Source: UNIVERSITY OF ARIZONA submitted to NRP
FARMACY: A PRESCRIPTION FOR A HEALTHIER COMMUNITY
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1031003
Grant No.
2023-41520-41009
Cumulative Award Amt.
$233,500.00
Proposal No.
2023-03739
Multistate No.
(N/A)
Project Start Date
Aug 15, 2023
Project End Date
Aug 14, 2025
Grant Year
2024
Program Code
[MC]- Youth at Risk
Recipient Organization
UNIVERSITY OF ARIZONA
888 N EUCLID AVE
TUCSON,AZ 85719-4824
Performing Department
(N/A)
Non Technical Summary
Summary:Each year, 85% of U.S. healthcare funds are spent on chronic diseases related to nutrition and 600,000 people die from these diseases. The diseases impact underserved people and communities at double and triple the average rates. Community-based evidence clearly demonstrates that increasing nutrition knowledge not only improves health, but also reduces structural barriers and health inequities. These changes enhance productivity and longevity across the U.S.Goal: We have a strong 4-H Healthy Living Ambassadors (HLA) program with a consistent track record of positive youth development that is embedded in an at-risk community in Tucson. Our goal is to immerse teens in leadership and skill development activities that focus on teaching seed-to-table nutrition and hosting large community events that foster nutrition security, address health inequities, and reduce food wastage in at-risk communities in Tucson and South Phoenix.Objectives: Our teens gain skills in:(1) curriculum development and implementation - systematically incorporating nutrition security interventions into our farm-fresh produce-distribution events(2) leadership that impacts communities - addressing health inequities and enhancing community health and wellness(3) innovation - designing and implementing a blueprint for seeding at-risk communities across Arizona with 4-H HLA programs adapted to local needsMethods: Our FARMacy program leverages the science of produce-prescription programs to provide our at-risk community with affordable produce and tailored nutrition education. It uniquely augments the traditional model by offering these services in our vegetable gardens and having them presented by teen ambassadors. We teach teens to organize large-scale, intergenerational, community-based events and conduct them on a regularly scheduled basis. They create age-appropriate, approachable, bilingual demonstrations of identifying nutrient dense foods from the garden; hands-on food preparation and cooking of produce; cultural differences in food preparation; and ultimately, consumption of highly palatable vegetables.Project Relevance: Building a sustainable FARMacy for their community allows teens to see how their skills and effort rapidly contribute to improving the health and well-being of their community. This experience sets the stage for a lifelong commitment to individual and community health.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
80660203020100%
Knowledge Area
806 - Youth Development;

Subject Of Investigation
6020 - The family and its members;

Field Of Science
3020 - Education;
Goals / Objectives
Goals:Our goal is to use 4-H positive youth development activities to provide seed-to-table nutrition education, foster nutrition security, reduce health inequities, and reduce food wastage in at-risk communities in Tucson and South Phoenix. Our objectives are:Create opportunities for teen 4-H Healthy Living Ambassadors (HLA) to develop skills, and become leaders, in improving the health and well-being of their community.Teach HLA to plan and conduct large-scale community FARMacy events that provide teen-led nutrition education, food sampling, and cooking demonstration sessions in conjunction with a produce distribution market.Engage Tucson HLA teens in sharing their expertise with teens in South Phoenix to create a 4-H, HLA program focused on developing a teen-facilitated FARMacy program tailored to the needs of South Phoenix.
Project Methods
Methods:Efforts - The project is grounded in state-of-the-art, experiential-learning curricula. Curricula focus on engaging teens in seed-to-table agriculture, healthy lifestyles, food-as-medicine concepts, culinary arts, public speaking skills, event planning, reducing health inequities, eliminating food wastage, and the role of educational and non-profit organizations in building community health and well-being. The project will provide the opportunity for teens to (a) expand 4-H programming (in Tucson) to another at-risk community (South Phoenix) and (b) extend their skills to include developing collaboration and peer teaching skills. The project will culminate in the development of a blueprint for expanding 4-H programming focused on promoting the health and well-being of at-risk communities across the state of Arizona.Evaluation occurs at key milestones in the project -Enrollment evaluation - Teens complete standardized quantitative and qualitative baseline measures of health behaviors (Walmart Foundation and CYFAR Common Measures surveys) to provide a context for change in health, skill, leadership, and confidence behaviors.First FARMacy event in Tucson - Teens participate in event debriefs and planning for future events.Third FARMacy event in Tucson - Teens participate in event debriefs and planning for future events.First FARMacy event in South Phoenix - Teens participate in event debriefs and planning for future events.Third FARMacy event in South Phoenix - Teens participate in event debriefs and planning for future events.Meetings, activities, and events - Participation head counts for teens, families, and community members.Spring Break Review - Teens complete standardized quantitative and qualitative evaluations of change in health behaviors and the impact of program participation.Spring Evaluation-a-thon (end-of-school-year) - Teens review the previous 9 months of 4-H programming, identify program strengths and weaknesses, and prepare strategic and tactical plans for improvement.FARMacy events - Adults complete a brief survey indicating the number of times they have participated in a FARMacy event, outlining which FARMacy activities they found meaningful, their experience with vegetable and fruit consumption, and the impact of the FARMacy program on their health and well-being.Presentations and publications - Number of presentations and publications submitted to juried conferences or peer-reviewed journals. Number accepted.

