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，RDN 是一位营养流行病学家，其总体职业目标是 成为研究可扩展干预措施以预防拉丁裔和青少年心脏代谢疾病的领先研究人员 其他少数民族人口。她提议的作品题为“适应文化的多组件教学厨房” 对低收入拉丁裔成年人的干预是及时的，因为需要对文化适应进行研究 针对不同种族的拉丁裔的多元干预措施。候选人：帕切科博士是耶比人 哈佛大学营养系博士后研究员陈公共卫生学院 （HSPH）。她之前在拉丁裔中进行了一项创新性整群随机试验，并在服务不足的地区进行了研究 墨西哥下加利福尼亚州农村地区的拉丁裔社区展示了她对发展文化的承诺 改善少数民族社区饮食的敏感干预措施。拟议的计划将建立在她的基础上 具有四个培训目标的专业知识，使她能够过渡到独立：1) 获得以下方面的知识： 检查健康行为和综合教学厨房（TK）课程； 2）获得使用混合的专业知识 干预措施开发的方法； 3）培养文化适应能力 干预措施； 4) 获得基于社区的参与性研究以促进干预措施发展的专业知识。 帕切科博士的培训计划包括教学工作/认证、会议和研讨会，这将支持 并丰富她的技能。环境和指导：HSPH 拥有完善的研究和培训 波士顿医疗中心 (BMC) 是一家学术机构，专注于公共卫生、营养和行为科学领域 医疗中心致力于通过研究推进医学前沿。帕切科博士的职业规划 发展计划纳入了这两个机构可用的强大资源。此外，她 组建了一支优秀的多学科指导团队，他们具有承诺、知识和专业知识 指导她完成培训计划和研究活动。研究：该项目的目标是开发 评估涉及传统知识干预的研究和培训计划，以改善心脏代谢健康 拉丁裔：目标 1 评估不同饮食行为与代谢之间的纵向关联 拉丁裔种族遗传的综合征和 2 型糖尿病；目标 2 确定在家准备程度和 关于低水平传统知识干预措施组成部分的做法、态度、偏好、障碍和解决方案 通过使用顺序解释性混合方法策略来提高不同种族传统的拉丁裔的收入；和目标 3 评估适应文化的多成分传统知识的可行性、可接受性和有效性 与常规护理相比，对具有不同种族传统的低收入拉丁裔的干预。摘要：这是一个 创新提案，因为这将是第一个审查适应文化的传统知识可行性的项目 针对低收入拉丁裔的多元干预。该奖项将提供所需的研究和培训 帕切科博士的成功，并为拉丁裔大规模 TK 多中心试验奠定了基础。