Evaluation of the Healthy Food, Healthier You Shelf Labeling Program in an Atlanta Grocery Store Open Access
Creasy, Marian (2015)
Background: Obesity disproportionately impacts low-income, minority communities and the local food environment plays an important role. Since the majority of food purchasing decisions are made in grocery-stores, these settings are optimal for interventions aimed at promoting a healthy diet. The Urban Health Initiative implemented the Healthy Food, Healthier You shelf labeling program in an independently-owned grocery-store serving a predominately low-income, African-American community in Atlanta, Georgia.
Objective: This study applied process and outcome
evaluation methodology to examine how the Healthy Food,
Healthier You program was implemented and customers' reactions
to and awareness and use of the shelf-labels.
Methods: The evaluation used a cross-sectional,
post-implementation, mixed-methods design to assess the program.
Customer intercept surveys (N=72) were used to assess program
reach, customers' reactions to the shelf-labels, and awareness and
use of the shelf-labels. Interviews with store employees (N=6) were
used to assess current experiences with the program and gather
feedback on program feasibility, acceptability, and sustainability.
In-store observations were conducted at two time-points to monitor
fidelity and dose of shelf-labels and program materials.
Results: Sixty-seven percent of participants were female,
96% African-American, 58% received nutritional assistance from
Supplemental Nutrition Assistance Program (SNAP) or Special Supplemental Nutrition Program
for Women, Infants, and Children (WIC), and participants had a mean age of 50.2
± 14.87 SD. Twenty-six percent of participants were aware of
the program and of those aware, 68% of participants used the
shelf-label. A logistic regression indicated that higher education,
considering healthfulness while food shopping, and greater program
exposure were significantly associated with program awareness.
Older age was significantly associated with shelf-label use.
Grocery-store employees reported strong program acceptance, and
indicated that this program may be a feasible means of promoting
healthy food purchases for customers. Observations indicated that
the program was implemented with a high-level of fidelity and
reach, and a moderate-level of dose.
Discussion: Results indicate that this intervention may be a viable approach to reduce the complexity of healthy food purchasing. After a period of capacity building and strengthening of current program components, adding a community outreach component and an in-person nutrition education program should be considered.
Table of Contents
Chapter 1. Introduction...1
Chapter 2. Review of the Literature...22
Chapter 3. Method...47
Chapter 4. Results...73
Chapter 5. Discussion...100
About this Master's Thesis
|Committee Chair / Thesis Advisor|
|Evaluation of the Healthy Food, Healthier You Shelf Labeling Program in an Atlanta Grocery Store ()||2018-08-28 13:26:58 -0400||