the healthy campus initiative: a sustainable food literacy ... · higher foodliteracy. • there is...

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ABSTRACT INTRODUCTION Our nation’s current state of highly-profitable industrial agriculture and food corporations has brought an abundance of food at a price of highly processed, nutritionally poor, energy-rich food products and environmental burden. In an effort to address this, the Healthy Campus Initiative (HCI) emerged as UCCS Dining and Food Services (DFS) transitioned from corporate to self-operated HCI is focused on providing experiential food literacy education and creating better access to sustainably produced food to improve the health and wellness of UCCS’s Campus community, participate in building a local food network, and support a sustainable future. HCI combines local and plant-based in to-go, environmentally friendly bowls by utilizing the zero mile greenhouse produce in addition to various beans and grains in order to offer balanced and sustainable meals. Health is linked to sustainability constructs in The duality of Health and Sustainability 1 framework using taste education and conversation, recipes, educational cards, handouts, posters, and books. 1 Kjaergard et al., Health and sustainability. Health Promotion International. 29(3):558-68. The primary purpose of this gateway project was to assess awareness and attitudes toward the HCI and UCCS’ food service transition, confidence in gardening and cooking skills, and food literacy through the use of a validated survey. 1. What is the level of awareness and attitudes toward the HCI and associated platforms (e.g., DFS transition, garden, and greenhouse) across campus students, faculty and staff? 2. How do students, faculty and staff define healthy and sustainable eating? 3. What is the degree of sustainable food literacy among students, faculty and staff? METHODS Participants for the survey A convenience sample (N=75 of health professionals (students, faculty, staff) Design Exploratory study using survey (70 questions) Demographics Behaviors (e.g., gardening, shopping for food, cooking) Attitudes (healthy/sustainable food defined, sustainable food importance in general and on campus, willingness to pay more for local/organic food, and perceptions regarding where food comes from, how it is produced and whether it is served fresh, nearby its production) Campus dining use; perceptions of whether DFS integrates healthy, sustainable food, and campus awareness of HCI and associated programs; existence of garden and greenhouse Validated Sustainable Food Literacy Survey (scored from 0 33 with 33 as maximum score) Multiple choice, true/false/don't know items, containing concepts of food literacy (plan and manage, select, prepare, and eat) and sustainability (equity, environment and economics) Statistical Analysis (SPSS, vs 21) Descriptives and frequencies Food literacy: Correct answers (33 possible) were totaled to assess food literacy Scores compared (e.g. gender, age, role at UCCS, and behaviors) A score at or above 75% of the total score considered “food literateANOVA, independent sample t-test and Pearson's correlation (p<0.05) HCI impact was assessed via chi square analysis (p<0.05) Qualitative analysis: definition of healthy and sustainable food compared to APHA definition and coded based on recurring themes present in the definition (2) RESULTS RESULTS CONCLUSIONS/IMPLICATIONS The Healthy Campus Initiative: A Sustainable Food Literacy Gateway Project Vanderwoude AA, Frieler B, Harris M, Hayes M , Meyer N College of Beth-El Nursing and Health Sciences and Dining and Food Services University of Colorado, Colorado Springs, CO Campus dining and HCI evaluation, perceptions, and use 0 5 10 15 20 25 Supports Environment/land, low impact Organic Don't know/don't think about it local Can be regrown/continue to produce Sustains lifestyle/body Leaves resources for future/benefits future SUSTAINABLE FOOD DEFINED Number of responses (n=62) 0 10 20 30 40 Unprocessed Nutrient Dense Low in certain nutrients (sugar, fat, sodium, wheat,… Whole/natural Organic Optimal Nutrients Improves health HEALTHY FOOD DEFINED Number of reponses (n=71) Table 1. Descriptive data Sample Food literacy score (n=75) (n=64) mean + SD mean + SD Age (yrs) 30.5 + 13.2 r=0.146 p=0.258 Gender Male (n/%) 9 (12%) 18.6 + 3.6 Female (n/%) 66 (88%) 22.1 + 4.2 *p=0.04 Main Role at UCCS Undergraduate student (n/%) 43 (57.3%) 20.7 + 3.6 Graduate Student (n/%) 15 (20%) 24.8 + 3.8 Faculty (n/%) 15 (20%) 21.5 + 5.3 Staff (n/%) 2 (2.7%) 19.5 + 4.3 *p=0.20 Total Sample 21.7 + 4.3 Students with C (75%) (n/%) 16 (25%) Students below C (75%) (n/%) 48 (75%) Top Score (as % of max) 31 (94%) Lowest Score (as % of max) 8 (24%) *significant at p-value <.05 Harvest and Recipe Development Harvest from UCCS Greenhouse and Garden. Create recipes around produce and locally sourced beans, grains, and nuts Plant-based Bowl Cooking Cooking and selling of plant based bows in campus cafés Taste Education and Campus outreach Taste education on campus and at events to educate students, faculty and staff on health and environmental impacts of the food system. 