A Culturally-Adapted Multicomponent Teaching Kitchen Intervention for Low-Income Latino Adults

针对低收入拉丁裔成年人的文化适应多成分厨房教学干预

• 批准号: 10723878
• 负责人: Lorena Sonia Pacheco
• 金额: $ 14.17万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-03 至 2028-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10723878
• 关键词: Academic Medical Centers; Address; Adult; Area; Attitude; Award; Behavior; Behavioral Sciences; Boston; California; Canada; Cardiometabolic Disease; Central American; Certification; Clinical Trials; Cluster randomized trial; Communities; Cooking Practices; Counseling; Cuban; Data; Development Plans; Diet; Dietary Intervention; Dietary intake; Disparity; Doctor of Philosophy; Dominican; Eating; Educational Activities; Educational Curriculum; Educational process of instructing; Educational workshop; Effectiveness; Environment; Epidemiologist; Ethnic Origin; Evaluation; Exercise; Family; Focus Groups; Food; Foundations; Frequencies; Funding; Gender; Goals; Health; Health Sciences; Health behavior; Hispanic; Hispanic Community Health Study/Study of Latinos; Home; Individual; Institution; Instruction; Internet; Intervention; Interview; Island; Knowledge; Latino; Latino Population; Low income; Medical center; Medicine; Mentors; Mentorship; Metabolic syndrome; Methods; Mexican; Mexico; Mindfulness Training; Minority Groups; Modeling; Movement; Multicenter Trials; National Heart, Lung, and Blood Institute; Neighborhood Health Center; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Nutritional; Nutritional Science; Obesity; Participant; Phase; Physical activity; Population; Postdoctoral Fellow; Prevention strategy; Process; Public Health; Public Health Schools; Puerto Rican; Puerto Rico; Randomized; Readiness; Recommendation; Research; Research Activity; Research Personnel; Resources; Risk; Risk Factors; Risk Reduction; Role; Rural; Sampling; Socioeconomic Status; South American; Structure; Surveys; Training; Training Programs; Variant; Work; Youth; cardiometabolic risk; cardiometabolism; career; career development; cohort; community based participatory research; community clinic; cooking; dietary; ethnic diversity; evidence base; food insecurity; food preparation; frontier; good diet; healthy lifestyle; healthy weight; high risk; improved; innovation; intervention program; mindfulness; minority communities; multi-component intervention; multidisciplinary; nutrition; nutrition education; preference; prevent; primary outcome; programs; recruit; retention rate; secondary outcome; skills; stress management; success; symposium; therapy development; treatment as usual

Lorena S. Pacheco, PhD, MPH, RDN is a nutritional epidemiologist whose overarching career goal is to become a leading researcher studying scalable interventions to prevent cardiometabolic disease in Latinos and other minority populations. Her proposed work entitled A Culturally-Adapted Multicomponent Teaching Kitchen Intervention for Low-Income Latino Adults is timely as there is need for research on culturally-adapted multicomponent interventions for Latinos of diverse ethnicities. Candidate: Dr. Pacheco is a Yerby postdoctoral research fellow in the Department of Nutrition at Harvard T.H. Chan School of Public Health (HSPH). Her prior work on an innovative cluster randomized trial in Latinos, and research in an underserved Latino community in rural Baja California, Mexico, demonstrates her commitment to developing culturally- sensitive interventions for dietary improvement in minority communities. The proposed plan will build upon her expertise with four training objectives to enable her transition toward independence: 1) Attain knowledge about examining health behaviors and integrative teaching kitchen (TK) curricula; 2) Gain expertise in using mixed- methods approaches for intervention development; 3) Develop proficiency in cultural adaptations of interventions; and 4) Obtain expertise in community-based participatory research for intervention development. Dr. Pacheco’s training plan comprises didactic work/certification, conferences, and workshops, that will support and enrich her skillset. Environment and Mentorship: HSPH has well-established research and training programs in public health, nutrition, and behavioral science, and Boston Medical Center (BMC) is an academic medical center committed to advancing the frontiers of medicine via research. Dr. Pacheco’s proposed career development plan incorporates robust resources available in these two institutions. Additionally, she assembled an excellent multidisciplinary mentoring team, with the commitment, knowledge, and expertise to guide her through her training plan and research activities. Research: The goal of this project is to develop and assess a research and training program involving a TK intervention to improve cardiometabolic health in Latinos by: Aim 1 evaluating the longitudinal associations between distinct dietary behaviors and metabolic syndrome and type 2 diabetes by Latino ethnic heritage; Aim 2 determining the level of at-home readiness and practices, attitudes, preferences, barriers, and solutions regarding components of a TK intervention in low- income Latinos of diverse ethnic heritages by using sequential explanatory mixed-methods strategies; and Aim 3 evaluating the feasibility, acceptability, and effectiveness of a culturally-adapted multicomponent TK intervention for low-income Latinos of diverse ethnic heritages compared to usual care. Summary: This is an innovative proposal as this will be the first project to examine the feasibility of a culturally-adapted TK multicomponent intervention for low-income Latinos. This award will provide the research and training required for Dr. Pacheco’s success, and serve as the foundation for a large-scale, TK multi-center trial in Latinos.

Lorena S. Pacheco，博士，公共卫生硕士，注册营养师，是一名营养流行病学家，她的首要职业目标是