Exploring Community-Supported-Agriculture Farmshare Programs; Need for reinforcing better Lifestyle Choices especially in Disadvantaged Population Settings

Background: The rising obesity and associated co-morbidity problems the United States has indication for a multi-sectoral approach of which expanding healthy food alternatives and improving their accessibility are pivotal. The perceived or reported non-affordability of healthier food options in Community-Supported-Agriculture programs compared to global-scale retail fast-food options especially in people living below poverty line may also compound the obesity epidemic. The carbon/ecological footprints associated with global-chain-retail-mechanized agriculture also impacts the ecosystem which is not spared from their aftereffect. Methods: One hundred and eighty-two participants (one-per household, aged at least 18 years) were enrolled in an eight-week Mixed, Longitudinal, Quasi-experimental study with two groups: Group-I: received free weekly Farmshare produce, they participated in a weekly one-hour health education class, and in another one-hour of weekly physical activity session (PAS). Group-II: Attended a weekly one-hour PAS. Comparing theory of planned behavior construct (TPBC) scores of participants at baseline and after eight weeks of the study between the groups, we completed a paired T-test analysis to explore interventions' implications. Using grounded theory approach, we completed focus groups, and guided interviews (n=15) to explore factors influencing participants' produce choices and how identified barriers precluding healthier food choices could be addressed. Findings: The intervention participants' perceived behavior control (PBC) and behavior intention (BI) scores improved significantly after eight weeks [Mean PBC scores diff: 3.69, SE=0.79, t(45)=-2.41, p=.