Appalachians Together Restoring the Eating Environment (APPAL-TREE)

描述(申请人提供)：肯塔基州阿巴拉契亚县被NIMHD确定为重点优先人群，肥胖和超重率在全国名列前茅，农产品消耗率最低，过早死亡率和与饮食相关的疾病，如糖尿病、心脏病和各种癌症的比率很高。与三个以社区为基础的组织--社区农场联盟(一个旨在改善粮食生产系统的社区发展组织)建立主要伙伴关系。信仰移动山(一个基于社区的研究团队，有十年基于文化的干预经验)和大沙区开发区(一个备受尊敬的网络，规划、促进和协调阿巴拉契亚地区的经济、健康和社会发展计划)-在社区咨询委员会(CAB)、信仰伙伴和合作扩展的广泛投入下，这种社区-学术合作伙伴关系建议解决这些主要发病率和死亡率的最易改变的风险因素：次优饮食。在这项为期三年的规划拨款中，社区与学术界的合作将承担三个具体目标和相关活动。在目标1中，项目小组将进行社区需求评估和资产清点，举办社区论坛介绍这些信息，并定期与社区合作伙伴和CAB会面。营养和农业经济合作调查员将与社区研究团队合作，使用创新和成熟的方法，包括地理信息系统地图、焦点小组以及营养和经济评估技术。在目标2中，社区论坛、CAB会议和项目伙伴之间的协作参与会议将有助于选择和启动一项循证试点干预措施，以促进更好的营养，强调获得食物，特别是水果和蔬菜。在目标3中，社区-学术合作将实施和评估这一试点干预措施，跟踪营养结果、参与者满意度和成本，并向阿巴拉契亚社区成员报告结果。 相关性：在一个饮食和饮食相关疾病差异极大的地区(阿巴拉契亚，肯塔基州)，通过应对美国主要的公共卫生挑战之一--不良饮食导致超重/肥胖和随后的健康影响，该项目将制定、实施和评估通过增加获得健康食品来改变饮食的综合方法。

DESCRIPTION (provided by applicant): identified as a key priority population by the NIMHD, the Appalachian counties of Kentucky suffer from some of the nation's highest rates of obesity and overweight, lowest rates of produce consumption, and high rates of premature mortality and diet-related diseases such as diabetes, heart disease, and various cancers. With the main partnership of three community-based organizations - the Community Farm Alliance (a community development organization designed to improve food production systems). Faith Moves Mountains (a community-based research team with ten years of culturally-based intervention experience), and the Big Sandy Area Development District (a well-respected network that plans, promotes, and coordinates programs for regional economic, health, and social development of Appalachia) - and with extensive input from the Community Advisory Board (CAB), faith partners, and Cooperative Extension, this community-academic partnership proposes to address the most modifiable risk factor for these main causes of morbidity and mortality: suboptimal diet. In this three-year planning grant, the community-academic collaboration will undertake three specific aims and associated activities. In Aim 1, the project team will conduct a community needs assessment and assets inventory, hold community forums to present this information, and meet regularly with the community partners and CAB. The nutrition and agricultural economic co-investigators will partner with the community research team to use innovative and established methods, including GIS mapping, focus groups, and nutritional and economic assessment techniques. In Aim 2, community forums, CAB meetings, and collaborative engagement sessions among project partners will facilitate the selection and initiation of an evidence-based pilot intervention to promote better nutrition, emphasizing food access, particularly fruits and vegetables. In Aim 3, the community-academic collaborative will implement and evaluate this pilot intervention, tracking nutritional outcomes, participant satisfaction, and costs and reporting results to Appalachian community members. RELEVANCE: By addressing one of the nation's leading public health challenges - poor diet leading to overweight/obesity and subsequent health impacts - in a region (Appalachian Kentucky) suffering extreme disparities in diet and diet-related disease, this project will develop implement, and evaluate a comprehensive approach to dietary change by increasing access to healthy foods.