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

• 批准号: 10840743
• 负责人: ALICE S AMMERMAN
• 金额: $ 10.84万
• 依托单位: EQUITI FOODS, LLC
• 依托单位国家: 美国
• 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/10840743
• 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

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.

摘要-- 低收入和少数民族地位以及农村居住是健康状况不佳的强有力预测因素。 慢性病发病率高的原因包括粮食不安全（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，以及持续的结构性种族主义。在饮食和健康的交叉点，蓝领 劳动力特别容易受到营养不良对健康和生产力的影响， 这些典型的低工资工人面临着更大的挑战， 方便）的健康食品，但依赖于良好的健康，以支持往往体力劳动。几 减少健康差距的办法既涉及健康食品的获得， 机会Equiti Foods开发了Good Bowls作为健康，实惠，美味的冷冻食品， 方便，本地生产，有文化意识。我们的使命是减少健康 通过增加高需求社区营养食品的供应和消费， 同时为当地农场和小企业提供经济机会。我们严格建议 在农村蓝领工作场所测试Good Bowls的健康影响和潜在的医疗保健成本节省。我们 解决方案利用团队的营养专业知识，通过调整证据， 根据地中海饮食，东南部的季节性供应和口味偏好（“地中海南部”）。我们 与当地农场和企业合作生产碗，利用通常浪费的季节性过剩 或者说是“受气候变化挑战”的农产品，以控制成本并为农民扩大市场。创造一个可持续 根据商业模式，Good Bowls采用成本抵消补贴方法销售，允许基于需求的定价。 在我们的工作现场RCT中，受补贴的Good Bowls将与智能手机数字基础设施配对， 蓝牙轻推在工作场所和教育节目的家庭和家庭。具体目标是 第二阶段项目是：1）成立雇员健康委员会，以完善实施战略， 促进与蓝领工人和家庭的接触; 2）测试补贴Good Bowls的影响 可用性和推广单独（好碗）相对于好碗+手机应用程序轻推和主页- 基于教育计划（轻推/教育）的延迟干预随机对照试验;以及3） 进一步开发和测试我们的成本抵消模型，使用直接面向消费者和零售销售来评估 支持社会使命所需的高端销售的数量和定价。我们还将评估医疗保健- 为工地节省相关成本，为合作伙伴企业（农场、餐饮业、非营利组织）带来经济效益 参与制作好碗与农村蓝领工作场所和当地 农场和企业，Equiti食品寻求通过改善这些人的饮食摄入量来减少健康差距， 同时在农村社区创造经济机会。