the change4life convenience store programme to increase retail access to fresh fruit and vegetables a mixed methods process evaluationchange4life便利店计划增加零售访问新鲜水果和蔬菜混合方法过程评估.pdfVIP

The Change4Life Convenience Store Programme to Increase Retail Access to Fresh Fruit and Vegetables: A Mixed Methods Process Evaluation 1 1 2 1 1 1,3 Jean Adams *, Joel Halligan , Duika Burges Watson , Vicky Ryan , Linda Penn , Ashley J. Adamson , Martin White1 1 Institute of Health Society, Newcastle University, Newcastle upon Tyne, United Kingdom, 2 School of Medicine and Health, Durham University, Stockton on Tees, United Kingdom, 3 Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, United Kingdom Abstract Background: Consumption of fruit and vegetables is important for health, but is often lower than recommended and tends to be socio-economically patterned with lower consumption in more deprived groups. In 2008, the English Department of Health introduced the Change4Life convenience store programme. This aimed to increase retail access to fresh fruit and vegetables in deprived, urban areas by providing existing convenience stores with a range of support and branded point-of- sale materials and equipment. Methods: We undertook a mixed-methods study of the Change4Life convenience store programme in the North East of England around two years after initial implementation. Store mapping (n = 87; 100% stores) and systematic in-store observations (n = 74; 85% stores) provided information on intervention fidelity; the variety, purchase price and quality of fresh fruit and vegetables on sale; and purchase price compared to a major supermarket. Ten qualitative interviews with a purposive sample of retailers and other professionals explored experiences of the intervention and provided further insight on quantit