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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Process Evaluation of a Comprehensive Supermarket Intervention in a Low-Income Baltimore Community

TitleProcess Evaluation of a Comprehensive Supermarket Intervention in a Low-Income Baltimore Community
Publication TypeJournal Article
Year of Publication2015
AuthorsLee, RM, Rothstein, JD, Gergen, J, Zachary, DA, Smith, JC, Palmer, AM, Gittelsohn, J, Surkan, PJ
JournalHealth Promot Pract
Volume16
Pagination849-58
Date PublishedNov
ISBN Number1524-8399 (Print)1524-8399 (Linking)
Accession Number26296352
Keywords*African Americans, *Food Supply, *Poverty Areas, *Residence Characteristics, Baltimore, Environment, Food Labeling, Health Promotion, Health Promotion/*organization & administration, Humans, Inservice Training, Marketing/organization & administration, Nutrition, process evaluation, Program Evaluation
Abstract

Supermarket-based interventions are one approach to improving the local food environment and reducing obesity and chronic disease in low-income populations. We implemented a multicomponent intervention that aimed to reduce environmental barriers to healthy food purchasing in a supermarket in Southwest Baltimore. The intervention, Eat Right-Live Well! used: shelf labels and in-store displays promoting healthy foods, sales and promotions on healthy foods, in-store taste tests, increasing healthy food products, community outreach events to promote the intervention, and employee training. We evaluated program implementation through store environment, taste test session, and community event evaluation forms as well as an Employee Impact Questionnaire. The stocking, labeling, and advertising of promoted foods were implemented with high and moderate fidelity. Taste test sessions were implemented with moderate reach and low dose. Community outreach events were implemented with high reach and dose. Supermarket employee training had no significant impact on employees' knowledge, self-efficacy, or behavioral intention for helping customers with healthy purchasing or related topics of nutrition and food safety. In summary, components of this intervention to promote healthy eating were implemented with varying success within a large supermarket. Greater participation from management and employees could improve implementation.