Addressing Rural Disparities in Food and Nutrition Security and Cardiovascular Diseases Through Access to Emergency Food for Older Adults

项目概要/摘要 农村社区的老年人在粮食和营养安全以及心血管疾病方面存在差异。 疾病结果。通过应急食品系统（食品储藏室、食品供应站、食品供应站）增加获得健康食品的机会; 银行和其他直接粮食援助组织）有可能改善低收入老年人的饮食摄入量 成年人，加强粮食和营养安全，并作为预防心血管疾病的措施， 但这一资源未被老年人充分利用。因此，与NIH营养战略计划保持一致， 研究的重点是通过营养促进健康老龄化，迫切需要研究来了解 如何有效地鼓励老年人使用紧急食品系统。在这个项目中，博士。 布雷迪，一个混合方法的研究人员，将与紧急粮食系统的利益相关者合作 和老年人共同制作关于障碍和促进因素的研究，以获得和制定干预措施， 将老年人与他们社区的食品储藏室联系起来。拥有多元化的导师团队和资源 通过明尼苏达大学提供，这个独立之路奖将支持布雷迪博士在 填补了他在社区参与研究培训中的关键空白，干预发展过程从 从概念到传播，从饮食评估到开始他作为一名独立研究者的职业生涯 与社区合作，共同制定粮食和营养安全以及与饮食有关的慢性疾病的解决方案， 疾病为了准备这个角色，布雷迪博士将完成一个全面的培训计划，包括课程， 指导，参与和研究（1）社区参与研究的应用专业知识，（2） 干预措施的制定、测试、实施和传播;（3）膳食和营养评估 方法.该培训将使布雷迪博士为开展拟议研究做好准备。在K99的指导下 在第一阶段，他将确定农村社区老年人获得紧急粮食的障碍和促进因素， 采用社区参与方法的混合方法研究（目标1）。在独立的R 00阶段，博士。 布雷迪将使用以人为本的设计方法，共同制定干预战略，以增加获得 与老年人和应急食品系统中的利益攸关方合作提供应急食品（目标2）。最后，他将测试 在初步研究中评估这种干预措施的可行性，可接受性和改善食品和 营养安全、膳食摄入和心血管疾病结果（目标3）。这项研究的结果提出， 研究将被用作干预研究的基础， 通过加强食物和营养改善饮食摄入和心血管疾病结果的战略 安全和促进博士布雷迪的过渡到一个成功的，独立的研究生涯。

PROJECT SUMMARY/ABSTRACT Older adults in rural communities experience disparities in food and nutrition security and cardiovascular disease outcomes. Enhancing access to healthy food through the emergency food system (food pantries, food banks, and other direct food aid organizations) has the potential to improve dietary intake for low-income older adults, enhance food and nutrition security, and serve as a prevention measure for cardiovascular diseases, but this resource is underutilized by older adults. Thus, aligned with the Strategic Plan for NIH Nutrition Research’s focus on promotion of healthy aging through nutrition, research is critically needed to understand how to effectively encourage older adults to use the emergency food system. In the proposed project, Dr. Brady, a mixed-methods researcher, will collaboratively work with stakeholders in the emergency food system and older adults to co-produce research on barriers and facilitators to access and develop an intervention to connect older adults to food pantries in their communities. With a diverse mentorship team and the resources available through the University of Minnesota, this Pathway to Independence Award will support Dr. Brady in filling critical gaps in his training in community engaged research, the intervention development process from conception to dissemination, and dietary assessment to begin his career as an independent investigator working with communities to co-produce solutions to food and nutrition security and diet-related chronic disease. To prepare for this role, Dr. Brady will complete a comprehensive training plan including coursework, mentorship, engagement, and research in (1) applied expertise in community-engaged research, (2) intervention development, testing, implementation, and dissemination, and (3) dietary and nutrition assessment methods. This training will prepare Dr. Brady to conduct the proposed research. During the mentored K99 phase, he will identify barriers and facilitators to emergency food access for older adults in rural communities in a mixed methods study using a community engaged approach (Aim 1). In the independent R00 phase, Dr. Brady will use human centered design approaches to co-develop intervention strategies to increase access to emergency foods with older adults and stakeholders in the emergency food system (Aim 2). Finally, he will test this intervention in a preliminary study to assess the feasibility, acceptability, and potential to improve food and nutrition security, dietary intake and cardiovascular disease outcomes (Aim 3). The findings from this proposed research will be used as the foundation for an intervention study examining the effectiveness of these strategies to improve dietary intake and cardiovascular disease outcomes through enhancing food and nutrition security and facilitate Dr. Brady’s transition to a successful, independent research career.