Produce Prescriptions and Group Medical Visits: Addressing Food Insecurity and Social Isolation in Primary Care

制定处方和团体就诊：解决初级保健中的粮食不安全和社会隔离问题

• 批准号: 10368636
• 负责人: Ariana Lauren Thompson-Lastad
• 金额: $ 13.74万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10368636
• 关键词: Address; Adoption; Adult; Affect; Asian; Black race; COVID-19 pandemic; California; Caring; Centers for Population Health; Chronic; Clinic; Clinical Trials; Communities; County Government; Data; Development; Diabetes Mellitus; Elderly; Electronic Health Record; Ensure; Environment; Farm; Federally Qualified Health Center; Focus Groups; Food; Food Access; Foundations; Funding; Glycosylated hemoglobin A; Goals; Health; Health Benefit; Health Surveys; Health education; Home; Household; Human; Immigrant family; Intervention; Interview; K-Series Research Career Programs; Latino; Linguistics; Low income; Maintenance; Managed Care Programs; Measurement; Medicaid; Medical; Mental Health; Mentored Research Scientist Development Award; Mentors; Methods; Modeling; Multilingualism; Natural experiment; Observational Study; Outcome; Patients; Persons; Population; Practice based research; Primary Health Care; Process; Qualitative Methods; Qualitative Research; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Methodology; Research Personnel; Research Support; Risk; Role; San Francisco; Site; Social isolation; Structure; Time; Training; United States Department of Agriculture; Universities; Visit; career; career development; comparison group; design; effectiveness study; effectiveness testing; ethnic diversity; experience; food insecurity; fruits and vegetables; future implementation; health care service utilization; health care settings; health disparity; health equity; health inequalities; implementation evaluation; implementation outcomes; improved; innovation; literacy; medically underserved population; mortality; nutrition; nutrition education; patient oriented; patient population; peer support; physical conditioning; primary care setting; process evaluation; programs; research and development; responsible research conduct; social; social influence; synergism; telehealth; transportation access; treatment as usual

Project Summary/Abstract The purpose of this K01 Mentored Research Scientist Development Award is to promote the candidate's development as an independent health disparities researcher, with a focus on primary care interventions to address disparities in food insecurity and social isolation among adults with chronic conditions. Dr. Thompson-Lastad will use mixed-methods research to study the effectiveness and implementation of primary care interventions in order to meet her long-term career goal of advancing health equity in diverse communities. Towards this end, the proposed mentored research for this K01 award is to assess an innovative model of care that provides prescriptions for fresh fruit and vegetables with or without group medical visits (GMVs) to ethnically and linguistically diverse, low-income patients. To support this research and Dr. Thompson-Lastad’s goal of independent health equity research, this K01 proposal includes formal, mentored training through coursework and tailored tutorials in quantitative methods for practice-based research, measurement of social needs in health care settings, community-engaged methods, and responsible conduct of research. This training will be applied to research with two specific aims: (1) Assess the implementation of produce prescriptions and group medical visits at nine clinics using a longitudinal process evaluation; and (2) Examine changes in food insecurity and social isolation among 400 adults with diabetes receiving produce prescriptions with and without GMV participation. This research leverages interventions implemented by a USDA-funded partnership which includes a network of Federally Qualified Health Centers, county government, and local farms. The partnership will design and implement the intervention. University of California, San Francisco is an ideal environment for the proposed training because it provides access to experts in health disparities, social needs, and diabetes. Completion of the proposed research and career development activities will inform the development of an R01-level clinical trial focused on how group medical visits with food access components influence social connectedness, health outcomes, and social needs over time among FQHC populations. Completing the K01 will ensure Dr. Thompson-Lastad’s ability to conduct independent research on primary care interventions to advance health equity among ethnically diverse, multilingual populations.

项目摘要/摘要 K01导师研究科学家发展奖的目的是促进候选人的 发展为独立的健康差距研究人员，重点是初级保健干预 以解决患有慢性病的成年人在粮食不安全和社会孤立方面的差距。Dr。 汤普森-拉斯塔德将使用混合方法研究 初级保健干预，以实现她的长期职业目标，即促进#年健康公平 多样化的社区。为此，该K01奖的拟议指导研究将评估 一种创新的护理模式，为新鲜水果和蔬菜开出处方，有或没有 对种族和语言不同的低收入患者进行团体医疗访问。为了支持这一点 研究和汤普森-拉斯塔德博士的独立健康公平研究的目标，这项K01提案 包括通过课程作业和量化方法的定制教程进行的正式、有指导的培训 以实践为基础的研究、卫生保健环境中社会需求的衡量、社区参与 方法，以及负责任的研究行为。这项培训将应用于两个具体的研究 目标：(1)评估9个诊所生产处方和团体就医的执行情况 使用纵向进程评估；以及(2)审查粮食不安全和社会隔离的变化 在400名接受GMV参与和不参与GMV的成人糖尿病患者中，有无GMV参与。 这项研究利用了由美国农业部资助的伙伴关系实施的干预措施，该伙伴关系包括 联邦合格健康中心、县政府和当地农场的网络。这一伙伴关系将 设计并实施干预措施。加州大学旧金山分校是一个理想的环境 建议的培训，因为它提供了接触健康差距、社会需求和 糖尿病。在完成拟议的研究和职业发展活动后， 开发了一项R01级临床试验，重点是如何在获得食物的情况下进行集体医疗 随着时间的推移，FQHC中的组件会影响社交联系、健康结果和社交需求 人口。完成K01将确保汤普森-拉斯塔德博士有能力独立进行 促进不同种族、多语种人群健康公平的初级保健干预研究 人口。