The goal of this pre-post intervention study is to understand how community-engaged approaches to policy, systems, and environmental approaches can work to improve fruit and vegetable consumption and food security status among an Appalachian Kentucky community. The main approaches taken will be to employ a Community Advisory Board to define our target population of need, and appropriate intervention strategies. The investigators aim to understand if nutrition-based programming and food system approaches for lower-income, single-parent households, and multi-generational households can improve health. Participants will engage in annual data collection to assess dietary quality and food security status.
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change in food security
Timeframe: Baseline (year 1) and year 3
change in total Healthy Eating Index scores
Timeframe: Baseline (year 1) and year 3
Change in Food and Physical Activity Questionnaire (FPAQ)
Timeframe: Baseline (year 1) and year 3
change in carotenoids
Timeframe: Baseline (year 1) and year 3