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In this article, we discuss methodological opportunities related to using a team-based approach for iterative-inductive analysis of qualitative data involving detailed open coding of semistructured interviews and focus groups. Iterative-inductive methods generate rich thematic analyses useful in sociology, anthropology, public health, and many other applied fields. A team-based approach to analyzing qualitative data increases confidence in dependability and trustworthiness, facilitates analysis of large data sets, and supports collaborative and participatory research by including diverse stakeholders in the analytic process. However, it can be difficult to reach consensus when coding with multiple coders. We report on one approach for creating consensus when open coding within an iterative-inductive analytical strategy. The strategy described may be used in a variety of settings to foster efficient and credible analysis of larger qualitative data sets, particularly useful in applied research settings where rapid results are often required.

Background: Farm-to-school interventions are recommended strategies to improve dietary behaviors among school-aged children. Tools are needed to assess community readiness and capacity to optimize farm-to-school implementation. The objective of this study was to identify and prioritize factors to inform tailored farm-to-school implementation by practitioners working in diverse contexts. Methods: Practitioners and community residents (N = 194) participated in semistructured interviews (N = 18) and focus groups (N = 23). Thematic analysis was conducted to identify themes and subthemes influencing farm-to-school implementation. The subthemes were operationalized into measureable indicators. The themes and their associated indicators were prioritized through a consensus conference with an expert panel (N = 18). Results: The qualitative data analysis and consensus conference yielded 4 themes and 17 indicators associated with community readiness and capacity to implement farm-to-school. The themes represent school capacity, networks and relationships, organizational and practitioner capacity, and community resources and motivations. Conclusions: Findings highlight a range of indicators of community readiness and capacity needed to support farm-to-school implementation. Results offer guidance for tailoring intervention delivery based on levels of community, school, practitioner, and organizational readiness and capacity.

Background: The HEALing Communities Study (HCS) included health campaigns as part of a community-engaged intervention to reduce opioid-related overdose deaths in 67 highly impacted communities across Kentucky, Massachusetts, New York, and Ohio. Five campaigns were developed with community input to provide information on opioid use disorder (OUD) and overdose prevention, reduce stigma, and build demand for evidence-based practices (EBPs). An evaluation examined the recognition of campaign messages about naloxone and whether stigma and efficacy beliefs regarding OUD treatment and naloxone changed in HCS intervention communities. Methods: Data were collected through surveys offered on Facebook/Instagram to members of communities participating in the HCS intervention and wait-list control communities. Results: Participants in HCS intervention communities reported a reduction in stigma regarding OUD and increased efficacy beliefs regarding naloxone associated with recognition of campaign messages. However, this finding is cautiously interpreted as there was no clear evidence for recognition differences between the treatment/control conditions. Conclusion: Study findings indicate associations between campaign message recognition and positive outcomes. Results also highlight possible challenges concerning evaluations of social media campaigns using conventional evaluation techniques. Trial registration: ClinicalTrials.gov NCT04111939. [ABSTRACT FROM AUTHOR]

We analyzed county food pantry use data for 2019 and 2020 (n = 1,169,568 pantry visits) to explore differences in pantry use among four types of households determined by the presence of seniors and/or children. Our results show that household composition had a significant (p <.001) impact on food pantry utilization, with multi-generational families with children's pantry reliance per year higher than any other group in both 2019 and 2020. The constant high pantry usage of these families suggests chronic food need among families with seniors and children including grandfamilies and highlights the need for tailored interventions. [ABSTRACT FROM AUTHOR]

Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALing Communities Study (HCS)—a multisite implementation study aiming to reduce opioid overdose deaths in 67 communities. Researchers analyzed transcripts of 321 qualitative interviews conducted with members of 56 coalitions in the four states participating in the HCS. There were no a priori interests in themes, and emergent themes were identified through inductive thematic analysis and then mapped to the constructs of the Community Coalition Action Theory (CCAT). Themes emerged related to coalition development and highlighted the role of health equity in the inner workings of coalitions addressing the opioid epidemic. Coalition members reported seeing the lack of racial and ethnic diversity within their coalitions as a barrier to their work. However, when coalitions focused on health equity, they noted that their effectiveness and ability to tailor their initiatives to their communities' needs were strengthened. Based on our findings, we suggest two additions to enhance the CCAT: (a) incorporating health equity as an overarching construct that affects all stages of development, and (b) ensuring that data about individuals served are included within the pooled resource construct to enable monitoring of health equity. [ABSTRACT FROM AUTHOR]

There is a debate in the literature about whether one can address food system problems with market-based approaches while seeking food justice or food sovereignty. However, as part of a team of researchers and community leaders, we have found that this debate is less relevant in practice. The concepts are interrelated within real-world food systems. As such, we were motivated to ask, how do social enterprises (SEs) interact with food justice and food sovereignty movements and their visions in order to realize more democratic and equitable local food systems in communities? To answer this question, we conducted a systematic review at the intersection of SE, food sovereignty, and food justice literature. Analyzing nine articles, which included 17 food-related SEs, we found evidence of potential interactions between food SEs, food justice, and food sovereignty that are compatible (e.g., create employment) and incompatible (e.g., limited ability to address issues like community employability and green gentrification). The literature includes at least three important characteristics that inform how food-related SEs may interact with food justice and sovereignty, including employee and ownership demographics, the enterprise business model, and aspects of the food system targeted by the enterprise via market activities. If we consider a systems perspective, we can envision the ways in which the aspects are embedded and interdependent in a neoliberal society. SEs, as market-based agents for social change, exist in the same system as justice and sovereignty. [ABSTRACT FROM AUTHOR]