title: A novel food pantry program: food security, self-sufficiency, and diet-quality outcomes.
abstract: BACKGROUND
  The number of food pantries in the U.S. has grown dramatically over 3 decades, yet food insecurity remains a persistent public health problem.
  
  
  OBJECTIVE
  The goal of the study was to examine the impact of a food pantry intervention called Freshplace, designed to promote food security.
  
  
  METHODS
  Randomized parallel-group study with equal randomization.
  
  
  METHODS
  Data were collected from June 2010 to June 2012; a total of 228 adults were recruited over 1 year from traditional food pantries and randomized to the Freshplace intervention (n=113) or control group (n=115), with quarterly follow-ups for 12 months.
  
  
  METHODS
  The Freshplace intervention included a client-choice pantry, monthly meetings with a project manager to receive motivational interviewing, and targeted referrals to community services. Control group participants went to traditional food pantries where they received bags of food.
  
  
  METHODS
  Data analyses were conducted from July 2012 to January 2013. Outcomes were food security, self-sufficiency, and fruit and vegetable consumption. Multivariate regression models were used to predict the three outcomes, controlling for gender, age, household size, income, and presence of children in the household.
  
  
  RESULTS
  At baseline, half of the sample experienced very low food security. Over 1 year, Freshplace members were less than half as likely to experience very low food security, increased self-sufficiency by 4.1 points, and increased fruits and vegetables by one serving per day compared to the control group, all outcomes p<0.01.
  
  
  CONCLUSIONS
  Freshplace may serve as a model for other food pantries to promote food security rather than short-term assistance by addressing the underlying causes of poverty.
authors.affiliation: University of Saint Joseph, West Hartford. Electronic address: Ksmartin@usj.edu.
authors.forename: Katie S
authors.initials: KS
authors.lastname: Martin
authors.forename: Rong
authors.initials: R
authors.lastname: Wu
authors.forename: Michele
authors.initials: M
authors.lastname: Wolff
authors.forename: Angela G
authors.initials: AG
authors.lastname: Colantonio
authors.forename: James
authors.initials: J
authors.lastname: Grady
mesh_terms: D000328:Adult; D004032:Diet; D005191:Family Characteristics; D005260:Female; D005500:Follow-Up Studies; D063105:Food Assistance / Q000458:organization & administration*; D005523:Food Supply; D005638:Fruit; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011203:Poverty; D011634:Public Health; D012044:Regression Analysis; D014481:United States; D014675:Vegetables