A Healthy Food Availability Program to Increase Food Security in Robeson County, North Carolina

Food insecurity in Robeson County, North Carolina particularly among Lumbee tribal members exceeds state and national averages and contributes to high rates of obesity, diabetes, and chronic disease. This capstone adapts the evidence-based OPREVENT model to improve food access, nutrition knowledge, and culturally relevant dietary practices. The multilevel intervention includes three components: (1) healthy retail initiatives that provide stipends and support for local stores to stock and promote fresh produce; (2) a school-based nutrition curriculum emphasizing traditional foods and practical skills; and (3) community workshops led by community health workers and elders. To evaluate the first objective, A quasi-experimental pre/post design will use exit intercept surveys with receipt verification to evaluate changes in purchasing behavior among 200 adult shoppers. Expected outcomes include increased produce purchasing and improved daily fruit and vegetable intake. This program aims to strengthen food sovereignty and offer a scalable approach for Native and rural communities.