0 10 20 30 40 50 60 70 80 90 100 Number of participants Confidence/experience rated Gardening Cooking Grocery Shopping Uhall Café Total Sales FY 15 FY 14 Difference $ Difference% August $0 $665 -$665 -100.0% September $3,906 $2,598 $1,308 50.3% October $4,369 $3,033 $1,336 44.0% November $2,759 $2,654 $105 4.0% December $1,784 $1,883 -$99 -5.3% Totals: $12,818 $10,833 $1,985 ×18.3% 2 "Toward a Healthy, Sustainable Food System (Policy Number: 200712)“ American Public Health Association. 2007-06-11. Figure 2. Confidence/experience rated for gardening, cooking and shopping Sustainable food literacy among students, faculty and staff in health professions is lower than expected, with only 25% achieving 75% correct answers. Literacy was not related to visiting taste education but those with higher scores bought more plant-based bowls and were also more willing to pay more for local food on campus. People who visited HCI taste education were more likely to buy the plant-based bowls Although, most had heard of HCI, few actually knew about its focus or how to link healthy and sustainable eating. There is desire for more local food on campus, and this is related to purchasing behavior and higher food literacy. There is a need to expand HCI and the amount of local food available in campus dining Introduction: The Healthy Campus Initiative (HCI) emerged through UCCS’ Dining and Food Services (DFS) transition. HCI aims to offer locally grown, healthy, and environmentally friendly plant-based meals and experiential taste education. Purpose: To assess awareness, understanding, and attitudes toward HCI, UCCS’ food service transition, and sustainable food literacy and 2) to describe the healthy campus plant-based initiative. Methods: In this exploratory study, 75 health professionals completed a survey that included various questions related to HCI, healthy and sustainable food definitions, DFS’s transition, and a validated sustainable food literacy questionnaire. Literacy scores were compared across descriptives, attitudes and awareness towards DFS and HCI were examined using frequencies, and qualitative theming was performed on healthy and sustainable food definitions. Results: Of the 75 participants [age: 30.5 + 13.2y; gender n=9 (12%) male, n=66 (88%) female, undergraduate student 43 (57.3%), graduate student 15 (20%), faculty 15(20%), staff 2(2.7%)], average food literacy score was 21.7±4.3 (66±13%). Of all respondents, 25% (n=16) achieved a passing score (75%). Few participants connected healthy with sustainable eating, when defining these constructs, but most (76%) had heard of HCI, yet were not able to correctly identify the focus. Those who reported having purchased plant based bowls (n=26; 35%) scored higher on sustainable food literacy (23.2+4.1 vs.19.5+4.8; independent t-test, p=0.005) and reported having visited HCI table, compared with those who did not purchase a bowl (chi-square, p<0.001). Overall, participants were pleased with DFS’ aim to incorporate more sustainable food, and 67% (n=48) requested more local food in DFS with most (83%) of them willing to pay up to 10% more for such options. Conclusion: While participants are aware of the HCI and interested in access to more local and sustainable food options on campus, sustainable food literacy was low. Taste education, however, was associated with higher literacy scores which appeared to support the purchase of healthy and sustainable choices. Thus, there is a need to expand campus food literacy and the amount of local food available in campus dining. Figure 1. HCI process Figure 3. Healthy food defined, sustainable food defined and coded for themes A sustainable food system is “one that provides healthy food to meet current food needs while maintaining healthy ecosystems that can also provide food for generations to come with minimal negative impact to the environment. A sustainable food system also encourages local production and distribution infrastructures and makes nutritious food available, accessible, and affordable to all. Further, it is humane and just, protecting farmers and other workers, consumers, and communities” according to APHA 2 . 10 4 9 26 17 5 8 3 6 26 22 7 0 10 20 30 40 50 60 Don't Know 1=Minimally 2 3 4 5= A Great Deal NUMBER OF RESPONSES How well is DFS doing with incorporating healthy/sustainable food Sustainable Food (n=71) Healthy Food (n=72) 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 0-5% 6-10% 11-15% >15% PARTICIPANTS (%) Willingness to pay more (n=48) 0% 10% 20% 30% 40% 50% 60% 70% Yes No Do not know PARTICIPANTS (%) Would you like UCCS DFS to include more local food? (n=72) Table 2. (left) Fall 2014 sales data from DFS Uhall Café which sold the plant bowls, compared to the previous year (Sodexo) Table 3. Food literacy and behaviors Visited Taste Education Mean + SD Yes 22.2 + 4.7 No 20.9 + 3.9 Don’t know 23.0 + 1.4 p=.450 Purchased Bowls Yes 23.8 + 3.9 No 20.3 + 4.0 Don’t know 22.0 *p=.005 Willing to pay more for local Yes 23.2 + 4.1 No 19.46 + 4.8 Don’t know 20.8 + 3.5 *p=.014 *significant at p-value <.05 76% 24% Knowledge of HCI (n=75) Yes No * * 35% 48% 17% Of those who knew of HCI who knew focus? (n=52) All correct Some correct Didn't know PURPOSE

