Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert

Michael A. Sundberg; Abigail C. Warren; Joan Vanwassenhove-Paetzold; Carmen George; Danya S. Carroll; Leandra Jewel Becenti; Akeemi Martinez; Burrell Jones; Karen Bachman-Carter; Mae Gilene Begay; Taylor Wilmot; Henrietta Sandoval-Soland; Onagh Mackenzie; Lindsey Hamilton; Memarie Tsosie; Caitlyn K. Bradburn; Emilie Ellis; Jamy Malone; Julia Pon; Ashley Fitch; Sara M. Selig; Gail Gall; Sonya S. Shin

doi:10.1017/S1368980019005068

Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert

Michael A. Sundberg, Abigail C. Warren, Joan Vanwassenhove-Paetzold, Carmen George, Danya S. Carroll, Leandra Jewel Becenti, Akeemi Martinez, Burrell Jones, Karen Bachman-Carter, Mae Gilene Begay, Taylor Wilmot, Henrietta Sandoval-Soland, Onagh Mackenzie, Lindsey Hamilton, Memarie Tsosie, Caitlyn K. Bradburn, Emilie Ellis, Jamy Malone, Julia Pon, Ashley FitchSara M. Selig, Gail Gall, Sonya S. Shin

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

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.

Original language	English (US)
Pages (from-to)	2199-2210
Number of pages	12
Journal	Public Health Nutrition
Volume	23
Issue number	12
DOIs	https://doi.org/10.1017/S1368980019005068
State	Published - Aug 2020

Bibliographical note

Funding Information:
Acknowledgements: Please note that authors M.A.S. and A.C.W. contributed equally to this work and share authorship position. We acknowledge the many important contributions from multiple clinic sites and providers, non-profit programmes, tribal programmes, governmental agencies and participants in the development of Navajo FVRx. Financial support: Funding (in part) was by the Notah Begay III Foundation (NB3F) through the Walmart Foundation, the Rx Foundation, the Zegar Family Foundation and the Leonard Family Foundation. Funding was made possible (in part) by a cooperative agreement with the U.S. Centers for Disease Control and Prevention (no. 5NU58DP005872). This project was supported (in part) by the University of Minnesota General Internal Medicine Research Fund. Conflict of interest: The views expressed do not necessarily reflect the official views of the Indian Health Service or policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices or organisations imply endorsement by the U.S. Government. Authorship: M.A.S.: formulation of study design, analysis of data and writing of article. A.C.W.: formulation of study design, carrying out study and writing of article. J.V.P., C.G., S.M.S. and G.G.: formulation of study design, carrying out study and analysis of data. D.S.C., L.J.B., A.M., B.J., K.B.C., M.G.B., T.W., H.S.S., O.M., L.H., M.T., C.K.B., E.E., J.M., J.P. and A.F.: formulation of study design and carrying out study. S.S.S.: formulation of study design, carrying out study, analysis of data and writing of article. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki, and all procedures involving human subjects/patients were approved by the Navajo Nation Human Research Review Board. Verbal informed consent was obtained prior to enrolment of participants in the programme.

Publisher Copyright:
© The Authors 2020.

Keywords

American Indian
Food access
Food assistance
Fruits and vegetables
Low income

PubMed: MeSH publication types

Journal Article
Research Support, U.S. Gov't, P.H.S.
Research Support, Non-U.S. Gov't

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1017/S1368980019005068

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Sundberg, M. A., Warren, A. C., Vanwassenhove-Paetzold, J., George, C., Carroll, D. S., Becenti, L. J., Martinez, A., Jones, B., Bachman-Carter, K., Begay, M. G., Wilmot, T., Sandoval-Soland, H., Mackenzie, O., Hamilton, L., Tsosie, M., Bradburn, C. K., Ellis, E., Malone, J., Pon, J., ... Shin, S. S. (2020). Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert. Public Health Nutrition, 23(12), 2199-2210. https://doi.org/10.1017/S1368980019005068

