Indicators of readiness and capacity for implementation of healthy food retail interventions
Healthy food retail (HFR) interventions are a recommended strategy to improve the dietary behaviors of low-income residents with limited access to healthy food; however, tools are needed to assess, tailor, and implement HFR plans to local contexts. The present study identifies factors influencing HFR implementation and presents findings related to identifying, operationalizing, and prioritizing facilitators of and barriers to implementing HFR interventions within low-resource rural and urban contexts. Practitioners and community residents, recruited from nine counties in Ohio, participated in semistructured interviews and focus groups. Grounded theory methodology was used to develop themes and indicators of readiness and capacity for successful HFR implementation. Consensus conference feedback from an expert panel prioritized themes and indicators based on their perceived relevance and importance for successfully implementing HFR interventions. Five themes were identified as influential factors: (1) corner store awareness and perception, (2) organizational and practitioner capacity, (3) community attitudes and perceptions, (4) logistical factors, and (5) networks and relationships. Additionally, 18 indicators within the five themes were identified to further illustrate influential factors to HFR implementation. The themes and indicators presented in this research have been synthesized into the PSE READI tool (developed outside of this research). The PSE READI tool uniquely provides an opportunity to assess, tailor, and implement HFR plans to the local contexts by considering the key themes and influential factors that emerged from this community-level, qualitative research.
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