Baltimore Urban Food Distribution (BUD)

Introduction/Overview

There is great need for innovative strategies to improve the distribution of affordable healthful foods and beverages to small food stores in low-income urban communities in cost-effective ways.

Digital strategies offer a promising approach, but substantial work is needed to develop a workable app that is acceptable to wholesalers, producers, and small store owners, yielding an affordable solution for the delivery of healthy foods and beverages – that will ultimately lead to improved access (availability, price) to these products for consumers.

We are working to develop and pilot a working version of the Baltimore Urban food Distribution (BUD) app, which will address these challenges, offering a cost-effective way for small urban food stores to stock a broader range of healthy, affordable products, and will assess the app for feasibility.

To our knowledge, this is the first trial to develop, pilot and carefully evaluate an app to connect small urban food stores located in low-income communities with multiple local producers and suppliers.

Primary Aims

To develop and optimize a technically stable and functional digital strategy to overcome small retail food system constraints common in low-income urban food settings in the United States.
To pilot the Baltimore Urban food Distribution (BUD) mobile application (app) with Baltimore-based producers/wholesalers and corner stores, and assess its feasibility (i.e., acceptability, operability, perceived sustainability, and user satisfaction).
To evaluate the impact of the BUD app on corner store stocking (availability, timeliness of delivery, quality), prices, and sales of healthy and unhealthy foods and beverages in a pilot study employing a randomized controlled trial design of 38 corner stores.

Secondary Aims

To assess impact of the BUD app on purchasing and consumption behavior (e.g., purchase and consumption of FV, low-fat snacks, low-sugar beverages, whole grains) in a sample of 190 low-income urban consumers, measured pre- and post-intervention.
To assess financial costs/benefits from the perspective of wholesalers, producers, retailers and consumers.

Staff

Joel Gittelsohn, PhDPrincipal Investigator

Emma C. Lewis, MSProject Coordinator

Lisa PoirierResearch Associate

BUD Project Email

Related Work

BUDConnect Consumer Engagement Module of the BUD App
Funded by the Bloomberg American Health Initiative (BAHI) to design a consumer-engaged module of the BUD App in order to link in community members to the supplier-retailer positive feedback loop for supply-demand of healthy foods in corner stores.
Charles County Rural Food Store Expansion of the BUD App
Funded by the Maryland Department of Health (MDH) to adapt the BUD App for a pilot trial in 8 rural Charles County independently-owned food stores in order to assess feasibility of scale-up of BUD to other urban and rural settings.

Publications

Early Formative Research: https://pubmed.ncbi.nlm.nih.gov/30522356/
Study Protocol: https://pubmed.ncbi.nlm.nih.gov/35897500/
Technical Design Paper: https://mhealth.amegroups.org/article/view/118788

Media Mentions

The Baltimore Banner article published online and on Instagram: https://www.thebaltimorebanner.com/community/local-news/lees-mini-market-west-baltimore-WYBL6RZYM5GY5LSQFG2VH5R6IE/
Write-up on BUD posted to the JHSPH Home Page: https://publichealth.jhu.edu/2022/corner-stores-healthy-foods
Article published on IH Department site and shared in ASPPH newsletter: https://aspph.org/category/school-program-updates/
WBALTV on-air feature: https://www.wbaltv.com/article/providing-healthy-food-options-to-baltimore-residents/38927691

If you would like the data collection forms please email Joel Gittelsohn.

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