Reducing the summer health gap: Evaluation of a community-based child nutrition assistance program

缩小夏季健康差距：对基于社区的儿童营养援助计划的评估

• 批准号: 10641704
• 负责人: Jiwoo Lee
• 金额: $ 14.8万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10641704
• 关键词: Accounting; Address; Affect; Area; Behavior; Behavioral; Body Weight Changes; Body Weight decreased; Body fat; Body mass index; Career Mobility; Characteristics; Child; Child Health; Child Nutrition; Collaborations; Communities; Data Collection; Development; Diet; Disparity; Doctor of Philosophy; Educational Activities; Eligibility Determination; Equation; Equity; Evaluation; Family Sizes; Food; Food Services; Funding; Future; Goals; Health; Health Status; Healthy Eating; Height; Heterogeneity; Hour; Household; Intervention; Knowledge; Length; Low income; Measurement; Measures; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Minnesota; Mission; Modeling; Nonprofit Organizations; Nutritional; Obesity; Observational Study; Outcome; Overweight; Parents; Participant; Physical activity; Positioning Attribute; Preparation; Prevention program; Price; Program Description; Provider; Public Health; Random Allocation; Reporting; Research; Research Personnel; Research Project Grants; Role; Sampling; School-Age Population; Schools; Scientist; Services; Site; Social Environment; Sports; Surveys; Training; Twin Cities; United States Department of Agriculture; United States National Institutes of Health; Universities; Weight; Weight Gain; Work; career; career development; cohort; cost effective; demographics; dietary; elementary school; experience; family structure; food insecurity; health disparity; health equity; implementation intervention; implementation science; improved; indexing; innovation; interest; lower income families; metropolitan; multidisciplinary; nutrition; nutritional guideline; obesity in children; obesity prevention; operation; portability; preventive intervention; programs; prospective; psychosocial; recruit; school district; service programs; skills; therapy design; therapy development

PROJECT SUMMARY The K23 award will support the career development of candidate, Jiwoo Lee, PhD, RN, LSN, to become an independent researcher with expertise in evaluation of public health nutrition programs that will guide future development of childhood obesity prevention interventions designed to reduce weight-related disparities. Dr. Lee will achieve this goal by conducting an innovative research project and career development activities that are aligned with her career goals. The proposed research will evaluate a summertime, community-based child nutrition assistance program, the Summer Food Service Program (SFSP), funded by the United States Department of Agriculture. This program addresses the nutritional gap of increased food insecurity that low- income children experience during the summer months by providing meals to children at program sites. However, nutritional guidelines of the program are not as comprehensive as other nutrition assistance programs, which may contribute to weight gain among children from low-income households who are disproportionately affected by childhood obesity. Additionally, the program sites vary in operation length and the extent to which there is additional healthy programming beyond the provision of foods. Lastly, characteristics of program participants as well as the program’s impact on child diet quality and weight are not well documented. Without this knowledge, it is challenging to characterize what works and for whom and identify targets for optimizing the SFSP and for future interventions. The proposed research will conduct a prospective observational study to describe program site and participant characteristics at baseline to evaluate the current program implementation (Aim 1) and determine if the site and participant characteristics are associated with child program attendance and changes in food insecurity, diet quality and weight gain (Aims 2 and 3). Two cohorts of elementary school-aged children and their parents (n=210) recruited through SFSP sites in Twin Cities metropolitan area of Minnesota will participate in data collection before and in the final weeks of the program (spring and end of summer, respectively). Data collection components include an online psychosocial survey, three 24-hour dietary recalls, and measurement of height, weight and percent body fat. Additionally, parents will report program usage weekly during the program. A multi-disciplinary team of mentors at the University of Minnesota will guide the proposed project and career development activities. Training areas include: a) health equity approaches in reducing food insecurity and weight gain (Drs. Jayne Fulkerson and Lisa Harnack), b) advanced statistical skills for use in evaluation of the long-term impacts of public health programs (Dr. Weihua Guan), c) implementation science and intervention development (Dr. Nancy Sherwood) and d) collaborations with community partners (Drs. Jayne Fulkerson and Lisa Harnack). The project and training plan will position Dr. Lee to advance her career as an independent investigator while contributing to the mission of the NIH by reducing weight-related health disparities of children living in low-income households.

