Progress 06/15/23 to 06/14/24
Outputs
Target Audience:The CRR project enabled our geographic and cultural service areas to include more Native Hawaiian and Pacific Islanders. Enrolled participants follow the low income and chronic disease indicators. Areas served include the south west, far north, and south eat sides of the island of Hawaii. Changes/Problems:There was a downturn in CSA demand in the general population as we came out of the pandemic and this impacted our suppliers and distributors as they had to change their business models. Fortunately we have been able to innovate and find new produce partners or change delivery methods with exisiting produce partners. One of our main clinic partners acquired a new clinic in an area where we had planned to grow the CRR project which was of considerable help with enrollment and geographic expansion. What opportunities for training and professional development has the project provided?
Nothing Reported
How have the results been disseminated to communities of interest?
Nothing Reported
What do you plan to do during the next reporting period to accomplish the goals?We have an extension to complete serving our core participant communities and to complete the final survey interviews.
Impacts
What was accomplished under these goals?
We are serving remote villages and rural town sites through bi-monthly produce deliveries. Communities served include Miloli'i, Ocean View, Keauhou, North Kohala, Kea'au and Hilo. The project's community partners include three food hubs and 8 clinic sites. 7,274 boxes of produce have been delivered to participants, with 338 enrollments.
Publications
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Progress 06/15/22 to 06/14/23
Outputs
Target Audience:The CRR project our geographic and cultural service areas to include more Native Hawaiian and Pacific Islanders. Enrolled participants follow the low income and chronic disease indicators. Areas served include the south west, far north, and south eat sides of the island of Hawaii. Changes/Problems:There was a downturn in CSA demand in the general population as we came out of the pandemic and this impacted our suppliers and distributors as they had to change their business models. Fortunately we have been able to innovate and find new produce partners or change delivery methods with exisiting produce partners. One of our main clinic partners acquired a new clinic in an area where we had planned to grow the CRR project which was of considerable help with enrollment and geographic expansion. What opportunities for training and professional development has the project provided?The project team has been trained in using Qualtrix and accessing the NIH evaluation tools. Theya re also taking on produce distribution planning, aggregation and delivery activities. How have the results been disseminated to communities of interest?
Nothing Reported
What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
We are serving remote villages and rural town sites through bi-monthly produce deliveries. Communities erved include Miloli'i, Ocean View, Keauhou, North Kohala, Kea'au and Hilo. The project's community partners include three food hubs and 8 clinic sites. 4,995 boxes of produce have been delivered to participants, with 338 enrollments.
Publications
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Progress 06/15/21 to 06/14/22
Outputs
Target Audience:Patients are enrolled through partnering clinics and are selected based on limited income indicators, chronic health challenges that can be postively impacted by changes in diet, and a doctor-patient agreement to address diet as a healthy lifestyle component. Given great distances in remote rural areas between patients and providers, and infrequency of clinic contact, we also developed enrollment intiaitives through human service and community center partners in order to reach and expand our intended client base. This CRR project includes an emphasis on serving Native Hawaiian and Pacific Islanders. Changes/Problems:A challenge in this period were going through the IRB Waiver process. This delayed ability to start the required intake and post participation surveys but this has been resolved and is operating. Changes in staff at the Nutrition Hub also required several restarts in processes. Redesigning the service areas and reporting process to differentiate PPR from CRR was more challenging than anticiapted but resolved by splitting groups based on geography. What opportunities for training and professional development has the project provided?Team members are learning to use a new online enrollment tools and adapt them to meet this project's needs. Project Director is attending online professional development webinars with the Nutrition Incentive Hub and other GusNIP partners. Project manager attended the 5th Annual Conference on Native American Nutrition in Minnesota specifically in regards to the demographic emphasis of this CRR project. How have the results been disseminated to communities of interest?
Nothing Reported
What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
PPR CRR project design was developed and new communities and vendors were brought on board. Additional team members were hired to serve the expanded service areas. Project management and tracking tools were adapted to separately track CRR and PPR data including HIPAA compliant document storage. Relationship building and new training with clinics took place to strengthen project stakeholder engagement. Materials for recruiting, enrollment and clinical staff education were updated and distributed. The internal intake and survey instruments operated online and via printed form. Online ordering continued to streamline vendor services.Of the 332 intended participants, 186 have been enrolled through 11 clinic and community sites. 2,093 boxes of Hawaii grown CSA produce were distributed. 2 farm direct CSA food hubs are participating as providers. Project host pick up sites operated in: South Kona (3) and North Kohala for a total of 4 locations. The CRR expanton funding enabled expansion into specific communities hard hit by COVID, including Native Hawaiian and Pacific Islanders. New relationships with clinical and produce providers in those areas was initiated and a system to differentiate and track PPR and PPR CRR was set up. Worked with the Evaluation team to develop protocols for survey instruments and efforts. Received the IRB waiver. Participated in the annual Directors Meeting and in PPR cohort sessions.
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