Evaluation of community food co-ops pilot in Wales

In the UK and other major economies in the world there are concerns about the impact of poor diet on ill health and the main causes of mortality. Furthermore these impacts are not evenly distributed and widening inequalities in health are strongly correlated with socio-economic inequalities. The Welsh Assembly Government’s Food and Well Being Strategy has a stated commitment to tackling inequalities in health and the community food co-operatives pilot, funded by the Assembly’s Inequalities in Health Fund, fits with objectives that relate to reducing local barriers to the uptake of healthy diets particularly within low income groups. The model used for the co-ops originates from one developed by the Rural Regeneration Unit based in Cumbria that also managed the pilot in Wales, discussed here. The pilot funded two Food Development Workers who connected volunteers, in the pilot areas, to local suppliers of fruit and vegetables. Bags of pre-ordered produce would be sold to local people at a local community venue at £2 a bag. This report presents the findings from the evaluation of this pilot using a ‘theories of change’ approach to assess how programme objective resonated with people living in different geographical communities with access to a range of public sector, voluntary and community based resources. Findings from the evaluation provided insights into how the food co-ops worked, the difficulties they encountered and solutions they developed, the benefits to individuals, communities and suppliers, and provided recommendations as to how the programme should develop beyond the pilot phas

Women’s mental health during pregnancy: A participatory qualitative study

Background/objectives: British public health and academic policy and guidance promotes service user involvement in health care and research, however collaborative research remains underrepresented in literature relating to pregnant women’s mental health. The aim of this participatory research was to explore mothers’ and professionals’ perspectives on the factors that influence pregnant women’s mental health. Method: This qualitative research was undertaken in England with the involvement of three community members who had firsthand experience of mental health problems during pregnancy. All members of the team were involved in study design, recruitment, data generation and different stages of thematic analysis. Data were transcribed for individual and group discussions with 17 women who self-identified as experiencing mental health problems during pregnancy and 15 professionals who work with this group. Means of establishing trustworthiness included triangulation, researcher reflexivity, peer debriefing and comprehensive data analysis. Findings: Significant areas of commonality were identified between mothers’ and professionals’ perspectives on factors that undermine women’s mental health during pregnancy and what is needed to support women’s mental health. Analysis of data is provided with particular reference to contexts of relational, systemic and ecological conditions in women’s lives. Conclusions: Women’s mental health is predominantly undermined or supported by relational, experiential and material factors. The local context of socio-economic deprivation is a significant influence on women’s mental health and service requirements

Planned telephone support for disadvantaged parents in North Wales: perceptions of service users

This paper draws on the findings of a qualitative evaluation to examine user perceptions of a planned telephone support intervention based in a disadvantaged area in North Wales. Telephone support services are tailored differentially to offer information, advice and/or counselling on a crisis-led or planned-intervention basis. Research focusing on telephone support, for the most part (and particularly in the UK) has examined crisis-led as opposed to planned support services. The findings of our study resonate with earlier research findings about telephone support that suggest provision of non-visual support in social care can overcome some practical and financial difficulties for users with little discernible loss to their experience of satisfaction with the service. In addition, the paper suggests that planned support may provide a valuable service to users who are most disadvantaged and marginalized and who have found traditional forms of support unsatisfactory. For such users, planned telephone support can offer one-to-one communication tailored to specific client needs. Moreover, it can enable the development of user trust in the service which empowers users to operationalize strategies in the context of a reliable, sustained, unthreatening (and thus minimal risk) relationship

Validity and reproducibility of a semi-quantitative food frequency questionnaire for use among Portuguese pregnant women.

This study aimed to evaluate the validity and reproducibility of a semi-quantitative food frequency questionnaire (FFQ) to estimate nutrient intake among Portuguese pregnant women. A sample of 101 pregnant women completed a 3-day food diary (FD) in each pregnancy trimester (reference method) and an interviewer-administered FFQ in the immediate post-partum period. Ranking women according to their usual intake showed that, on average, 65% were classified into the same +/-1 quintile and 2.4% into opposite quintiles by the two methods. Energy-adjusted and de-attenuated correlation coefficients ranged from 0.20 (protein) to 0.58 (riboflavin). Similar results were obtained when the FFQ was compared to each trimester-specific FD. To assess the FFQ reproducibility, 70 women in their third pregnancy trimester were interviewed twice within a 2-week interval. The level of agreement was high, with > or = 75% of the participants being classified into the same +/-1 quintile by the two administrations for 13 of the 15 nutrients examined. A review of the published literature revealed that this is the first FFQ to take the whole pregnancy as its reference time window. Our findings showed that a single administration of this FFQ in the immediate post-partum period is a valid tool to rank Portuguese pregnant women according to their intakes