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Planting Seeds for Food Is Medicine: Pre-Implementation Planning Methods and Formative Evaluation Findings From a
Marianna S Wetherill1, Kristina M Bridges2, Gabrielle E Talavera3
1University of Oklahoma Tulsa Schusterman Center, Tulsa, OK, USA.
Journal of Primary Care & Community Health
|March 25, 2024
Summary
Food is Medicine (FIM) initiatives address health disparities. Pre-implementation planning, including workshops and funding, helped federally-qualified health centers (FQHCs) develop FIM programs, though staff limitations were noted.
Area of Science:
- Health Services Research
- Public Health Nutrition
- Health Disparities
Background:
- Food is Medicine (FIM) initiatives are gaining traction to combat nutrition-related health disparities.
- Healthcare settings face novel challenges with food insecurity screening and medically-tailored food assistance programs.
- Federally-qualified health centers (FQHCs) are key sites for implementing FIM programs.
Purpose of the Study:
- To describe and evaluate pre-implementation planning processes for FIM initiatives in Kansas FQHCs.
- To assess the satisfaction and utility of structured planning support for FIM program development.
- To identify effective strategies for engaging healthcare centers in FIM program design.
Main Methods:
- A philanthropic foundation facilitated a 17-month pre-implementation planning process for FQHCs across three stages: inquiry, learning event, and planning workshops.
- Participants received pre-implementation planning grants to develop FIM implementation proposals.
- Program design components were compared between pre-implementation and implementation grant applications; satisfaction was assessed via surveys.
Main Results:
- All 7 participating FQHCs received pre-implementation grants, and 6 submitted implementation grant applications.
- FQHCs reported high satisfaction with planning support but identified limited staff as a barrier.
- Final FIM program designs focused on pre-diabetes/diabetes populations with refined nutrition prescriptions and intervention models.
Conclusions:
- Structured pre-implementation planning and funding are crucial for successful FIM initiative development in FQHCs.
- Addressing staff limitations and refining program focus are key considerations for FIM implementation.
- Collaboration between funders, stakeholders, and evaluators is recommended to support effective FIM planning.
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