The importance of systems thinking,context, and inclusion when studying the feasibility of expanding the FoodShare (SNAP) outreach program to rural communities of Northern Wisconsin |
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| Institution: | 1. Department of Family Medicine, University of Michigan, Ann Arbor, Michigan;2. Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan;3. Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan;4. University of Michigan Medical School, Ann Arbor, Michigan;5. Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan;6. Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, Michigan;7. Fair Food Network, Ann Arbor, Michigan;8. Wayne State University School of Medicine, Detroit, Michigan;9. Department of Nutritional Sciences, University of Michigan, Ann Arbor, Michigan |
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| Abstract: | Evaluators often neglect to question whether a program has been appropriately designed for a new context prior to a feasibility study’s commencement. In this paper, we document the results of a case study that closely examined context when determining the feasibility of implementing a FoodShare outreach program in rural northern Wisconsin. Using community-based participatory mixed methods, we examine how stakeholder engagement led to both study refinement and a more comprehensive understanding of community food security based on contextual factors and systems thinking. Lessons learned when conducting feasibility studies from this perspective are provided to improve evaluation practice. |
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| Keywords: | Feasibility FoodShare Participatory Rural health Community-based research Implementation research Stakeholder engagement |
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