Co-producing with the local community an action plan to reduce consumption of high fat, sugar and salt foods in Newham.

与当地社区共同制定一项行动计划，以减少纽汉姆高脂肪、糖和盐食品的消费。

• 批准号: MR/W004259/1
• 负责人: Prachi Bhatnagar
• 金额: $ 19.27万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FW004259%2F1
• 关键词: Co; producing; local; community; action

The London Borough of Newham has high levels of Type 2 diabetes and people living with overweight/obesity. These conditions cause a high burden on general practice and hospital services, and are also associated with worse health outcomes from Covid-19. Newham is ethnically diverse with 73% of its population coming from an ethnic minority background. Levels of deprivation are also high in the borough; when ranked against other areas in England, Newham is in the 20% most deprived areas. Although there are existing services to prevent Type 2 diabetes and encourage weight-loss, these are nationally devised programmes that are not well-suited for this low-income, ethnically diverse population; this means that these programmes may actually be widening inequalities in an area like Newham. We propose to develop a Food Champions intervention with the local population, where a Food Champion will act to improve Newham's diet on behalf of the population. Co-producing the intervention will ensure that any proposed activities are acceptable to the local population and are addressing issues that they feel are relevant to them. Proposed methods: Systems approaches aim to take account of the multitude of influences on a behaviour such as diet. We will use a systems approach and work with the local population to develop the job description, training and resources needed for a local Food Champions programme to reduce the consumption of high fat, sugar and salt foods. 1) The first stage will involve a rapid review of published literature and reports on Food Champion programmes with ethnically diverse, low-income adult populations. This review will provide information on what aspects of previous Food Champion programmes have worked. This will also allow us to create a preliminary Theory of Change model for the intervention, which outlines how a Food Champions intervention could improve the diet of Newham residents. 2) Whilst the review is being conducted we will draw a map of all the people we believe are involved in producing, selling and consuming food in Newham - known as a stakeholder map of the food system. A general map for the whole of Newham will be constructed and local residents will have the opportunity to edit this to create eight separate maps for the eight official Community Neighbourhoods in Newham.2) The stakeholder maps will be used to recruit people to ten groups which will aim to have an appropriate balance of ethnicities, genders and ages. Two groups will consist of people invited from the stakeholders identified in the general map. The other eight groups will be consist of people invited from the eight Community Neighbourhoods and any relevant stakeholders from each area. Each of the ten groups will attend 2 workshops.During the workshop 1, participants will be asked to draw maps of what they perceive as the causes and consequences of poor diet in Newham. After this workshop, researchers will construct a systems diagram showing the causes and consequences identified in workshop 1 and whether the factors are related. During workshop 2, participants will update this systems map until they feel it is accurate, then use this map to identify areas for action to improve diet in Newham. An experience facilitator will guide the participants through the process.3) An intervention development group will be set up consisting of community members, the research team, the public health team at Newham and the team that would be responsible for delivering the intervention. A final Theory of Change model for the intervention will be constructed using the findings and suggested actionable areas from the workshops which will outline which factors the Food Champions will act on. The content of the intervention is will be final when agreed by the community members and those who will deliver the Food Champions programme. 4) Draft training manuals and any other necessary resources will be developed.

伦敦纽汉自治市有高水平的2型糖尿病和超重/肥胖的人。这些情况给全科医疗和医院服务造成了沉重负担，也与Covid-19造成的更糟糕的健康结果有关。纽汉是一个种族多元化的城市，73%的人口来自少数民族背景。贫困程度也很高的自治市镇;当与英格兰其他地区排名时，纽汉是20%最贫困的地区。虽然有现有的服务，以预防2型糖尿病和鼓励减肥，这些都是国家设计的方案，不太适合这个低收入，种族多样化的人口;这意味着这些方案实际上可能会扩大不平等在一个地区，如纽汉。我们建议与当地人口一起制定一项食品冠军干预措施，其中食品冠军将代表人口采取行动改善纽汉的饮食。共同制作干预措施将确保任何拟议的活动都能为当地居民所接受，并解决他们认为与他们有关的问题。建议的方法：系统方法旨在考虑到对饮食等行为的多种影响。我们将采用系统方法，并与当地居民合作，制定当地食品冠军计划所需的工作说明、培训和资源，以减少高脂肪、糖和盐食品的消费。1)第一阶段将涉及快速审查已发表的文献和关于针对不同族裔、低收入成年人口的粮食冠军方案的报告。这项审查将提供有关以前的食品冠军计划在哪些方面发挥作用的信息。这也将使我们能够为干预创建一个初步的变革理论模型，该模型概述了食品冠军干预如何改善纽汉居民的饮食。2)在进行审查的同时，我们将绘制一张地图，列出我们认为在纽汉参与生产、销售和消费食品的所有人，这张地图被称为食品系统的利益相关者地图。将为整个纽汉构建一个通用地图，当地居民将有机会编辑该地图，为纽汉的八个官方社区创建八个独立的地图。2）利益相关者地图将用于招募人员到十个小组，旨在实现种族，性别和年龄的适当平衡。两个小组将由从总地图中确定的利益攸关方中邀请的人员组成。其他八个小组将由八个社区邻里邀请的人和每个地区的任何相关利益攸关方组成。十个小组中的每一个将参加两个工作坊。在工作坊1中，参与者将被要求绘制他们认为是纽汉饮食不良的原因和后果的地图。研讨会结束后，研究人员将构建一个系统图，显示研讨会1中确定的原因和后果，以及这些因素是否相关。在研讨会2期间，与会者将更新这一系统地图，直到他们认为它是准确的，然后使用这一地图，以确定行动领域，以改善饮食在纽汉。经验促进者将指导参与者完成这一过程。3）将成立一个干预发展小组，由社区成员、研究小组、纽汉的公共卫生小组和负责提供干预的小组组成。最终的变革理论模型将根据研讨会的调查结果和建议的可操作领域构建，该模型将概述食品冠军将采取行动的因素。干预内容将在社区成员和食品冠军计划的实施者同意后最终确定。4)将编制培训手册草稿和任何其他必要的资源。