(P02-034-25) Adaptation of a Food and Nutrition Security-Related Resource Needs Survey as Part of a Personalized Approach to Address Food and Nutrition Security and Diet (PAAND)

Objectives: Project PAAND is a personalized screen-and-refer method that aims to inform refinements to the current standard of care for Community Health Workers (CHWs) addressing food and nutrition security in marginalized communities. PAAND consists of a food and nutrition insecurity screener and a comprehensive food and nutrition Resource Needs Survey (RNS). The RNS is used to identify food and nutrition related needs of individuals and refer them to resources that are tailored to their specific needs. To assure alignment with our target communities, the RNS was refined using feedback from a Community Design Committee (CDC). Our objective was to implement a community-engaged process to develop the RNS for the PAAND intervention.

Methods: The CDC consisted of key stakeholders from multiple sectors of the community, including a food pantry, a food bank, and CHW program. Researchers met with the CDC multiple times. Prior to the first meeting, the CDC received the draft RNS. The RNS consisted of 11 total questions and covered 5 food and nutrition security domains: food availability, food accessibility, food adequacy, food agency, and food acceptability. The survey was assessed based on content, readability, and comprehensiveness. Completed content validity questionnaires were used to facilitate meeting discussions. Data on CDC’s impression of each survey question and the overall survey was collected. CDC feedback received during meetings was applied using an iterative participatory approach.

Results: The CDC reported high satisfaction with survey content and comprehensiveness. Majority of the feedback related to survey readability, for example, five questions were reported as lacking clarity. Recommendations to improve readability were directed toward formatting and sentence structure (4 questions) and word choice (1 question). Recommendations to improve comprehensiveness related to expanding one question into two to increase the scope of assessment (1 question) and enhancing cultural appropriateness (1 question).

Conclusions: The CDC provided valuable input for developing the RNS, including modifying which questions were asked and how they were worded. Collecting input from the CDC is an essential first step to tailoring the intervention to the unique needs of the communities being served.

Funding Sources: The Ohio State University, College of Nursing