El Valor de Nuestra Salud (The Value of Our Health)

El Valor de Nuestra Salud（我们健康的价值）

• 批准号: 8600039
• 负责人: GUADALUPE X AYALA
• 金额: $ 5.08万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-01-01 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8600039
• 关键词: Acculturation; Adult; Behavioral; Body mass index; Calories; Carotenoids; Communication; Communities; Complement; Consumption; Data; Development; Diet; Dietary intake; Dose; Eating; Effectiveness of Interventions; Employee; Equipment; Equipment and supply inventories; Evaluation; Fatty acid glycerol esters; Fiber; Food; Funding; Goals; Health; Health Food; Hispanics; Individual; Intake; Intervention; Latino; Maintenance; Malignant Neoplasms; Measures; Meat; Mexican; Mexican Americans; Minority; Mission; Modeling; NIH Program Announcements; Obesity; Outcome; Participant; Patient Self-Report; Phase; Physical environment; Population; Process; Production; Psychosocial Factor; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Research; Resources; Restaurants; Risk; Risk Factors; Sales; Sampling; Self Efficacy; Serum; Social Environment; Testing; Training; United States; Work; arm; base; behavior change; cancer risk; cohort; energy balance; follow-up; food environment; food marketing; fruits and vegetables; health disparity; innovation; interest; neglect; obesity risk; post intervention; public health relevance; racial and ethnic; success

DESCRIPTION (provided by applicant): Dietary intake is an important determinant of risk for obesity and cancer. Consumption of fruits and vegetables reduces risk, yet among Latinos, there is now clear evidence that fruit and vegetable consumption decreases with greater acculturation to the U.S. Interventions targeted at the intrapersonal and interpersonal levels of the Socio-Ecological Framework have resulted in changes to dietary intake. However, these studies have neglected to consider that unless changes occur at higher levels of influence (e.g., in stores, in restaurants), individual behavior changes are unlikely to be reinforced and sustained. We propose to refine a pilot-tested intervention to change the food environment of grocery stores to promote consumption of fruits and vegetables. El Valor de Nuestra Salud [The Value of Our Health] will identify, recruit, and match 18 grocery stores (specifically small-to-medium sized Latino grocery stores or tiendas) and randomize them into one of two conditions: intervention versus a no-treatment control condition. The intervention will consist of two communication change strategies and two structural change strategies with the goal of changing aspects of the social and physical environments. The intervention will include employee and manager trainings to promote sales of fruits and vegetables and how to conduct a food marketing campaign. In addition, we will provide equipment and other material resources to the tiendas to promote sales of ready-to-eat fruits and vegetables, and to work with them to modify selections available in the meat and ready-to-eat food departments. Efficacy will be evaluated at the store customer level in terms of baseline to immediate post-intervention (6 months post-baseline) changes in self-reported fruit and vegetable intake in a sample of 360 adult store customers, and maintenance of these changes at the 6-month follow-up (12 months post-baseline). Levels of serum carotenoids collected in a 25% subsample of customers will provide evidence for the validity of dietary self- report. Intervention effectiveness will be evaluated at the employee, manager, and store levels using both self-reported and observed methodological approaches. The RE-AIM framework will be used to assess the potential for disseminating the intervention if it results in improvements in customers' dietary intake. This study is responsive to NCI's call for proposals on Diet and Communication, and given the involvement of a Mexican/Mexican-American population, is responsive to NCI's mission to reduce racial/ethnic health disparities.

描述（由申请人提供）：饮食摄入量是肥胖和癌症风险的重要决定因素。水果和蔬菜的消费降低风险，但在拉丁美洲人中，现在有明确的证据表明，水果和蔬菜的消费量随着对美国的文化适应程度的增加而减少。然而，这些研究忽略了考虑到，除非变化发生在更高的影响水平（例如，在商店，在餐馆），个人行为的改变不太可能得到加强和持续。我们建议改进一项试点干预措施，以改变杂货店的食品环境，促进水果和蔬菜的消费。El Valor de Nuestra Salud [我们健康的价值]将识别、招募和匹配18家杂货店（特别是中小型拉丁裔杂货店或tiendas），并将它们随机分配到两种条件之一：干预与无治疗对照条件。干预措施将包括两项交流变革战略和两项结构变革战略，目标是改变社会和物质环境的各个方面。干预措施将包括员工和经理培训，以促进水果和蔬菜的销售，以及如何开展食品营销活动。此外，我们将向天达提供设备和其他物质资源，以促进即食水果和蔬菜的销售，并与他们合作，修改肉类和即食食品部门的选择。将在商店顾客水平上评估疗效，评估的内容是在360名成人商店顾客的样本中，自我报告的水果和蔬菜摄入量从基线到干预后即刻（基线后6个月）的变化，以及在6个月随访（基线后12个月）时这些变化的维持情况。血清类胡萝卜素水平收集在25%的子样本的客户将提供证据的有效性饮食自我报告。干预的有效性将在员工、经理和商店层面上使用自我报告和观察的方法进行评估。RE-AIM框架将用于评估传播干预措施的潜力，如果它导致客户饮食摄入量的改善。这项研究是响应NCI的呼吁，对饮食和沟通的建议，并考虑到墨西哥/墨西哥裔美国人的参与，是响应NCI的使命，以减少种族/民族的健康差距。