This Article Full Text (PDF) All Versions of this Article: 1524839905278620v1 7/4/396    most recent References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Gittelsohn, J. Articles by Palafox, N. A. Search for Related Content PubMed PubMed Citation Articles by Gittelsohn, J. Articles by Palafox, N. A. Social Bookmarking                         What's this?

Development and Implementation of a Food Store–Based Intervention to Improve Diet in the Republic of the Marshall Islands

Center for Human Nutrition, Department of International Health at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland

William Dyckman, MHS

University of California, San Francisco in San Francisco, California

May Lynn Tan, MHS

San Francisco, California

Malia K. Boggs, MPH

Save the Children’s Saving Newborn Lives initiative in Washington, DC

Kevin D. Frick, PhD

Department of Health Policy and Management at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland

Julie Alfred

Nutrition and Diabetes Prevention Program in the Marshall Islands

Peter J. Winch, MD, MPH

Social and Behavioral Interventions Program in the Department of International Health at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland

Heather Haberle, MHS

Drexel University College of Medicine in Philadelphia, Pennsylvania

Neal A. Palafox, MD, MPH

Department of Family Medicine and Community Health at the John A. Burns School of Medicine at the University of Hawaii in Mililani, Hawaii

Effective approaches for the prevention and reduction of obesity and obesity-related chronic diseases are urgently needed. Food store-centered programs represent one approach that may be both effective and sustainable. The authors developed a food store-based intervention in the Marshall Islands using qualitative and quantitative formative research methods, including a store usage survey (n = 184) and in-depth interviews with large-store managers (n = 13), small-store managers (n = 7), customers (n = 10), and community leaders (n = 4). This process was followed up by development and piloting of specific intervention components and workshops to finalize materials. The final intervention combined mass media (newspaper articles, video, radio announcements) and in-store components (shelf labels, cooking demonstrations, posters, recipe cards) and had high store-owner support and participation. High levels of exposure to the intervention were achieved during the 10-week period of implementation. This model for developing food store-based interventions is applicable to other settings.

Key Words: diet • formative research • food stores • obesity • Micronesia

This version was published on October 1, 2006

Health Promotion Practice, Vol. 7, No. 4, 396-405 (2006)
DOI: 10.1177/1524839905278620


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?