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Page 1: The Healthy Campus Initiative: A Sustainable Food Literacy ... · higher foodliteracy. • There is a need to expand HCI and the amount of local food available in campus dining Introduction:

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ABSTRACT

INTRODUCTION• Our nation’s current state of highly-profitable industrial agriculture and food

corporations has brought an abundance of food at a price of highly processed,nutritionally poor, energy-rich food products and environmental burden.

• In an effort to address this, the Healthy Campus Initiative (HCI) emerged as UCCSDining and Food Services (DFS) transitioned from corporate to self-operated

• HCI is focused on providing experiential food literacy education and creatingbetter access to sustainably produced food to improve the health and wellness ofUCCS’s Campus community, participate in building a local food network, andsupport a sustainable future.

• HCI combines local and plant-based in to-go, environmentally friendly bowls byutilizing the zero mile greenhouse produce in addition to various beans and grainsin order to offer balanced and sustainable meals.

• Health is linked to sustainability constructs in “The duality of Health andSustainability”1 framework using taste education and conversation, recipes,educational cards, handouts, posters, and books.1Kjaergard et al., Health and sustainability. Health Promotion International. 29(3):558-68.

The primary purpose of this gateway project was to assess awareness and attitudestoward the HCI and UCCS’ food service transition, confidence in gardening and cookingskills, and food literacy through the use of a validated survey.

1. What is the level of awareness and attitudes toward the HCI and associatedplatforms (e.g., DFS transition, garden, and greenhouse) across campus students,faculty and staff?

2. How do students, faculty and staff define healthy and sustainable eating?

3. What is the degree of sustainable food literacy among students, faculty and staff?

METHODS

Participants for the survey• A convenience sample (N=75 of health professionals (students, faculty, staff)Design• Exploratory study using survey (70 questions)

• Demographics• Behaviors (e.g., gardening, shopping for food, cooking)• Attitudes (healthy/sustainable food defined, sustainable food importance in general and on campus,

willingness to pay more for local/organic food, and perceptions regarding where food comes from, howit is produced and whether it is served fresh, nearby its production)

• Campus dining use; perceptions of whether DFS integrates healthy, sustainable food, and campusawareness of HCI and associated programs; existence of garden and greenhouse

