104 CHAPTER 05: CONCLUSION AND NEXT STEPSTable 27: Summary of Long-Term Outcomes Needing Further ResearchSector Public Health Community EconomicDevelopmentIndicatorMeasuresIndicatorMeasuresIndicatorMeasures1: Chronic diseasereduction1.1 Reductions in theprevalence of Type2 diabetes, obesity,high blood pressureamong children andadult farm to schoolparticipants2: Participants meetingphysical activityguidelines2.1 Number of childrenand adults meetingthe physical activityguidelines forAmericans3: Participants meetingdietary guidelines3.1 Number of childrenand adults meeting theDietary Guidelines forAmericans1: School district nutritionservice programfinancial stability1.1 Net balance stays inthe black over timewith increased localpurchases2: Farm to school marketprofitability2.1 Producer, processorand distributor’srevenue is higher thanexpenses for investedtime and resources tobring local productsto school markets3: Infrastructure is inplace to support localfood production,processing anddistribution3.1 Access to financialcapital for small andmid-sized businessesEducation1: Student classroombehavior1.1 Student classroomreferrals by age levelas schools beginimplementing andexpanding farm to schoolactivities over timeEnvironmental Quality1: Dietary food intake1.1 Increase in school foodpurchases of legumes,alternative protein sourcesand lean meats2: Student attendance 2: Environmental impact oflocal food miles2.1 Average daily attendancein schools implementingdifferent levels of farm toschool activities2.2 Chronic absenteeism(missing 10 percent ormore school days in anacademic year) in schoolsimplementing differentlevels of farm to schoolactivities3: Student academicperformance3.1 Overall grade pointaverage in schools withdifferent levels of farm toschool activities2.1 Food miles traveled bydifferent food items (i.e.,fruits, vegetables, herbs,meats, grains) comparedto distance they otherwisewould have traveled if notpurchased locallyIndicatorMeasures4: Reduction in child andfamily food insecurity4.1 Number of childrenand families whoreport being foodsecure3.2 Access to materialcapital such asmicro-processing,refrigeration units,trucks, etc.3.3 Access to aggregatorsand distributors toconnect producers towholesale markets3.2 State academicachievement test scoresin schools implementingdifferent levels of farm toschool activities
105ReferencesChapter 11. Joshi, A., Azuma, A.M., Feenstra, G. Do Farm-to-SchoolPrograms Make a Difference? Findings and FutureResearch Needs. J Hunger Environ Nutr. 20<strong>08</strong>;3.2. Robinson-O’Brien, R., Story, M., Heim, S. Impact ofgarden-based youth nutrition intervention programs: areview. J Am Dietitic Assoc. 2009 Feb;109(2):273–80.3. Tuck, B., Haynes, M., King, R., Pesch, R. The EconomicImpact of Farm-to-School Lunch Programs: A CentralMinnesota Example. University of Minnesota ExtensionCenter for Community Vitality and University ofMinnesota Department of Applied Economics; 2010.4. Kane, D., Kruse, S., Ratcliffe, M.M., Sobell, S.A., Tessman, N.The Impact of Seven Cents. Ecotrust; 2011.5. Ratcliffe, M. Garden-based education in school settings:The effects on children’s vegetable consumption,vegetable preferences and ecoliteracy. Tufts University;2007.6. Ratcliffe, M. A sample theory-based logic model toimprove program development, implementation, andsustainability of Farm to School programs. Child Obes.2012;8(4):315–22.7. Blair, D. The Child in the Garden: An Evaluative Review ofthe Benefits of School Gardening. J Environ Educ. 2009Winter;40(2):15–38.8. White House Task Force on Childhood Obesity Report tothe President. Solving the Problem of Childhood Obesitywithin a Generation. 2010.9. United States Department of Agriculture. Know YourFarmer, Know Your Food Initiative [Internet]. 2010.Available from: http://www.usda.gov/wps/portal/usda/knowyourfarmer?navid=KNOWYOURFARMER10. Turner, L., Chaloupka, F.J. School Policies and Practicesto Improve Health and Prevent Obesity: NationalElementary School Survey Results Executive Summary.Bridging the Gap, Chicago: University of Illinois; 2010.11. Keener, D., Goodman, K., Lowry, A., Kettle, K.L.Recommended community strategies andmeasurements to prevent obesity in the United States:Implementation and measurement guide. 2009.12. Green, L.W., Sim, L., Breiner, H. Evaluating ObesityPrevention Efforts: A Plan for Measuring Progress. TheNational Academies Press, Washington D.C.: Committeeon Evaluating Progress of Obesity Prevention Efforts;Food and Nutrition Board; Institute of Medicine; 2013.13. Bendfeldt, E.S., Walker, M., Bunn, T., Martin, L., Barrow,M. A Community-based Food System: Building Health,Wealth, Connection and Capacity as the Foundation ofOur Economic Future [Internet]. Blacksburg, VA: VirginiaCooperative Extension; 2011. Available from: http://pubs.ext.vt.edu/3306/3306-9029/3306-9029-PDF.pdf<strong>14</strong>. Bregendahl, C., Enderton, A. 2012 Economic Impacts ofIowa’s Regional Food Systems Working Group. LeopoldCenter, Iowa State University Extension and Outreach;2013 Oct.15. Campbell, M.C. Building a Common Table: The Role forPlanning in Community Food Systems. J Plan Educ Res.2004;23:341–54.16. Carlsson, L., Williams, P.L. New approaches to healthpromoting school: Participation in sustainable foodsystems. J Hunger Environ Nutr. 20<strong>08</strong>;3(4):400–17.17. Conner, D.S., Knudson, W.A., Hamm, M.W., Peterson,C. The food system as economic driver: Strategiesand applications for Michigan. J Hunger Environ Nutr.20<strong>08</strong>;3(4):371–83.18. Joshi, A., Azuma, A. Bearing Fruit: Farm to SchoolProgram Evaluation Resources and Recommendation.National Farm to School Program; 2009.19. Berkenkamp, J. Making the Farm/School Connection:Opportunities and Barriers to Greater Use of LocallygrownProduce in Public Schools. Department ofApplied Economics, University of Minnesota; 2006 Jan.20. Izumi B., Wright, D.W., Hamm, M.W. Marketdiversification and social benefits: Motivations of farmersparticipating in farm to school programs. J Rural Stud.2010;26:374–82.21. Conner, D.S., King, B., Koliba, C., Kolodinsky, J., Trubek,A. Mapping Farm-to-School networks implicationsfor research and practice. J Hunger Environ Nutr.2011;6(2):133–52.22. Feenstra, G., Ohmart, J. The evolution of the schoolfood and farm to school movement in the United States:Connecting childhood health, farms, and communities.Child Obes. 2012;8(4):280–9.NATIONAL FARM TO SCHOOL NETWORK
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