Sundberg, MA, Warren, AC, Vanwassenhove-Paetzold, J, George, C, Carroll, DS, Becenti, LJ, Martinez, A, Jones, B, Bachman-Carter, K, Begay, MG, Wilmot, T, Sandoval-Soland, H, Mackenzie, O, Hamilton, L, Tsosie, M, Bradburn, CK, Ellis, E, Malone, J, Pon, J, Fitch, A, Selig, SM, Gall, G & Shin, SS 2020, 'Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert', Public Health Nutrition, vol. 23, no. 12, pp. 2199-2210. https://doi.org/10.1017/S1368980019005068

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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.",

keywords = "American Indian, Food access, Food assistance, Fruits and vegetables, Low income",

author = "Sundberg, {Michael A.} and Warren, {Abigail C.} and Joan Vanwassenhove-Paetzold and Carmen George and Carroll, {Danya S.} and Becenti, {Leandra Jewel} and Akeemi Martinez and Burrell Jones and Karen Bachman-Carter and Begay, {Mae Gilene} and Taylor Wilmot and Henrietta Sandoval-Soland and Onagh Mackenzie and Lindsey Hamilton and Memarie Tsosie and Bradburn, {Caitlyn K.} and Emilie Ellis and Jamy Malone and Julia Pon and Ashley Fitch and Selig, {Sara M.} and Gail Gall and Shin, {Sonya S.}",

note = "Funding Information: Acknowledgements: Please note that authors M.A.S. and A.C.W. contributed equally to this work and share authorship position. We acknowledge the many important contributions from multiple clinic sites and providers, non-profit programmes, tribal programmes, governmental agencies and participants in the development of Navajo FVRx. Financial support: Funding (in part) was by the Notah Begay III Foundation (NB3F) through the Walmart Foundation, the Rx Foundation, the Zegar Family Foundation and the Leonard Family Foundation. Funding was made possible (in part) by a cooperative agreement with the U.S. Centers for Disease Control and Prevention (no. 5NU58DP005872). This project was supported (in part) by the University of Minnesota General Internal Medicine Research Fund. Conflict of interest: The views expressed do not necessarily reflect the official views of the Indian Health Service or policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices or organisations imply endorsement by the U.S. Government. Authorship: M.A.S.: formulation of study design, analysis of data and writing of article. A.C.W.: formulation of study design, carrying out study and writing of article. J.V.P., C.G., S.M.S. and G.G.: formulation of study design, carrying out study and analysis of data. D.S.C., L.J.B., A.M., B.J., K.B.C., M.G.B., T.W., H.S.S., O.M., L.H., M.T., C.K.B., E.E., J.M., J.P. and A.F.: formulation of study design and carrying out study. S.S.S.: formulation of study design, carrying out study, analysis of data and writing of article. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki, and all procedures involving human subjects/patients were approved by the Navajo Nation Human Research Review Board. Verbal informed consent was obtained prior to enrolment of participants in the programme. Publisher Copyright: {\textcopyright} The Authors 2020.",

year = "2020",

month = aug,

doi = "10.1017/S1368980019005068",

language = "English (US)",

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AU - Sundberg, Michael A.

AU - Warren, Abigail C.

AU - Vanwassenhove-Paetzold, Joan

AU - George, Carmen

AU - Carroll, Danya S.

AU - Becenti, Leandra Jewel

AU - Martinez, Akeemi

AU - Jones, Burrell

AU - Bachman-Carter, Karen

AU - Begay, Mae Gilene

AU - Wilmot, Taylor

AU - Sandoval-Soland, Henrietta

AU - Mackenzie, Onagh

AU - Hamilton, Lindsey

AU - Tsosie, Memarie

AU - Bradburn, Caitlyn K.

AU - Ellis, Emilie

AU - Malone, Jamy

AU - Pon, Julia

AU - Fitch, Ashley

AU - Selig, Sara M.

AU - Gall, Gail

AU - Shin, Sonya S.

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PY - 2020/8

Y1 - 2020/8

N2 - 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.

AB - 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.

KW - American Indian

KW - Food access

KW - Food assistance

KW - Fruits and vegetables

KW - Low income

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Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

Find It

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