Projects to Advance Integrative Health Equity throughout the Osher Center

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Filling in the Gaps: An Assessment of Food Pantry Meal Kit Feasibility

Project Idea Status: 

Project Title: Filling in the Gaps: An Assessment of Food Pantry Meal Kit Feasibility 

Names of Project Lead(s) and Key Team Members: Danica Cowan, Bree Phillips, Linda Dulong

Food insecurity is a significant barrier to integrative health equity.  Nutrition is a key component of integrative care, but it is nearly impossible to implement if patients don’t have access to healthy food.  When patients have access to food banks and other forms of food assistance, individuals often do not have the knowledge, skills, or resources to turn pantry items into nourishing meals.

With this proposal we hope to bridge the gap between pantry and plate.  We have many ideas about what those gaps might be, but our first step would be to ask patients what they need.  Our first deliverable would be to connect with food assistance nonprofits (we have several pending potential connections–SF Marin Food Bank, UCSF Food Pharmacy, Project Open Hand, and others)  Identifying further food assistance, nutrition education, and culinary medicine nonprofits would be a secondary deliverable.  This would be distributed to both UCSF nutrition professionals, as well as to all the surveyed nonprofits. There are so many organizations out there doing great work in the community, but they can be hard to find and aren't well known to nutrition providers or to each other. These nonprofits would distribute our surveys to their individual participants. In parallel we could screen our patients for food insecurity and provide surveys to them as well.  

After identifying partners and distributing and analyzing surveys we would move into phase 2: filling the gaps.  Depending on survey results, we would create or curate a budget-friendly, culturally appropriate recipe library.  This recipe library would be distributed to nonprofit partners, and could be used by our Osher communications team for patient education and nonprofit and marketing purposes.  If culinary skills are identified as a gap, further resources could be created (or curated if they already exist), such as educational videos (knife skill demos, etc), which could also be used by Osher communications. 

If ingredients are identified as a gap, we could build partnerships with local businesses.  For sintace, we anticipate spices and cooking oils may be limiting ingredients, and we could build partnerships with local spice shops and zero waste grocery stores, who could distribute small, customized amounts of ingredients.  If kitchen equipment is identified as a barrier, we could connect to local BuyNothing groups to solicit donations of items like pops, pans, blenders, or slow cookers.  (see BuyNothingProject.org/about to learn more about the BuyNothing movement) 

There are many innovative and sustainable aspects to this project.  By making connections among community organizations we are increasing access and efficiency, and avoiding reinventing the wheel, and promoting integrative health equity not just our patients at UCSF, but in the community at large.

Budget Estimate: Total budget estimate $15,000 to include recipe development, resource procurement, and additional food ingredients

Supporting Documents: 

Comments

This seems like a great idea Danica! I don't know where the current food pantry boxes are sourced from- is this already in partnership with a local CSA that supports small farmers, etc.? I wonder if partnering with a community based organization(s) for food sourcing (like in the East Bay, Acta Non Verba) would be possible? (The pantry may already be doing this). 

This is such an interesting idea. Who would you be partnering with on it, and do they primarily give out produce or also other ingredients? In my work with a produce prescription program, some patients have found specific recipes challenging because people don't necessarily have all the non-produce ingredients on hand

What an exciting idea! I am in contact with the culinary medicine med student interest group - and I bet they would like to be involved in the rollout.  I agree with Ariana that including the bulk of the needed ingredients in the boxes would make a real impact so folks don't need to source any additional items.  I also wonder if partnering with companies like Mountain Rose or Star West for spices is an option.  I can see how this could enhance the recipes and be a real value add for folks. 

Please address sustainability in your Phase 2 proposal.  If you have existing collaborations (for example with DGIM) or plan to establish them, please provide those details as that will support sustainability.  Keep in mind that collaboration is a review consideration. One possibility is to focus on developing culturally responsive recipes as an enduring deliverable and then work on meal kits as a secondary deliverable.

there are so many people working on recipes for similar programs--I'm hopeful that with someone having dedicated time to devote to collaborating and finding recipes, that wouldn't need to be a big part of the effort here....and that you could pilot the meal kit idea to see if it's helpful

 

This is such a fantastic idea with lots of potential benefits - really love the inclusion of reducing food waste as an additional earth-friendly plus! Curious what the target population would be for this - existing Osher patients, or folks from the community? Also, wondering how cultural preferences might be handled, as well as languages and differences in folks' kitchen and/or cooking equipment availability. Also, wondering if any evaluation might be built into this project - on the one hand for the process/implementing it and program (e.g., recipe/food item acceptability), but also on the other, for impact (diet quality? clinical outcomes that might be benefitting from better diet/nutrition - and/or, how much diet might be improving with program participation)? Promising evaluation results could help with phase 2 sustainability and maybe securing continued funding!

 

Great idea! In addition to creating recipes and resources, I can see this proposal also being used to create short demo cooking videos. I could post the videos on YouTube and create Instagram Reels to post along with the videos. This might increase the reach of these resources, as well as putting on our website. To make videos, I recommend UCSF Educational Technology Services (ETS). They have experience creating professional cooking videos for UCSF. I'm envisioning a series of videos like "Cooking with Cans: Using Pantry Staples for Nutrious and Delicious Meals"

I have a similar question--is this primarily to serve Osher patients? The survey step sounds like it's very focused on a broader community, who would be reached through their existing access to orgs that provide support w/ food security, cooking, etc. I wonder if is a version that could be in closer collaboration w/ Osher clinicians to emphasize eating in affordable ways that align w/ guidance that our clinicians commonly give.....or something else less likely to duplicate existing programs.

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