项目概要 K23 奖项将支持候选人 Jiwoo Lee（博士、注册护士、LSN）的职业发展，使其成为一名 独立研究人员，具有评估公共卫生营养计划的专业知识，该计划将指导未来 制定旨在减少与体重相关的差异的儿童肥胖预防干预措施。博士。 李将通过开展创新研究项目和职业发展活动来实现这一目标 与她的职业目标一致。拟议的研究将评估夏季社区儿童 营养援助计划，夏季食品服务计划（SFSP），由美国资助 农业部。该计划解决了因粮食不安全加剧而造成的营养缺口， 夏季，儿童通过在项目地点为儿童提供膳食获得收入。 然而，该计划的营养指南并不像其他营养援助那么全面 计划，这可能会导致低收入家庭儿童的体重增加 儿童肥胖的影响尤为严重。此外，计划站点的运行时长和 除了提供食物之外，还有多少额外的健康规划。最后， 计划参与者的特征以及计划对儿童饮食质量和体重的影响并未被考虑在内。 有据可查。如果没有这些知识，就很难描述什么有效、对谁有效以及 确定优化 SFSP 和未来干预措施的目标。拟议的研究将进行 前瞻性观察研究，描述项目地点和基线参与者特征以进行评估 当前的计划实施（目标 1）并确定场地和参与者的特征是否符合 与儿童计划出席率以及粮食不安全、饮食质量和体重增加的变化相关（目标 2 和3）。通过 SFSP 招募的两组小学生及其家长 (n=210) 明尼苏达州双城都会区的站点将在决赛前和决赛中参与数据收集 课程的周数（分别为春季和夏末）。数据收集组件包括在线 心理社会调查、3 次 24 小时饮食回忆以及身高、体重和体脂百分比测量。 此外，家长将在项目期间每周报告项目使用情况。多学科导师团队 明尼苏达大学将指导拟议的项目和职业发展活动。培训领域 包括： a) 减少粮食不安全和体重增加的健康公平方法（Jayne Fulkerson 博士和 Lisa Harnack), b) 用于评估公共卫生长期影响的先进统计技能 计划（关卫华博士），c) 实施科学和干预发展（Nancy Sherwood 博士） d) 与社区合作伙伴（Jayne Fulkerson 博士和 Lisa Harnack 博士）的合作。该项目和 培训计划将使李博士能够推进她作为独立调查员的职业生涯，同时为 NIH 的使命是减少低收入家庭儿童与体重相关的健康差异。

项目成果

Beyond coping: The role of supportive relationships and meaning making in youth well-being.

超越应对：支持性关系和意义创造在青少年福祉中的作用。

• DOI: 10.1111/jnu.12901
• 发表时间: 2023
• 期刊: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
• 作者: Looman,WendyS;Geiger-Simpson,Elena;Eull,DonnaJ;Lee,Jiwoo;Nersesian,PaulaV;Bell,AdriannaN;Miller,AngelaL
• 通讯作者: Miller,AngelaL

Assessment of Youth Coping and Appraisals Through a Timelining Activity: Validation and Utility of a Tool for Pediatric Research and Practice.

通过时间安排活动评估青少年的应对和评价：儿科研究和实践工具的验证和实用性。

• DOI: 10.1016/j.pedhc.2023.02.007
• 发表时间: 2023
• 期刊: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
• 作者: Looman,WendyS;Eull,Donna;Geiger-Simpson,Elena;Lee,Jiwoo;Nersesian,PaulaV;Bell,AdriannaN;Miller,AngelaL
• 通讯作者: Miller,AngelaL