Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities

旨在改善服务不足社区饮食的经过研究测试的移动农产品市场的有效性和实施

• 批准号: 10533575
• 负责人: Lucia A Leone
• 金额: $ 7.7万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10533575
• 关键词: Administrative Supplement; Body mass index; Carotenoids; Chronic; Cluster randomized trial; Communities; Consumption; Control Groups; Country; Dermal; Development; Diet; Dose; Eating; Education; Effectiveness; Face; Fibrinogen; Food; Food Access; Food Preferences; Funding; Future; Health; Health Food; Heart Diseases; Income; Individual; Intake; Intervention; Interview; Knowledge; Lead; Low income; Malignant Neoplasms; Minority; Minority Groups; Modeling; Neighborhoods; Obesity; Process; Process Measure; Randomized; Randomized Controlled Trials; Reporting; Research; Sales; Site; Socioeconomic Status; Sodium; Testing; Time; Unhealthy Diet; Vulnerable Populations; design; dietary; effectiveness implementation study; effectiveness measure; effectiveness testing; farmers markets; fruits and vegetables; health disparity; human subject; improved; intervention participants; member; parent grant; post-doctoral training; programs; saturated fat; skills; sugar; underserved community

Abstract This administrative supplement will support the development of Christina Kasprzak’s research and professional skills and provide her with postdoctoral training. There are no proposed changes to the scope or human subjects of the parent grant and the abstract remains as follows: Lower-income and minority groups face significant health disparities with respect to obesity, cancer, heart disease and other diet-related chronic conditions. Poor diets, low in fruits and vegetables (F&V) and high in saturated fat, sodium and sugar, contribute to many of the health problems faced by vulnerable groups. While socioeconomic status and other individual level factors (i.e., food preferences, time and skills to prepare healthy food, etc.) can lead to reduced F&V consumption, these must be viewed in an environmental context. Compared with higher-income neighborhoods, lower-income and minority neighborhoods are less likely to have stores that sell a variety of F&V and other healthy foods. When stores are available, produce may not be affordable, high quality or culturally appropriate. Farmers’ markets and mobile produce markets (MM) have become increasingly popular strategies to alleviate food access concerns in underserved communities. However, it is unclear if these programs have the necessary components to have an appreciable impact on diet. The research team recently completed one of the first randomized controlled trials of a MM program called the Veggie Van (VV). VV delivered boxes of fresh, locally grown produce and food-focused education to communities with significant barriers to F&V consumption including availability, affordability, quality and knowledge. In this small cluster- randomized trial in 12 communities (N=201), the team saw impressive changes in F&V intake with intervention participants eating almost 1 more cups per day of F&Vs than the control group. Intervention participants also reported increases in perceived access to healthy foods and VV customers attributed many dietary changes to the MM program. While these results are very promising, it is important to test the effectiveness of the VV program when implemented by different organizations in multiple communities. If shown to be effective, the team can create a research-tested intervention toolkit which can be disseminated to communities across the country. For this research, they identified 8 organizations nationwide that are well-qualified to implement the VV model. Organizations will identify appropriate sites for MM deliveries (32 total), which will be randomized to either an implementation or planning condition. With the help of the team’s technical assistance and provided funding, partner organizations will engage community members in the process and initiate a MM program. The research team will use a Type 1 Hybrid Effectiveness-Implementation to measure effectiveness (diet, BMI, dermal carotenoids) and implementation (customer reach and sales, process measures, qualitative interviews with MM staff). They will also examine sustainability of MM financial models and determine implementation standards (i.e., dose needed to maintain impact) for inclusion in their MM toolkit for future dissemination.

摘要