• Validated Sustainable Food Literacy Survey (scored from 0 – 33 with 33 as maximum score)• Multiple choice, true/false/don't know items, containing concepts of food literacy (plan and manage,

select, prepare, and eat) and sustainability (equity, environment and economics)Statistical Analysis (SPSS, vs 21)• Descriptives and frequencies• Food literacy:

• Correct answers (33 possible) were totaled to assess food literacy• Scores compared (e.g. gender, age, role at UCCS, and behaviors)• A score at or above 75% of the total score considered “food literate”• ANOVA, independent sample t-test and Pearson's correlation (p<0.05)

• HCI impact was assessed via chi square analysis (p<0.05)• Qualitative analysis: definition of healthy and sustainable food compared to APHA

definition and coded based on recurring themes present in the definition (2)

RESULTS

RESULTS

CONCLUSIONS/IMPLICATIONS

The Healthy Campus Initiative: A Sustainable Food Literacy Gateway ProjectVanderwoude AA, Frieler B, Harris M, Hayes M , Meyer NCollege of Beth-El Nursing and Health Sciences and Dining and Food ServicesUniversity of Colorado, Colorado Springs, CO

Campus dining and HCI evaluation, perceptions, and use

0 5 10 15 20 25

Supports Environment/land, lowimpact

Organic

Don't know/don't think about it

local

Can be regrown/continue toproduce

Sustains lifestyle/body

Leaves resources forfuture/benefits future

SUSTAINABLE FOOD DEFINEDNumber of responses (n=62)

0 10 20 30 40

Unprocessed

Nutrient Dense

Low in certain nutrients(sugar, fat, sodium, wheat,…

Whole/natural

Organic

Optimal Nutrients

Improves health

HEALTHY FOOD DEFINEDNumber of reponses (n=71)

Table 1. Descriptive data

Sample Food literacy score(n=75) (n=64)mean + SD mean + SD

Age (yrs) 30.5 + 13.2 r=0.146 p=0.258Gender

Male (n/%) 9 (12%) 18.6 + 3.6Female (n/%) 66 (88%) 22.1 + 4.2 *p=0.04

Main Role at UCCSUndergraduate student (n/%) 43 (57.3%) 20.7 + 3.6Graduate Student (n/%) 15 (20%) 24.8 + 3.8Faculty (n/%) 15 (20%) 21.5 + 5.3Staff (n/%) 2 (2.7%) 19.5 + 4.3 *p=0.20

Total Sample 21.7 + 4.3Students with C (75%) (n/%) 16 (25%)Students below C (75%) (n/%) 48 (75%)Top Score (as % of max) 31 (94%)Lowest Score (as % of max) 8 (24%)*significant at p-value <.05

Harv

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t Harvest from UCCS Greenhouseand Garden. Create recipes around produce and locallysourced beans, grains, and nuts Pl

ant-

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Cook

ing Cooking and selling of plant

based bows in campus cafés

Tast

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ach Taste education on campus and

at events to educate students, faculty and staff on health and environmental impacts of the food system.

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100

Num

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f par

ticip

ants

Confidence/experience rated

Gardening Cooking Grocery Shopping

Uhall Café Total SalesFY 15 FY 14 Difference $ Difference%

August $0 $665 -$665 -100.0%September $3,906 $2,598 $1,308 50.3%October $4,369 $3,033 $1,336 44.0%November $2,759 $2,654 $105 4.0%December $1,784 $1,883 -$99 -5.3%Totals: $12,818 $10,833 $1,985 ×18.3%

2"Toward a Healthy, Sustainable Food System (Policy Number: 200712)“ American Public Health Association. 2007-06-11.

Figure 2. Confidence/experience rated forgardening, cooking and shopping

• Sustainable food literacy among students, faculty and staff in health professions is lower thanexpected, with only 25% achieving 75% correct answers. Literacy was not related to visiting tasteeducation but those with higher scores bought more plant-based bowls and were also morewilling to pay more for local food on campus.

