Understanding and Addressing Food Insecurity and Obesity Among Infant-Parent Dyads

了解并解决婴幼儿父母之间的粮食不安全和肥胖问题

• 批准号: 10662130
• 负责人: Colin James Orr
• 金额: $ 20.27万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10662130
• 关键词: Address; Affect; American; Attitude; Behavioral; Black race; COVID-19 pandemic; Child; Child Development; Child Health; Chronic Disease; Clinical; Communities; Cross-Sectional Studies; Cues; Data; Development; Development Plans; Diabetes Mellitus; Economics; Electronics; Elements; Ensure; Family; Feeding behaviors; Food; Funding; Future; Gills; Goals; Grant; Growth; Growth and Development function; High Prevalence; Hispanic; Household; Hunger; Infant; Intervention; K-Series Research Career Programs; Knowledge; Learning; Length; Life; Link; Literature; Longitudinal cohort; Manuscripts; Measures; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; National Institute of Diabetes and Digestive and Kidney Diseases; North Carolina; Not Hispanic or Latino; Obesity; Outcome; Parents; Pathway interactions; Perception; Physicians; Pilot Projects; Positioning Attribute; Public Health; Qualitative Methods; Questionnaires; Randomized, Controlled Trials; Reporting; Research; Research Personnel; Research Support; Resources; Schools; Science; Strategic Planning; Testing; Theory of Change; Time; Training; Universities; Weight; Weight Gain; Work; Writing; acceptability and feasibility; behavior change; career development; cohort; design; disparity reduction; effective intervention; ethnic diversity; ethnic minority population; experience; feeding; food insecurity; food security; health disparity; healthy weight; implementation intervention; implementation science; improved; infant adiposity; innovation; learned behavior; longitudinal analysis; meetings; novel; nutrition; obesity in children; obesity prevention; obesity risk; obesity treatment; patient population; pediatrician; peer; peer support; preference; prevent; racial diversity; racial minority population; recruit; skill acquisition; theories; therapy design; therapy development

ABSTRACT The proposed K23 Career Development Award will enable Dr. Colin Orr to become an independent physician- researcher with expertise in food insecurity and childhood obesity prevention. Dr. Orr is a general pediatrician whose long-term goal is to design, test, and implement interventions to address food insecurity and promote optimal nutrition and healthy weight gain in children. His strong methodologic background, combined with his experience and knowledge of health disparities among racial and ethnic minority groups, makes him an ideal candidate to conduct the proposed research. Dr. Orr’s preliminary work has described the cross-sectional impact of food insecurity on parent feeding behaviors and child health outcomes. Dr. Orr’s research will contribute to the science of obesity prevention by examining the longitudinal relationships, if any, between food insecurity, parental feeding behaviors, and childhood obesity. Specifically, his proposed research has the following aims: 1) To examine the association between change in food insecurity and change in parental feeding behaviors in a cohort; 2) To assess parents’ knowledge, attitudes and understanding of feeding behavior and food insecurity, and how these relate to childhood obesity; and, 3) To develop the NCCARE360+Peer Parent Coach (PPC) intervention and conduct a pilot randomized controlled trial (RCT) that evaluates the intervention’s feasibility and acceptability. The pilot study will serve as preliminary data for a subsequent R01. To conduct this research, Dr. Orr has assembled a team of mentors and collaborators who will guide him in accomplishing the following training goals: 1) Learn casual inference, longitudinal analysis, and qualitative methods to examine how food insecurity influences child health over time and acquire the skills to design and execute qualitative studies to guide intervention development; 2) Learn behavior change theories to inform development of a peer support intervention; and 3) Gain training in implementation science to guide implementation of interventions. Dr. Orr’s mentorship team will meet with him regularly, provide additional content expertise in writing manuscripts and R01 and equivalent grants, and will ensure his progress toward his research aims and training goals. Dr. Orr’s career development will be supported by coursework at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. Dr. Orr’s work aligns with the National Institute of Diabetes and Digestive and Kidney Diseases Strategic Plan to support research that aims to prevent chronic diseases, such as obesity and diabetes, in racially and ethnically diverse patient populations. His proposed research has high potential for public health impact, given the high prevalence of food insecurity and childhood obesity and the urgent need for well-designed interventions to address these problems in racial and ethnic minority populations. The proposed K23 award will enable Dr. Orr to take important next steps in his career development and position him as an independent investigator with expertise in testing, implementing, and evaluating innovative solutions to address food insecurity and obesity in children.

摘要 拟议的K23职业发展奖将使科林·奥尔博士成为一名独立的医生- 在粮食不安全和儿童肥胖预防方面拥有专业知识的研究员。奥尔医生是一名普通儿科医生 其长期目标是设计、测试和实施干预措施，以解决粮食不安全问题， 最佳的营养和健康的体重增加的儿童。他强大的方法论背景，结合他的 他对种族和少数民族群体之间的健康差异的经验和知识，使他成为一个理想的 候选人进行拟议的研究。奥尔博士的初步工作描述了横截面影响 对父母喂养行为和儿童健康结果的影响。奥尔博士的研究将有助于 肥胖预防的科学，通过检查纵向关系，如果有的话，食物不安全， 父母喂养行为和儿童肥胖。具体而言，他提出的研究有以下目标： 1)为了研究食物不安全的变化与父母喂养行为变化之间的关系， （2）评估父母对喂养行为和食物不安全的知识、态度和理解， 以及这些与儿童肥胖的关系;以及，3）开发NCCARE360+同伴家长教练（PPC） 干预，并进行试点随机对照试验（RCT），评估干预的可行性， 可接受性初步研究将作为后续R01的初步数据。为了进行这项研究，博士。 奥尔已经组建了一个由导师和合作者组成的团队，他们将指导他完成以下培训 目标：1）学习因果推理，纵向分析和定性方法来研究粮食不安全如何 随着时间的推移影响儿童健康，并获得设计和执行定性研究的技能，以指导 干预发展; 2）学习行为改变理论，为同伴支持的发展提供信息 干预; 3）获得实施科学方面的培训，以指导干预措施的实施。奥尔医生的 导师团队将定期与他会面，在撰写手稿方面提供额外的内容专业知识， R01和同等补助金，并将确保他朝着他的研究目标和培训目标的进展。奥尔医生的 职业发展将得到Gillings全球公共卫生学院课程的支持。 位于查佩尔山的北卡罗来纳州大学。Orr博士的工作与国家糖尿病研究所和 消化和肾脏疾病战略计划，以支持旨在预防慢性疾病的研究， 如肥胖和糖尿病，在不同种族和民族的患者群体中。他提出的研究具有很高的 考虑到粮食无保障和儿童肥胖症的高发率， 迫切需要精心设计的干预措施，以解决种族和族裔少数群体的这些问题。 拟议的K23奖项将使Orr博士能够在其职业发展和职位方面迈出重要的下一步 他是一名独立调查员，在测试、实施和评估创新解决方案方面具有专业知识。 以解决儿童的粮食不安全和肥胖问题。