Measuring the Effectiveness of Food Policy Councils in Major Cities in the United States.

The United States food system is comprised of a diversity of stakeholders representing a range of sectors including agriculture, health, hospitality, and other sectors of the economy. Coordinating these wide-ranging aspects of the food system is a challenging responsibility of the United States Department of Agriculture (USDA) and its counterparts at the state and county level. While the USDA acknowledges the institutional importance of diversity, it has only recently begun to meaningfully consider the agricultural needs of urban environments, the unique experiences from communities of color, and opportunities for urban agriculture in its purview. This study provides a framework for food systems leaders, specifically in food policy councils (FPCs) in large urban communities, to assess the visibility and effectiveness of their diversity and inclusion initiatives represented across three key domains: (1) leadership and governance structures, (2) key stakeholder engagement strategies, and (3) advance food justice. A cluster analysis of the study results for FPCs in 19 U.S. cities and metropolitan areas across these three domains revealed four distinct groups of food policy councils. Results from the assessment of the urban FPCs reveal that they succeed in embedding diversity and inclusion in all three diversity measures, with key stakeholder engagement receiving the highest score at 73%. On average, FPCs received a score of 54% when assessing diversity and inclusion in their leadership and governance and a score of 49% in their activities to advance food justice. Results of the analysis also highlights opportunities to improve individual, thematic, and cumulative scores. Participation from food systems leadership groups such as food policy councils will be vital in advocating for equitable food systems through urban producer and consumer programs in the upcoming reauthorization of the U.S. farm bill in 2024.

[The Get-up early test, elaboration process of a new screening tool for psychomotor disadaptation syndrome]. / Élaboration d'un test de dépistage du syndrome de désadaptation psychomotrice : le Get-up early test.

Major features of the psychomotor disadaptation syndrome (SDPM) include motor skill dysfunctions with alteration of postural capabilities, walking abilities and psychomotric automatisms. Mini motor test (TMM) is the gold standard used by skilled physiotherapists in order to assess the syndrome. The aim of this article is to present the elaboration process of a new SDPM screening tool, called the Get-up early test. The test was firstly elaborated through consensus of nine experts in the geriatric field. This first 5-items version had poor inter-rater reproducibility and was therefore modified in a new 4-item version. This new version had substantial inter-rater concordance. Compared to the TMM as gold standard, in two different settings (acute ward and nursing home), with a cut-off value≥1/4, diagnostic performance was good (sensibility: 0.73 and specificity 0.88; area under curve: 0.823). The last step was to implement the screening tool in three Mobile geriatric units and we report here their experience. The Get-up early test may be suggested as a new screening tool in order to detect SDPM before more in-depth comprehensive geriatric assessment, and to early adapt the care plan.