Development and validation of the ASKFV-SE tool to measure children's self-efficacy for requesting fruits and vegetables.

The aim of the present study was to develop the ASKFV-SE tool to measure self-efficacy (SE) towards requesting fruits and vegetables (FV) in the home and school environment with school-age children (grades 4-5) from urban, ethnically diverse, low-income households. Cognitive interviews reduced the tool from eleven items to seven. The 7-item questionnaire was tested with 444 children. The items loaded on two factors: home SE (four items) and school SE (two items) with one item was excluded (<0⋅40). The reduced 6-item, 2-factor structure was the best fit for the data (χ 2 = 45⋅09; df = 9; CFI = 0⋅835; RMSEA = 0⋅147). Confirmatory factory analysis revealed that the 4-item home SE had high reliability (α = 0⋅73) and marginally acceptable reliability for the 2-item school SE (α = 0⋅53). The pre-COVID intra-class correlation coefficient (ICC) was 0⋅584 (P < 0⋅001; fair; n = 57) compared to 0⋅736 during-COVID (P < 0⋅001; good; n 50). The ASKFV-SE tool measures children's SE for asking for FVs with strong psychometric properties and low participant burden.

P48 Preliminary Analysis from Statewide Stakeholder Interviews Around the Impact of Food Access During COVID-19

During the COVID-19 pandemic, nearly 24 million adults reported that their households sometimes or often lacked sufficient food in the last 7 days, with Black and Latino adults approximately 3 times as likely as White adults to report food insecurity. The objective of this study was to assess the impact COVID-19 on food access in Rhode Island (RI), document challenges encountered, and identify promising practices and policy solutions by conducting individual, 1-hour key stakeholder interviews from September-November 2020. Virtual qualitative interviews (n = 25) were conducted with 33 key stakeholders from 25 community organizations located throughout RI. This includes state/city agencies (n = 9), nonprofit organizations (n = 5), Health Equity Zone representatives (n = 5), food pantries/food bank (n = 4), a home-delivered meal program (n = 1), and a FQHC (n = 1) that primarily serve low-income and racial/ethnic minority populations. A structured interview guide was developed to capture scope of work, successes and challenges, and impact on health disparities including how organizations adjusted during COVID-19 to provide access to food safely. All interviews were recorded, transcribed, and thematically coded in NVivo with a priori codes to guide the analysis. An inductive and deductive approach was used to identify themes. Preliminary findings suggest that organizations struggled to meet food needs due to unemployment, lack of culturally relevant foods, insufficient resources (ie, funding, personal protective equipment, technology), and exacerbation of existing food access challenges connected to transportation and food storage needs. Despite these challenges, reported successes included enhanced collaboration between new and existing partnerships among stakeholders, increased effective communication among community stakeholders and the populations they serve, and increases in new initiatives to support food access needs. Our findings highlight the need to ensure a coordinated response through strategic leadership that has a focus on vulnerable racial/ethnic populations to ensure access to culturally appropriate food during emergency situations. None. [ABSTRACT FROM AUTHOR] Copyright of Journal of Nutrition Education & Behavior is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)