Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
In addition to expediting patient recovery, community gardens that are associated with medical facilities can provide fresh produce to patients and their families, serve as a platform for clinic-based nutrition education, and help patients develop new skills and insights that can lead to positive health behavior change. While community gardening is undergoing resurgence, there is a strong need for evaluation studies that employ valid and reliable measures. The objective of this study was to conduct a process evaluation of a community garden program at an urban medical clinic to estimate the prevalence of patient awareness and participation, food security, barriers to participation, and personal characteristics; garden volunteer satisfaction; and clinic staff perspectives in using the garden for patient education/treatment. Clinic patients (n = 411) completed a community garden participation screener and a random sample completed a longer evaluation survey (n = 152); garden volunteers and medical staff completed additional surveys. Among patients, 39% had heard of and 18% had received vegetables from the garden; the greatest barrier for participation was lack of awareness. Volunteers reported learning about gardening, feeling more involved in the neighborhood, and environmental concern; and medical staff endorsed the garden for patient education/treatment. Comprehensive process evaluations can be utilized to quantify benefits of community gardens in medical centers as well as to point out areas for further development, such as increasing patient awareness. As garden programming at medical centers is formalized, future research should include systematic evaluations to determine whether this unique component of the healthcare environment helps improve patient outcomes.
Process Evaluation of a Community Garden at an Urban Outpatient Clinic
Creators
Brandy-Joe Milliron - Drexel University
Mara Z. Vitolins - Wake Forest Baptist Medical Center
Elizabeth Gamble - Wake Forest University
Robert Jones - Wake Forest Baptist Medical Center
Margaret C. Chenault - Drexel University College of Nursing and Health Professions
Janet A. Tooze - Wake Forest Baptist Medical Center
Publication Details
Journal of community health, v 42(4), pp 639-648
Publisher
Springer Nature
Number of pages
10
Grant note
P30CA012197 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
Comprehensive Cancer Center of Wake Forest School of Medicine
National Cancer Institute's Cancer Control Traineeship
Resource Type
Journal article
Language
English
Academic Unit
Nutrition Sciences
Web of Science ID
WOS:000404666900002
Scopus ID
2-s2.0-85000613286
Other Identifier
991019168785104721
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