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To obtain feedback from school nutrition stakeholders on an agent-based model simulating school lunch to inform model refinement and future applications. Qualitative study using online discussion groups. School nutrition professional stakeholders across the US. Twenty-eight school nutrition stakeholders. Perceptions and applicability of MealSim for school nutrition stakeholders to help reduce food waste. Deductive approach followed by inductive analysis of discussion group transcripts. Stakeholders appreciated the customizability of the cafeteria characteristics and suggested adding additional characteristics to best represent the school meal system, such as factors relating to school staff supervision of students during meals. The perceived utility of MealSim was high and included using it to train personnel and to advocate for policy and budgetary changes. However, they viewed MealSim as more representative of elementary than high schools. Stakeholders also provided suggestions for training school nutrition administrators on how to use MealSim and requested opportunities for technical assistance. Although agent-based models were new to the school nutrition stakeholders, MealSim was viewed as a useful tool. Application of these findings will allow the model to meet the intended audience's needs and better estimate the system. [ABSTRACT FROM AUTHOR]

Identify psychosocial factors influencing food waste mitigation and explore motivations and strategies for successful conservation among self-identified food conservers. Mixed-methods study consisting of an online survey estimating food waste production and psychosocial factors and a focus group to explore waste mitigation strategies and motivations. Sampled 27 self-identified conservers (female, aged 18–30 years, White/Asian). Mean household food waste was 6.6 cups/wk (range, 0.0–97.9 cups/wk; median 1.3 cups). Reported waste mitigation strategies include proactive mitigation and adaptive recovery measures in each phase of the food management continuum. Conservers reported various intrinsic and extrinsic motivations to reduce food waste and viewed barriers as manageable. Food conservers act on high intentions to reduce waste by consistently employing both proactive waste mitigation and adaptive food recovery measures. Future research is needed to determine if these findings hold in larger, more diverse samples and link specific behaviors to waste volume. [Display omitted] [ABSTRACT FROM AUTHOR]

Objectives: We determined knowledge of the health benefits of consuming beans, and assessed if awareness varied by acculturation status among Hispanic and non-Hispanic low-income women. Methods: We used a self-administered survey with Iowa women aged 18-65 years who were eligible to receive income-based services through 2 healthcare clinics, a WIC clinic, and Extension Outreach. Chi-square and ANOVA were used to compare bean health benefit knowledge, demographics, health-risk factors, nutrition information seeking, and self-efficacy by acculturation categories. Results: Of the 158 women who completed the survey, 58% were Hispanic, with a mean age of 36 years. In terms of acculturation, 24% were Hispanic-dominant, 30% bicultural, and 46% English dominant. Over 50% of all respondents did not know bean consumption lowered cholesterol, aided blood glucose control, or reduced some cancer risks. Responses for 5 of 7 knowledge statements differed significantly by acculturation. Hispanic-dominant and bicultural women reported significantly better health, higher bean consumption, and less cigarette smoking than English-dominant women. Bicultural and English-dominant women were more likely to use the Internet for nutrition information. Conclusions: There are knowledge gaps about the health benefits of bean consumption among low-income women. Nutrition education to improve their knowledge may lead to increased bean consumption, reducing health disparities and improving nutrition. [ABSTRACT FROM AUTHOR]

In the United States, about 30% of edible food produced is wasted, and 20% is wasted at the consumer level. Yet, an estimated 35% of Americans "put a lot of effort" into wasted food reduction, suggesting an opportunity to learn from these food conservers through positive deviance inquiry. The purpose of the study was to identify food conservation practices, psychosocial drivers, and unmet waste mitigation needs of self-identified food conservers. Adult, self-identified food conservers were recruited online and screened for criteria of age and food procurement/preparation responsibility. Eligible participants completed a 90-minute virtual focus group and survey consisting of previously validated questions assessing household food waste amounts, behaviors and attitudes. Verbatim focus group transcripts were dual coded and thematically analyzed using a hybrid inductive-deductive approach. A total of n = 27 participants completed the questionnaire and one of six focus groups consisting of 3-6 participants each. The majority of the participants were White (48%) or Asian (41%), female (67%), had a college degree (74%), had on average 2.6 members in their residence, and made above the US median household income (56%). Reported strategies to reduce food waste included meal planning, creating and adhering to shopping lists, food inventory management, anti-depth organization of food storage spaces to promote maximum visibility, meal prepping, cooking meals in the home and repurposing leftovers. Participants reported intentions to avoid waste, confidence in their ability to reduce waste, and personal and subjective norms that encourage mitigation efforts. Participants reported needing assistance determining optimal produce storage methods and desired opportunities to learn from other food conservers. Self-identified food conservers reported a variety of household food waste mitigation strategies, which could be leveraged to positively influence other households. While these findings suggest relatively high food literacy among self-identified food conservers, addressing their unmet needs may improve waste mitigation. USDA; UIUC Division of Nutritional Sciences Vision 20/20 [ABSTRACT FROM AUTHOR]

