Good Bowls: Empowering Communities to Achieve Good Food Access and Health Equity

好碗：赋权社区实现良好的食品获取和健康公平

基本信息

批准号：
10680442
负责人：
ALICE S AMMERMAN
金额：
$ 31.86万
依托单位：
EQUITI FOODS, LLC
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-17 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10680442
关键词：
Address Adoption Adult American Area Attitude Behavior Therapy Belief Black American Black race Bluetooth Businesses Cardiovascular Diseases Carotenoids Cellular Phone Chronic Disease Communities Conscious Consumption Cosmetics Cost Savings Diet Dietary intake Discrimination Disparity Economics Education Employee Enhancement Technology Essential worker Ethnic Population Face Family Farm Food Food Access Freezing Fruit Health Health Care Costs Health Food Healthcare Heart Home Household Individual Infrastructure Intervention Job loss Learning Life Low Income Population Low income Marketing Measurable Measures Mediterranean Diet Minority Minority Groups Mission Modeling Morale Non-Insulin-Dependent Diabetes Mellitus Nutritional Obesity Personal Satisfaction Phase Price Production Productivity Randomized Randomized, Controlled Trials Reduce health disparities Reporting Research Restaurants Risk Rural Rural Community Sales Seasons Site Structural Racism Supermarket Taste Perception Taste preferences Telephone Testing Transportation Vegetables Wages Wellness Program Work Workplace agricultural community coronavirus disease cost density design digital economic disparity empowerment ethnic minority evidence base farmer farmers markets fast food food desert food insecurity fruits and vegetables health assessment health disparity health equity implementation facilitation implementation strategy improved lower income families nutrition pandemic disease phase 2 study poor communities primary outcome programs racial minority racial population rural poverty rural residence secondary outcome social virtual coach wasting

项目摘要

Abstract - Low-income and ethnic minority status as well as rural residence are strong predictors of poor health. Contributors to high chronic disease rates include food insecurity (lack of access to affordable, nutritious food) and lack of economic opportunity. Rural poverty in the Southeast is exacerbated by historical discrimination against Black farmers, and ongoing structural racism. At the intersection of diet and wellbeing, the blue-collar workforce is particularly vulnerable to the conditions and impacts of poor nutrition on health and productivity, as these typically low-wage workers face heightened challenges surrounding accessibility (affordability and convenience) of healthy food, yet rely on good health to support often physically demanding labor. Few approaches to mitigating health disparities have addressed both healthy food access and economic opportunity. Equiti Foods developed Good Bowls as healthy, affordable, good-tasting frozen meals that are convenient, locally-produced, and culturally-conscious. Our mission is to decrease health disparities by increasing the availability and consumption of nutritious food in high-need communities while providing economic opportunities for local farms and small businesses. We propose rigorously testing Good Bowls’ health impact and potential health care costs savings in rural blue-collar worksites. Our solution leverages the team’s nutrition expertise to create culturally appealing meals by adapting the evidence- based Mediterranean diet to southeastern seasonal availability and taste preferences (“Med-South”). We partner with local farms and businesses to produce the bowls, making use of normally wasted seasonal excess or “cosmetically challenged” produce to curb costs and expand markets for farmers. To create a sustainable business model, Good Bowls are sold using a cost-offset subsidy approach, allowing for needs-based pricing. In our worksite RCT, subsidized Good Bowls will be paired with smart phone digital infrastructure enabling Bluetooth nudges at the worksite and educational programing for home and family. The Specific Aims of this Phase II project are: 1) Establish Employee Wellness Committees to refine implementation strategies and facilitate engagement with blue-collar workers and families; 2) Test the impact of subsidized Good Bowls availability and promotion alone (Good Bowls) relative to Good Bowls + the phone App nudge and home- based education program (Nudge/Education) using a delayed intervention randomized controlled trial; and 3) Further develop and test our cost-offset model using both direct-to-consumer and retail sales to assess the volume and pricing of high end sales needed to support the social mission. We will also assess health care- related cost savings for worksites and economic benefits to partner businesses (farms, caterers, non-profits) involved with Good Bowls production. Working in partnership with rural blue-collar worksites and with local farms and businesses, Equiti Foods seeks to reduce health disparities by improving the dietary intake of those at greatest risk for chronic disease while creating economic opportunity in rural communities.

抽象的 - 低收入和少数民族地位以及农村住所是健康状况不佳的有力预测指标。高慢性病的贡献者包括粮食不安全（无法获得负担得起的营养食品）缺乏经济机会。东南部的农村贫困因历史歧视而加剧反对黑人农民和持续的结构性种族主义。在饮食和福祉的交汇处，蓝领劳动力尤其容易受到营养不良对健康和生产率的状况和影响的影响，这些通常是低薪工人面临围绕可及性的挑战（负担能力和便利性）健康食品，但要依靠身体健康来支持身体上要求的劳动。很少减轻健康分配的方法已经解决了健康的食品获取和经济的解决方案机会。 Equiti Foods开发了好碗，作为健康，负担得起，好糖的冷冻餐我们方便，本地生产和具有文化意识。我们的任务是降低健康通过增加高需求社区中营养食品的可用性和消费来增加差异同时为当地农场和小型企业提供经济机会。我们严格提出建议在粗糙的蓝领工作人员中测试好碗的健康影响和潜在的医疗保健成本。我们的解决方案利用团队的营养专业知识来通过适应证据来创造具有文化吸引力的餐点 - 基于地中海饮食可用于东南季节性的供应和口味偏好（“ Med-South”）。我们与当地农场和企业合作生产碗，使用正常浪费的季节性超过或“在化妆上挑战”的农产品以遏制成本并扩大农民的市场。建立可持续性商业模式，使用成本偏移补贴方法出售好碗，从而允许基于需求的定价。在我们的工作场所RCT中，补贴的好碗将与智能手机数字基础设施配对在家庭和家庭的工作场所和教育节目中轻推蓝牙。这个特定的目的第二阶段项目是：1）建立员工健康委员会以完善实施策略和促进与蓝领工人和家庭的交往； 2）测试补贴的好碗的影响相对于好碗 +电话应用和家庭 - 单独使用和促销（好碗） - 使用延迟干预随机对照试验的基于基于的教育计划（Nudge/Education）； 3）进一步开发并使用直接面向消费者和零售销售来测试我们的成本偏转模型支持社会任务所需的高端销售量和定价。我们还将评估医疗保健为合作企业（农场，餐饮服务商，非营利组织）节省工厂的相关成本和经济利益涉及好碗的生产。与粗糙的蓝领工作人员合作以及本地合作农场和企业，Equiti食品旨在通过改善这些食物的饮食摄入来减少健康差异在农村社区创造经济机会的同时，面临最大的慢性病风险。