Translating a nutrition intervention thru WIC & Minority Health Promotion Centers

通过 WIC 转化营养干预措施

• 批准号: 7497571
• 负责人: Kim M. Gans
• 金额: $ 45万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7497571
• 关键词: Translating; nutrition; intervention; thru; WIC

DESCRIPTION (provided by the applicant): The purpose of the proposed research is to conduct translational research to study the process of disseminating a tailored nutrition intervention that has been shown to be efficacious in improving fruit and vegetable (FV) intake in diverse low income audiences as part of a NCI-funded efficacy study entitled Your Healthy Life/Su Vida Saludable (YHS/SVS). The proposed research will systematically study and characterize the process of successfully translating the YHL/SVS intervention into the established practice of two different types of sites: Minority Health Promotion Centers (MHPC) and WIC clinics in RI in partnership with the Rhode Island Department of Health (RIDH). The research will ascertain optimal diffusion strategies to enable this intervention program to be disseminated to similar settings throughout and beyond RI. Primary aims of the proposed research are: 1. To conduct formative research including focus groups and focused interviews with key stakeholders including the target audience, key RIDH officials, MHPC and WIC staff to inform adaptations of the content and format of the YHL/SVS intervention so that it meets the needs of these audiences/settings, and to inform the intervention and evaluation protocols and tools for the translational pilot; 2. To conduct a translational pilot with 20 sites (and their clients) to evaluate the process of dissemination including reach, adoption, implementation, fidelity, etc. using a variety of qualitative and quantitative evaluation measures; 3. To compile data from the translational pilot and use it to create a plan for disseminating the intervention throughout RI and into other states. Secondary aims will be to 1. To compare the effectiveness of the adapted YHL/SVS intervention to the effectiveness of a comparison intervention (traditional self help material) in terms of change in FV intake (and psychosocial mediators) of participants; 2. To compare the effect size achieved in the translational pilot study with the effect size achieved in the previous YHL/SVS randomized efficacy trial; and 3. To measure the public health impact of the adapted YHL/SVS intervention. The three year study will have three phases. Phase 1 in YO1 will include formative research with key stakeholders to inform adaptations of the content and format of the YHL/SVS intervention so that it meets the needs of these audiences/settings, to inform the plans for intervention implementation, and the evaluation methods, tools and measures so they meet the needs/priorities of the stakeholders. Phase II beginning in YO2 will be a translational pilot study with 6 MHPC and 14 WIC sites (half randomized to receive the tailored intervention and half randomized to receive the comparison intervention) and 1400 of their clients to study and evaluate the translation of the intervention. Phase III will be a continuation of the translation study with all sites receiving the tailored intervention. At the end of YO3, we will compile data from the translation research pilot study and use it to create a plan for disseminating the intervention throughout RI and into other states.

描述（由申请人提供）：拟议研究的目的是进行转化研究，以研究传播定制营养干预的过程，该干预已被证明可有效改善各种低收入人群的水果和蔬菜（FV）摄入量，作为题为"您的健康生活/Su维达健康（YHS/SVS）"的NCI资助的疗效研究的一部分。拟议的研究将系统地研究和描述成功地将YHL/SVS干预转化为两种不同类型的站点的既定实践的过程：与罗德岛州合作的少数民族健康促进中心（MHPC）和RI的WIC诊所 岛屿卫生部。这项研究将确定最佳的传播策略，使这一干预方案传播到类似的设置整个国际扶轮和超越。本研究的主要目的是：1。开展形成性研究，包括焦点小组和与主要利益相关者（包括目标受众、RIDH主要官员、MHPC和WIC工作人员）的重点访谈，以告知YHL/SVS干预措施的内容和形式的调整，以便满足这些受众/环境的需求，并告知转化试点的干预和评估协议和工具; 2.与20个网站（及其客户）进行翻译试点，使用各种定性和定量评估措施评估传播过程，包括覆盖范围，采用，实施，保真度等; 3.从转化试点中收集数据，并利用这些数据制定计划，在整个国际扶轮和其他州推广干预措施。第二个目标是1。比较适应YHL/SVS干预的有效性，以比较干预（传统自助材料）的有效性，在FV摄入量（和心理社会中介）的变化的参与者; 2。比较转化初探性研究中达到的效应量与既往YHL/SVS随机疗效试验中达到的效应量; 和3.衡量调整后的YHL/SVS干预措施对公共卫生的影响。这项为期三年的研究将分三个阶段进行。YO1的第1阶段将包括与主要利益相关者进行形成性研究，以告知YHL/SVS干预措施的内容和形式的调整，以便满足这些受众/环境的需求，告知干预措施实施计划以及评估方法，工具和措施，以便满足利益相关者的需求/优先事项。从YO2开始的II期将是一项转化性试点研究，有6个MHPC和14个WIC研究中心（一半随机接受定制的 干预和一半随机接受比较干预）和1400名他们的客户研究和评估干预的翻译。第三阶段将是翻译研究的继续，所有研究中心都将接受定制干预。在第三年年度结束时，我们将从翻译研究试点研究中收集数据，并利用它来制定一个计划，在整个国际扶轮和其他州传播干预措施。