Table II.

Focus group priority factors and how they manifested in the community and related polices implemented

Priority THRIVE factors	How these factors manifested in the community	Policies implemented
Jobs and local ownership	Local growers ship nearly all fresh produce out of the valley to higher income and urban areas	Local growers formed Producers’ Guild (n = 32)
	Growers have no financial incentive to keep produce local due to poor economy in the community	Community Coalition developed a CSA program that keeps local produce in the community and guarantees growers payment for unused food
	Only one Native-owned business in the community—a recycling stand	Pilot program started to increase vegetable and fruit intake in fifth grade class using CSA produce. Program provides 25% of families receiving commodity foods with supplemental fresh vegetables and fruit using CSA produce
	Native community members feel unwelcome at farmer’s market and are unable to pay for fresh produce	Community Coalition negotiated with farmer’s market vendors to provide EBT machines. Community members can purchase fresh produce using food assistance funds
What’s sold and how it’s promoted	Little to no quality, culturally appropriate and traditional food available. Special dietary foods available at the only grocery store in the community	Shelf space at grocery store reallocated to include and promote fresh vegetables and fruits
	No inexpensive bulk food available	Special order and bulk order program initiated to provide traditional and special foods for diabetics
Look, feel and safety	Community has no playgrounds or parks and few safe places to exercise	Community Coalition designed a walking and bike path with culturally appropriate art and educational exhibits
		Local health clinic created ‘Bike Wednesdays’ that include free bike repair and group rides