Progress 08/15/23 to 08/14/24

Outputs
Target Audience:The focus of this project is on teens. During this reporting period, teens had the opportunity to volunteer at Market on the Move events, receive some training on food safety, and provide some food demonstrations for Market on the Move attendees. As previously mentioned, the full teen component of this program will launch in the next reporting period (2024-2025). Changes/Problems:The principal we were working closely with at V. H. Lassen Elementary School to build and implement the program in South Phoenix left and we will need to work to build a new partnership with the new principal. We've already met with them and they're engaged and excited about the partnership, so we are confident that this should have major impacts on our ability to run the program as planned in South Phoenix. What opportunities for training and professional development has the project provided?While we will launch our official FARMacy training for our teen volunteers in fall 2024, we were able to offer basic food safety training for the teen Healthy Living Ambassadors who volunteered at the Market on the Move events. We also had several team members participate in CYFAR-offered professional development opportunities and national conferences. How have the results been disseminated to communities of interest?We've established a system of disseminating surveys to Market on the Move attendees on a quarterly basis to gather information about their demographics, how they found out about the events, and what types of education they would like to receive at future events. Survey results were compiled into brief, visual reports that were reviewed and discussed at monthly team meetings with all relevant partners. We also intend to compile and discuss the results of our first year of data at our August team meeting, when we return from summer break. Copies of the results reports are included in 'Other Products.' What do you plan to do during the next reporting period to accomplish the goals?We will fully launch our program in the next reporting period (2024-2025) and work more directly to address all three of our goals. November 1st and 2nd, Tucson Village Farm will be hosting a statewide conference for teens to learn the FARMacy curriculum that is central to this project. Of the teens trained from Tucson and South Phoenix, we will recruit a team of teens that will work with this project moving forward and receive stipends for their participation to reduce potential financial barriers. We'll recruit from existing 4-H HLA-enrolled teens and more broadly in the community, tapping into existing programs in our community, like the teen wellness group at El Rio Health (a federally-qualified health center). Teens will then sign on to participating through the school year, with ongoing training throughout. With the launch of the teen component, we will also launch our evaluation, including using the CYFAR common measures and other identified instruments. ?

Impacts
What was accomplished under these goals? While this year was a planning year, our team was able to accomplish several key milestones towards setting up the structure and logistics to begin our full programming in year two. We established monthly virtual meetings that bring together partners from both Tucson and South Phoenix. We formed a robust team of community supporters for the project in both communities. Notably, we identified a school site for South Phoenix and built out a brand new team of collaborators over this past year, connecting with V. H. Lassen Elementary School, Spaces of Opportunity, the University of Arizona College of Medicine in Phoenix, and the Culinary Medicine Program, among other partners. We piloted the Market on the Move distribution process in both locations, developed marketing and communications plans for promoting the events, collaborated with SNAP-Ed and College of Medicine partners to develop and share recipes, recruited volunteers to support the events, and engaged an initial group of teens. We gathered evaluation data from Market on the Move attendees to understand who we were reaching and the types of education they'd like to receive from our future teen volunteers. In summer 2024, we hired a program coordinator that will oversee the implementation of the program in South Phoenix.

Publications