Year: 2020 Document type: Article