Background: Improving social determinants of health, such as access to nutritious food, is crucial for achieving health equity. Nutrition insecurity, especially during pregnancy and postpartum, can lead to poor maternal and birth outcomes. Food is Medicine (FIM) programs, which integrate food into the health care system to prevent or manage disease, have the potential to improve nutrition insecurity, but research about perinatal FIM programs is limited., Objective: The purpose of this study was to explore perceptions of public health impacts of perinatal FIM programs from the perspectives of both program implementers and program supporters and implementation strategies used to enhance program adoption, implementation, and maintenance., Design: Qualitative data were collected through semi-structured interviews. The interview guide was based on the Reach, Effectiveness, Adoption, Implementation, Maintenance framework., Participants/setting: Program implementers (n = 16) and program supporters (n = 20) were recruited across the United States through purposive sampling in 2022 and 2023., Analysis: Data were analyzed using deductive thematic analysis and an iterative feedback loop with the project partner., Results: Interviews were completed with program implementers and program supporters and generated meaning units (n = 1,942), which were coded into themes aligned with each Reach, Effectiveness, Adoption, Implementation, Maintenance dimension. Perinatal FIM programs reached multiple priority populations who were mainly recruited through health care systems. Effectiveness measures typically included nutrition patterns and practices, as well as return on investment. Motivations for adopting programs primarily included partnerships and connections, financing, and policies and laws. Program components varied and were adapted to meet participants and setting needs. Policy, evidence, funding, and partnerships could lead to program maintenance. Implementation strategies applied by the program supporters included financial strategies and infrastructure changes., Conclusions: There is a need to identify the core functions and adaptable forms of perinatal FIM programs, which could lead to identification of standard evaluation metrics. This could result in greater uptake by potential delivery agents, increased funding and policy support, and enhanced benefits for perinatal population experiencing health disparities., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

The National School Lunch Program (NSLP) provides healthy food to millions of children annually. To promote increased lunch consumption, policy, systems, and environmental (PSE) change strategies are being implemented in child nutrition programs. An evaluation of the current evidence supporting PSE interventions in school nutrition programs is needed to facilitate evidence-based practices across the nation for programs. This systematic review aims to determine the quality and breadth of available evidence of the effectiveness of PSE strategies on the consumption and waste of fruits, vegetables, milk, and water in the NSLP. The inclusion criteria required studies to occur in a United States K-12 school setting, data collection after 2012, report consumption and waste findings for fruit, vegetable, milk, or water, and be an original research article. Articles included in the review are restricted to positive or neutral quality. Thirty studies are included, policy level (n = 4), systems level (n = 8), environmental level (n = 10), and multi-category (n = 8). Results from positively rated policy-level studies suggest that recess before lunch may increase milk consumption, whereas removing flavored milk may decrease consumption. System-level studies of offering vegetables first in isolation of other meal components and offering spiced vegetables compared with traditional preparations may increase vegetable consumption, and locally procuring produce may increase fruit and vegetable consumption. Environmental-level studies such as water promotion strategies such as placing cups near drinking fountains may increase water consumption. Improving the convenience, attractiveness, and palatability of fruits and vegetables may increase consumption. Future PSE research in child nutrition programs should incorporate implementation aides and metrics into their study designs to allow a better understanding of how to sustain interventions from the perspective of school nutrition professionals., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)