Register      Login
Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Can small stores have a big impact? A qualitative evaluation of a store fruit and vegetable initiative

Breeana Gardiner A , Miranda Blake A , Raeleigh Harris B , Carena Gee A , Stella Charaktis A , Christine Choong A , Rebecca Lade A , Laura Duff A and Claire Palermo A C
+ Author Affiliations
- Author Affiliations

A Monash University, Department of Nutrition and Dietetics, Level 1, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia.

B Bass Coast Shire Council, 76 McBride Avenue, Wonthaggi, Vic. 3995, Australia.

C Corresponding author. Email: claire.palermo@monash.edu

Health Promotion Journal of Australia 24(3) 192-198 https://doi.org/10.1071/HE13045
Submitted: 19 June 2013  Accepted: 16 October 2013   Published: 19 December 2013

Abstract

Issue addressed: The aim of this evaluation was to explore the quality, barriers, enablers and outcomes of a retail fresh fruit and vegetable initiative in rural communities identified to have poor geographic access to healthy food.

Methods: A qualitative evaluation using in-depth interviews was conducted with rural store retailers across Victoria involved in the implementation of a retail fruit and vegetable initiative. Data were analysed using a thematic approach.

Results: Six of the 13 store retailers that were engaged in the initiative identified a range of qualities, barriers, enablers and outcomes. They reported that effective communication is essential for engaging retailers and sustaining participation. The choice and use of retail incentives may influence the community’s purchase of fruit and vegetables. The community’s attitude to fruit and vegetables, the staff’s ability to promote produce and the capacity of the store to stock and sell fresh fruit and vegetables influenced perceived success. Barriers included difficulties receiving a regular supply of fresh fruit and vegetables, time constraints and storage facilities.

Conclusions: This qualitative evaluation of a retail fruit and vegetable initiative found that effective leadership and communication from project workers, a range of retail incentives and the capacity of the store to promote, stock and sell fresh fruit and vegetables influenced perceived success.

So what?: Fruit and vegetable retail initiatives in small rural community stores may have a role in supporting consumption of fruit and vegetables.

Key words: intervention, retail, rural, store.


References

[1]  World Health Organization. Social determinants of health: the solid facts. Denmark: International Centre for Health and Society; 2003.

[2]  WHO/FAO. Diet, nutrition and prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: WHO; 2003.

[3]  Adams J, Halligan J, Burges Watson D, Ryan V, Penn L, Adamson AJ, White M (2012) The Change4Life Convenience Store Programme to increase retail access to fresh fruit and vegetables: a mixed methods process evaluation. PLoS ONE 7, e39431
The Change4Life Convenience Store Programme to increase retail access to fresh fruit and vegetables: a mixed methods process evaluation.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38Xps1Ojsb4%3D&md5=0a7cafa554177b05eea1d388824f7f45CAS | 22761795PubMed |

[4]  Lee A, Leonard D, Moloney A, Minniecon D (2009) Improving Aboriginal and Torres Strait Islander nutrition and health. Med J Aust 190, 547–8.

[5]  Eshpeter J. Remote Indigenous Stores and Takeaways Project Mt Lawley, WA: 2001–2012. Australian Indigenous Health InfoNet; 2012. Available from: http://www.healthinfonet.ecu.edu.au/health-risks/nutrition/resources/rist [Verified November 2013]

[6]  Burns C, Gibbon P, Boak R, Baudinette S, Dunbar J (2004) Food cost and availability in a rural setting in Australia. Rural Remote Health 4, 1–9.

[7]  Lee A. The 2001 Healthy Food Access Basket (HFAB) Survey. Brisbane: Queensland Health; 2003. Available from: http://www.health.qld.gov.au/ph/documents/hpu/21629.pdf [Verified November 2013]

[8]  Regional Development Australia Gippsland Committee. Gippsland Food Plan Vision and Strategic Framework. Traralgon: Dench McLean Carlson; 2012. Available from: http://rdagippsland.com.au/wp-content/uploads/2012/07/GFP-Final-Discussion-Paper-RDAG.pdf [Verified November 2013]

[9]  Department of Health Victoria. Size and distribution of the problem: healthy eating. Victorian Population Health Survey 2008. Melbourne: State Government Victoria; 2009. Available from: http://docs.health.vic.gov.au/docs/doc/F2DEB9500CE52253CA257A1D0025CB06/$FILE/HealthyEating.pdf [Verified November 2013]

[10]  Liamputtong P. Qualitative research methods. 3rd edn. South Melbourne, Victoria: Oxford University Press; 2009.

[11]  Patton M. Qualitative research & evaluation methods. 3rd edn. Thousand Oaks, CA: Sage Publications; 2002.

[12]  Baillie E, Bjarnholt C, Gruber M, Hughes R (2008) A capacity building conceptual framework for public health nutriton practice. Public Health Nutr 12, 1031–9.
A capacity building conceptual framework for public health nutriton practice.Crossref | GoogleScholarGoogle Scholar | 18940028PubMed |

[13]  Mallonee S, Fowler C, Istre G (2006) Bridging the gap between research and practice: a continuing challenge. Inj Prev 12, 357–9.
Bridging the gap between research and practice: a continuing challenge.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD28jjtFOltQ%3D%3D&md5=0b76aa42c7ac21c799783b6accd44ffaCAS | 17170181PubMed |

[14]  Ismail S, Immink M, Mazar I and Nantel G. Community-based food and nutrition programmes. What makes them successful. A review and analysis of experience. Rome: Food and Agriculture Organization of the United Nations; 2003. Available from: ftp://ftp.fao.org/docrep/fao/006/y5030e/y5030e00.pdf [Verified November 2013]

[15]  Glanz K, Yoroch A (2004) Strategies for increasing fruit and vegetable intake in grocery stores and communities: policy, pricing and environmental change. Prev Med 39, S75–80.
Strategies for increasing fruit and vegetable intake in grocery stores and communities: policy, pricing and environmental change.Crossref | GoogleScholarGoogle Scholar | 15313075PubMed |

[16]  Gittelsohn J, Suratkar S, Song H, Sacher S, Rajan R, Rasooly IR, Bednarek E, Sharma S, Anliker JA (2010) Process evaluation of Baltimore Healthy Stores: a pilot health intervention program with supermarkets and corner stores in Baltimore City. Health Promot Pract 11, 723–32.
Process evaluation of Baltimore Healthy Stores: a pilot health intervention program with supermarkets and corner stores in Baltimore City.Crossref | GoogleScholarGoogle Scholar | 19144859PubMed |

[17]  McManus A, Brown G, Maycock B (2007) Western Australian food security project. BMC Public Health 7, 214
Western Australian food security project.Crossref | GoogleScholarGoogle Scholar | 17714595PubMed |

[18]  Andreyeva T, Middleton A, Long M, Luedicke J, Schwartz M (2011) Food retailer practices, attitudes and beliefs about the supply of healthy foods. Public Health Nutr 14, 1024–31.
Food retailer practices, attitudes and beliefs about the supply of healthy foods.Crossref | GoogleScholarGoogle Scholar | 21324231PubMed |

[19]  Gittelsohn J, Rowan M, Gadhoke P (2012) Interventions in small food stores to change the food environment, improve diet and reduce risk of chronic disease. Prev Chronic Dis 9, 1–15.

[20]  Blake M, Collins T, Owen T, Lade R, Duff L, Gardiner B, Gee C, Charaktis S, Choong C, Palermo C. Proving small stores can have a big impact: program logic. Public Health Association of Australia Conference, 16–18 September Melbourne 2013. Poster presentation.