• People who visited HCI taste education were more likely to buy the plant-based bowls• Although, most had heard of HCI, few actually knew about its focus or how to link healthy and

sustainable eating.• There is desire for more local food on campus, and this is related to purchasing behavior and

higher food literacy.• There is a need to expand HCI and the amount of local food available in campus dining

Introduction: The Healthy Campus Initiative (HCI) emerged through UCCS’ Dining and Food Services (DFS)transition. HCI aims to offer locally grown, healthy, and environmentally friendly plant-based meals andexperiential taste education. Purpose: To assess awareness, understanding, and attitudes toward HCI, UCCS’food service transition, and sustainable food literacy and 2) to describe the healthy campus plant-basedinitiative. Methods: In this exploratory study, 75 health professionals completed a survey that includedvarious questions related to HCI, healthy and sustainable food definitions, DFS’s transition, and a validatedsustainable food literacy questionnaire. Literacy scores were compared across descriptives, attitudes andawareness towards DFS and HCI were examined using frequencies, and qualitative theming was performedon healthy and sustainable food definitions. Results: Of the 75 participants [age: 30.5 + 13.2y; gender n=9(12%) male, n=66 (88%) female, undergraduate student 43 (57.3%), graduate student 15 (20%), faculty15(20%), staff 2(2.7%)], average food literacy score was 21.7±4.3 (66±13%). Of all respondents, 25% (n=16)achieved a passing score (75%). Few participants connected healthy with sustainable eating, when definingthese constructs, but most (76%) had heard of HCI, yet were not able to correctly identify the focus. Thosewho reported having purchased plant based bowls (n=26; 35%) scored higher on sustainable food literacy(23.2+4.1 vs.19.5+4.8; independent t-test, p=0.005) and reported having visited HCI table, compared withthose who did not purchase a bowl (chi-square, p<0.001). Overall, participants were pleased with DFS’ aim toincorporate more sustainable food, and 67% (n=48) requested more local food in DFS with most (83%) ofthem willing to pay up to 10% more for such options. Conclusion: While participants are aware of the HCIand interested in access to more local and sustainable food options on campus, sustainable food literacy waslow. Taste education, however, was associated with higher literacy scores which appeared to support thepurchase of healthy and sustainable choices. Thus, there is a need to expand campus food literacy and theamount of local food available in campus dining.

Figure 1. HCI process

Figure 3. Healthy food defined, sustainable food defined and coded for themes

A sustainable food system is “one thatprovides healthy food to meet currentfood needs while maintaining healthyecosystems that can also provide foodfor generations to come with minimalnegative impact to the environment. Asustainable food system alsoencourages local production anddistribution infrastructures and makesnutritious food available, accessible,and affordable to all. Further, it ishumane and just, protecting farmersand other workers, consumers, andcommunities” according to APHA2.

10 4 9

2617

5

8

36

26

22

70

10

20

30

40

50

60

Don't Know 1=Minimally 2 3 4 5= A GreatDeal

NUM

BER

OF

RESP

ON

SES

How well is DFS doing with incorporating healthy/sustainable food

Sustainable Food (n=71) Healthy Food (n=72)

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

0-5% 6-10% 11-15% >15%

PART

ICIP

ANTS

(%)

Willingness to pay more (n=48)

0%

10%

20%

30%

40%

50%

60%

70%

Yes No Do not know

PART

ICIP

ANTS

(%)

Would you like UCCS DFS to include more local food? (n=72)

Table 2. (left) Fall 2014 sales data from DFS Uhall Café which sold the plant bowls, compared to the previous year (Sodexo)

Table 3. Food literacy and behaviors

Visited Taste Education Mean + SDYes 22.2 + 4.7No 20.9 + 3.9Don’t know 23.0 + 1.4 p=.450

Purchased BowlsYes 23.8 + 3.9No 20.3 + 4.0Don’t know 22.0 *p=.005

Willing to pay more for localYes 23.2 + 4.1No 19.46 + 4.8Don’t know 20.8 + 3.5 *p=.014

*significant at p-value <.05

76%

24%

Knowledge of HCI (n=75)

Yes No

**

35%

48%

17%

Of those who knew of HCI –who knew focus? (n=52)

All correct Some correctDidn't know

PURPOSE