A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities

多层次社区参与干预，在密西西比三角洲建立可持续和公平的食品经济，提供“食品即药品”，以改善少数族裔的健康并减少差距

• 批准号: 10826681
• 负责人: CHRISTINA D ECONOMOS
• 金额: $ 29.24万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-23 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10826681
• 关键词: Adherence; Administrative Supplement; Adoption; Affect; Behavior; Behavioral; Behavioral Mechanisms; Communities; Complement; Consumption; Counseling; Data; Diet; Dietary intake; Effectiveness; Environment; Equity; Food; Frequencies; Future; Goals; Health; Individual; Intervention; Intervention Studies; Interview; Investigation; Knowledge; Life Style; Maintenance; Measurement; Measures; Mediator; Medicine; Methods; Minority Groups; Mississippi; Monitor; National Institute on Minority Health and Health Disparities; Outcome; Parents; Participant; Pathway interactions; Persons; Phase; Postdoctoral Fellow; Process; Psychological reinforcement; Quality of life; Questionnaires; Reduce health disparities; Research; Research Design; Research Personnel; Review Literature; Rural Minority; Sample Size; Self Efficacy; Surveys; Target Populations; Techniques; Testing; Time; Work; behavior change; career; clinical care; community engagement; design; dietary; disparity reduction; evidence base; food preparation; fruits and vegetables; improve minority health; improved; insight; interest; intervention participants; intervention refinement; learned behavior; lens; literacy; member; minority health disparity; nutrition; nutrition education; parent grant; parent project; programs; recruit; relapse risk; rural setting; skills; social cognitive theory; social health determinants; theories; therapy design; trend

PROJECT SUMMARY/ABSTRACT Administrative Supplement to NIMHD R01MD018208 Parent project title: “A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities”. This Administrative Supplement is based on NOT-OD- 23-083, “Notice of Special Interest (NOSI): Administrative Supplement for Research Efforts that Elucidate Fundamental Processes Underlying Behavior Change, Maintenance, and Adherence.” It is a request to support the inclusion of new measures and methods that will complement the parent study and expand it to identify the mechanisms underlying behavior change within a food is medicine (FIM) intervention. FIM interventions offer promise to achieve behavior change; however, the pathway(s) underlying this behavior change have not been studied. Through this administrative supplement, we will use an explanatory sequential mixed-methods approach to investigate the mechanisms of behavior change through the lens of Social Cognitive Theory (SCT). SCT is one of the most widely used behavioral theories and may be particularly useful when applied to interventions conducted in rural settings given its emphasis on social determinants of health and how individuals interact and are influenced by their environment. For those allocated to the FIM intervention of the parent grant, this supplement will add a new survey measure to assess SCT constructs (e.g., knowledge, self-efficacy, etc.) at the planned baseline, three- and six-month timepoints. We also propose adding new in-depth interviews at the three- and six-month time points to further explain and interpret results from the quantitative data. This work will be led by Dr. Economos, parent study co-PI Erin Hennessy, parent study co-I, and Dr. Kia Jones, an early career investigator based in Mississippi and a post-doctoral fellow on the parent grant. Findings from this study will greatly advance ongoing efforts to apply and scale FIM interventions by studying the factors affecting the acceptance and adoption of weekly produce delivery aimed to increase fruit and vegetable consumption. Theory-driven FIM interventions that propel behavior change are needed to reverse the trends in diet related health outcomes for the rural minority population participating in the intervention.

项目摘要/摘要 NIMHD R01MD018208的行政补充父母项目标题：“订婚的多级社区 在密西西比州的医学产品中，干预以建立可持续和公平的食品经济是药品 增长少数民族健康并减少分配的三角洲。这种行政补充是基于非dod-od- 23-083，“特殊利益通知（NOSI）：研究工作的行政补充，阐明 行为改变，维护和依从性的基本过程。这是支持的请求 包括将完成父母研究并扩展其以确定的新措施和方法 食物内部行为改变的机制是药物（FIM）干预。 FIM干预措施提供 承诺改变行为；但是，这种行为改变的途径尚未 Studiod。通过这种行政补充，我们将使用爆炸性的顺序混合方法方法 通过社会认知理论（SCT）的角度研究行为的机制。 SCT是 使用最广泛的行为理论之一，当应用于干预措施时可能特别有用 鉴于它强调健康的社会决定者以及个人如何互动和 受其环境的影响。对于分配给父母赠款FIM干预的人， 补充将添加一个新的调查测量，以评估SCT结构（例如，知识，自我效能等） 计划的基线，三个月和六个月的时间点。我们还建议在三个 - 和六个月的时间点可以进一步解释和解释定量数据的结果。这项工作将被领导 由经济学博士，父母研究Co-Pi Erin Hennessy，父母研究Co-I和Kia Jones博士的早期职业生涯 总部位于密西西比州的调查员和父母赠款的博士后研究员。 这项研究的发现将大大促进持续的努力来应用和扩展FIM干预措施。 影响接受和采用每周产生的分娩的因素，旨在提高果实和 蔬菜消费。理论驱动的FIM干预措施需要推动行为改变以逆转 少数群体参与干预措施的少数群体的健康状况趋势。