J Acad Nutr Diet. 2022 Feb 26:S2212-2672(22)00108-3. doi: 10.1016/j.jand.2022.02.016. Online ahead of print.
ABSTRACT
BACKGROUND: Voices for Food was a longitudinal community, food pantry-based intervention informed by the social ecological model, and designed to improve food security, dietary intake and quality among clients, that was carried out in 24 rural food pantries across six Midwestern states.
OBJECTIVE: The objective was to evaluate changes in adult food security, dietary intake, and quality from baseline (2014) to follow-up (2016), and to assess the role of adult food security on dietary outcomes.
DESIGN: A multistate, longitudinal, quasi-experimental intervention with matched treatment and comparison design was used to evaluate treatment versus comparison group changes over time and changes in both groups over time.
PARTICIPANTS/SETTING: Adult food pantry clients (n = 617) completed a demographic, food security survey, and up to three 24-hour dietary recalls at baseline (n = 590) and follow-up (n = 160).
INTERVENTION: Community coaching served as the experimental component that only “treatment” communities received while a food council guide and food pantry toolkit were provided to both “treatment” and matched “comparison” communities.
MAIN OUTCOME MEASURES: Change in adult food security status, mean usual intakes of nutrients and food groups, and Healthy Eating Index-2010 (HEI-2010) scores were the main outcome measures.
STATISTICAL ANALYSES PERFORMED: Linear mixed models estimated changes in outcomes by intervention group and by adult food security status over time.
RESULTS: Improvements in adult food security (-0.7 ± 0.3, p = 0.01), HEI-2010 total score (4.2 ± 1.1, p < 0.0001), and empty calories component scores (3.4 ± 0.5, p < 0.0001) from baseline to follow-up were observed in treatment and comparison groups but no statistically significant changes were found for adult food security status, dietary quality and usual intakes of nutrients and food groups between the two groups over time. The intervention effect on dietary quality and usual intake changes over time by adult food security status were also not observed.
CONCLUSIONS: Food pantry clients in treatment and comparison groups had higher food security and dietary quality at the follow-up evaluation of the VFF intervention trial compared to baseline despite the lack of difference among the groups as a result of the experimental coaching component.
PMID:35231664 | DOI:10.1016/j.jand.2022.02.016