Nutrition Environment Food Pantry Assessment Tool (NEFPAT): Development and Evaluation

Objective To develop and evaluate a nutrition environment assessment tool to assess the consumer nutrition environment and use of recommended practices in food pantries. Methods The Nutrition Environment Food Pantry Assessment Tool (NEFPAT) was developed based on a literature review and guidance from professionals working with food pantries. The tool was pilot‐tested at 9 food pantries, an expert panel assessed content validity, and interrater reliability was evaluated by pairs in 3 pantries. After revisions, the NEFPAT was used in 27 pantries. Results Pilot tests indicated positive appraisal for the NEFPAT and recommendations were addressed. The NEFPAT's 6 objectives and the overall tool were rated as content valid by experts, with an average section rating of 3.85 ± 0.10. Intraclass correlation coefficients for interrater reliability were >0.90. Conclusions and Implications The NEFPAT is content valid with high interrater reliability. It provides baseline data that could be valuable for interventions within the nutrition environment of food pantries.

[1]  Christian A. Gregory,et al.  Household Food Security in the United States in 2015 , 2016 .

[2]  N. Stroebele-Benschop,et al.  The Dietary Quality of Food Pantry Users: A Systematic Review of Existing Literature. , 2017, Journal of the Academy of Nutrition and Dietetics.

[3]  Jennie E. Raymond,et al.  Use of Food Pantries and Food Stamps in Low‐Income Households in the United States , 2005 .

[4]  B. Laraia Food insecurity and chronic disease. , 2013, Advances in nutrition.

[5]  J. Grisso,et al.  From commodity surplus to food justice: food banks and local agriculture in the United States , 2015 .

[6]  M. Hennink,et al.  A qualitative study of nutrition-based initiatives at selected food banks in the feeding America network. , 2013, Journal of the Academy of Nutrition and Dietetics.

[7]  Michelle L. Kaiser,et al.  A Case Study of Promoting Nutrition and Long-Term Food Security Through Choice Pantry Development , 2013 .

[8]  Promoting Food Pantry Environments that Encourage Nutritious Eating Behaviors. , 2017 .

[9]  J. L. Greger,et al.  Food pantries can provide nutritionally adequate food packets but need help to become effective referral units for public assistance programs. , 2002, Journal of the American Dietetic Association.

[10]  F. McKay,et al.  The Role of Food Banks in Addressing Food Insecurity: A Systematic Review , 2016, Journal of Community Health.

[11]  E. Waclawski Health Measurement Scales—A Practical Guide to Their Development and Use , 2010 .

[12]  M. Lynn Determination and quantification of content validity. , 1986, Nursing research.

[13]  A. Greer,et al.  Giving Economically Disadvantaged, Minority Food Pantry Patrons' a Voice: Implications for Equitable Access to Sufficient, Nutritious Food , 2016, Family & community health.

[14]  Maria L. Jibaja-Weiss,et al.  Development of a Nutrition Education Intervention for Food Bank Clients , 2017, Health promotion practice.

[15]  K. Webb,et al.  A Model to Drive Research-Based Policy Change: Improving the Nutritional Quality of Emergency Food , 2013 .

[16]  J. Gittelsohn,et al.  Diabetes and obesity prevention: changing the food environment in low-income settings , 2017, Nutrition reviews.

[17]  B. Daponte Private versus Public Relief: Use of Food Pantries versus Food Stamps among Poor Households , 2000 .

[18]  M. Manore,et al.  Nutritional quality of emergency foods. , 2011, Journal of the American Dietetic Association.

[19]  B. Wansink,et al.  Food pantry selection solutions: a randomized controlled trial in client-choice food pantries to nudge clients to targeted foods , 2016, Journal of public health.

[20]  M. Reicks,et al.  Attitudes and behaviors of food donors and perceived needs and wants of food shelf clients. , 2003, Journal of nutrition education and behavior.

[21]  K. Webb,et al.  Improving the Nutritional Quality of Emergency Food: A Study of Food Bank Organizational Culture, Capacity, and Practices , 2013 .

[22]  A. Colantonio,et al.  A novel food pantry program: food security, self-sufficiency, and diet-quality outcomes. , 2013, American journal of preventive medicine.

[23]  Stephanie B. Wheeler,et al.  A Qualitative Study of Perceived Barriers to Fruit and Vegetable Consumption Among Low-Income Populations, North Carolina, 2011 , 2013, Preventing chronic disease.

[24]  J. Kadane,et al.  To What Degree Does Food Assistance Help Poor Households Acquire Enough Food? A Joint Examination of Public and Private Sources of Food Assistance , 2001 .

[25]  Lawrence D. Frank,et al.  Healthy Nutrition Environments: Concepts and Measures , 2005, American journal of health promotion : AJHP.

[26]  M. Story,et al.  Assessing Foodshelves' Ability to Distribute Healthy Foods to Foodshelf Clients , 2011 .

[27]  Katie S. Martin,et al.  Food insecurity, poor diet quality, and obesity among food pantry participants in Hartford, CT. , 2013, Journal of nutrition education and behavior.

[28]  K. Hanson,et al.  Food insecurity and dietary quality in US adults and children: a systematic review. , 2014, The American journal of clinical nutrition.

[29]  D. Remley,et al.  Spanish- and English-Speaking Client Perceptions of Choice Food Pantries , 2010 .

[30]  L. R. Kicinski Characteristics of Short and Long-Term Food Pantry Users , 2012 .

[31]  I. Laquatra,et al.  Applying a nutrient-rich foods index algorithm to address nutrient content of food bank food. , 2015, Journal of the Academy of Nutrition and Dietetics.

[32]  N. Stroebele-Benschop,et al.  The Nutritional Quality of Food Provided from Food Pantries: A Systematic Review of Existing Literature. , 2017, Journal of the Academy of Nutrition and Dietetics.

[33]  J. Guthrie,et al.  Integrating Behavioral Economics into Nutrition Education Research and Practice. , 2017, Journal of nutrition education and behavior.