# Validation of a Novel Method to Evaluate Community-Based Interventions That Improve Access to Fruits and Vegetables

**Authors:** Louisa Ewald, Kate E. LeGrand, Claire-Lorentz Ugo-Ike, Sally Honeycutt, Jennifer L. Hall, Emmanuela Gakidou, Ali H. Mokdad, Gregory A. Roth

PMC · DOI: 10.3390/ijerph22020312 · International Journal of Environmental Research and Public Health · 2025-02-19

## TL;DR

A new survey tool was tested to evaluate how community programs affect fruit and vegetable consumption, showing promise for future use.

## Contribution

A novel survey tool was developed and piloted to evaluate community-based dietary interventions.

## Key findings

- The pilot survey had a high completion rate of 98.2%.
- 62.5% of participants reported increased fruit and vegetable consumption.
- Cost, time, and accessibility were cited as main barriers to healthy eating.

## Abstract

Background: Current evaluation tools are inadequate for assessing the impact of small-scale interventions, such as farmer’s markets or community meal programs, on fruit and vegetable consumption. This study analyzes the pilot data of a novel tool designed to evaluate community-based programs’ impact on fruit and vegetable consumption. Our research addresses the gap in effective evaluation methods for dietary behaviors within underserved populations. Methods: The survey tool was developed through a participatory research approach involving interest holders and community members. We conducted a pilot survey across four community-based programs, validated the findings, and compared them against the data from the Behavioral Risk Factor Surveillance System. Results: This pilot survey demonstrated a high completion rate of 98.2%. Notably, 62.5% of respondents reported an increased consumption of fruits and vegetables since participating in the programs and cited cost, time, and accessibility as primary barriers to healthy eating. There is a strong, though not significant, correlation of 0.876 (p = 0.12) between the pilot data of prevalence of daily fruit and vegetable consumption and the national average. Conclusion: Our findings suggest the survey tool effectively captures dietary behaviors and the influence of community-based programs. Further research is required to enhance its applicability in diverse settings and extend robust impact evaluation methods for these programs.

## Full-text entities

- **Diseases:** Diseases (MESH:D004194), injury to people or property (MESH:C000719191), CVDs (MESH:D002318)
- **Chemicals:** sugars (MESH:D000073893), fruits and vegetables (-)
- **Species:** Brassica oleracea var. italica (asparagus broccoli, varietas) [taxon 36774], Homo sapiens (human, species) [taxon 9606], Brassica oleracea var. viridis (collards, varietas) [taxon 3713], Daucus carota (carrot, species) [taxon 4039], Solanum tuberosum (potatoes, species) [taxon 4113], Spinacia oleracea (spinach, species) [taxon 3562]

## Full text

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## Figures

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## References

30 references — full list in the complete paper: https://tomesphere.com/paper/PMC11855695/full.md

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Source: https://tomesphere.com/paper/PMC11855695