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IntroductionThis project took a novel approach to reducing wasted food and improving food donation by prioritizing and centering the ideas and experiences of frontline grocery retail workers, who were integrally involved in each step of the research process. In this paper, we describe in detail the methods used in the Food Donation Champions Project, a worker-centered project in collaboration with a large US grocery retail chain. We provide the context, process, and lessons learned through our partnership with corporate leaders and frontline workers. MethodsThis project was conducted using a convergent, human-centered design process, involving design, public health, and anthropology research methodologies. The process involved six steps: planning, research, synthesis, ideation, prototype development and testing, and strategy finalization. We collected qualitative data through interviews and observations with grocery retail workers, members of corporate leadership, and stores' donation partners (i.e., food pantries and food banks). Frontline workers informed this research strategy and participated in all stages of analysis and strategy development. DiscussionThe process and findings described in this paper provide researchers and leaders in grocery retail a guide to a novel methodology and research approach that may be used to enhance projects that elevate the lived experience of people most central to addressing social and environmental problems. 

Objectives:To assess changes in food acquisition behavior, food insecurity, and dietary behavior and identify factors associated with fruit and vegetable (FV) consumption during the transitional period (before and after the initial vaccine rollout for all adults) of the COVID-19 pandemic. Design:Successive independent samples design. Online surveys were conducted from October 2020 to February 2021 (time 1, before the vaccine rollout) and from October 2021 to December 2021 (time 2, after the vaccine rollout). Descriptive analysis examined changes in food sources, food security, and daily FV consumption in cup equivalents (CEs) from time 1 to time 2. A multivariable logistic regression analysis examined factors associated with FV consumption. Setting:The Capital Region of New York State. Participants:1553 adults 18 years of age and older. Main Outcome Measure:Meeting the 2020-2025 MyPlate daily FV consumption recommendations. Results:There were statistically significant (P< .05) increases in the use of supermarkets, eat-in restaurants, farmers’ markets, and convenience stores from time 1 to time 2. Food insecurity (40.1% vs 39.4%) and FV consumption (2.6 CE vs 2.4 CE) slightly declined but not significantly. Home food procurement such as gardening and foraging (OR, 1.61; 95% CI, 1.08-2.37) and shopping at food co-op/health food stores (OR, 1.64; 95% CI, 1.07-2.49) were significantly associated with the FV outcome, and these relationships were not modified by food security status. Conclusions:The present study highlights the importance of food sources in understanding adult dietary behavior during the transitional period of the pandemic. Continuing efforts to monitor access to food sources, food insecurity, and dietary behavior are warranted as various COVID-related emergency food assistance measures have expired.