Developing a Support Application for Food Pantries (SAFPAS) to Improve Client Access to Healthy Foods & Enhance Emergency Preparedness

开发食品储藏室支持应用程序 (SAFPAS) 以改善客户获取健康食品的机会

• 批准号: 10607533
• 负责人: Daniel Jeremy Barnett
• 金额: $ 25.39万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-07 至 2025-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10607533
• 关键词: Address; American; Baltimore; Behavior; Beverages; COVID-19 pandemic; Cardiovascular Diseases; Chronic Disease; Cities; Client; Clinical Trials; Communication; Communities; Consumption; Data; Decentralization; Diet; Education; Effectiveness; Elderly; Emergency Situation; Emergency response; Face; Feedback; Food; Food Assistance Programs; Food Safety; Food Supply; Future; Goals; Health; Health Food; Healthy Eating; Human Resources; Impact evaluation; Individual; Infrastructure; Institution; Intervention; Intervention Trial; Knowledge; Link; Low income; Malignant Neoplasms; Maryland; Measures; Modeling; National Heart, Lung, and Blood Institute; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Persons; Pilot Projects; Policies; Prevention program; Protocols documentation; Psychosocial Factor; Randomized; Randomized, Controlled Trials; Readiness; Research; Resources; Restaurants; Risk; Safety; Sampling; Schedule; Self Efficacy; Services; Surveys; System; Testing; Time; Training; United States; Urban Community; Work; base; digital; emergency preparedness; experience; feeding; food environment; food insecurity; food quality; food security; fruits and vegetables; high risk; improved; indexing; instrument; meetings; mobile application; nutrition education; operation; pandemic disease; pilot trial; poor health outcome; post intervention; primary outcome; process evaluation; recruit; response; satisfaction; severe COVID-19; statistics; successful intervention; trial design; uptake; urban setting; volunteer

PROJECT SUMMARY Food banks and food pantries are critical community-based institutions for addressing food insecurity, which is associated with obesity, cardiovascular disease, type 2 diabetes, and cancer. The effectiveness and efficiency of food assistance programs are constrained by many factors, including: recruitment and training of of staff/volunteers; meeting client needs for acceptable, healthy choices; and providing real-time information for planning and emergency operations. In 2020, the COVID-19 pandemic exacerbated all of these problems and continues to do so. The effective management of food pantries, before, during, and after the pandemic, is a top priority as resources are limited, communications are often decentralized, and the in-house ability to adapt practices to an online setting is nearly non-existent. As well, pantry volunteers, commonly older adults, are both the main support staff at food pantries and the most at risk for severe COVID-19 health effects. Based on substantial preliminary data and more than two decades of experience working to improve Baltimore’s food system, this NHLBI Clinical Trial Pilot Study will develop and pilot a working mobile Support Application for Food PAntrieS (SAFPAS) application (app) to address these challenges. No such app that offers capabilities for staff/volunteer recruitment, training, and scheduling; nutrition education and messaging with clients; a safe form of client choice; and/or bidirectional communications for emergency preparedness and response currently exists. Our formative research with Baltimore food pantry and Maryland Food Bank personnel found high enthusiasm for an app that combines these features, as did our recent national survey of food pantry directors. This study will develop and pilot the app, and evaluate its feasibility and impact on food pantry staff emergency preparedness, stocking, and client uptake of healthful foods and beverages in Baltimore, with the following aims: 1) to develop and optimize a technically stable, functional app to improve food pantry services in Baltimore; 2) to pilot the SAFPAS app with Baltimore-based food pantries and clients, the Maryland Food Bank, and Baltimore’s Emergency Operations Center team, and assess its feasibility; and 3) to evaluate the impact of SAFPAS on the healthiness of foods received by food pantry clients in a sample of 360 low-income urban clients (at baseline), drawn from 20 pantries measured pre- and post-intervention in a randomized controlled pilot trial. Findings will allow us to: 1) produce a functional and acceptable app; 2) provide preliminary data for power calculations for a future full-scale trial; 3) generate and refine impact and process evaluation instruments and set standards for implementation; and 4) establish protocols and demonstrate our ability to recruit and retain food pantries and food pantry clients. We will assess potential scalability of the app by conducting formative and feasibility assessments with food pantry staff and clients in Detroit. The findings from this R34 study will support a full-scale clinical trial that will test a multi-city deployment of the SAFPAS app and assess its impact on food pantry client health outcomes, diet, and food security.

项目摘要 食品银行和食品储藏室是针对粮食不安全的关键机构，这是 与肥胖，心血管疾病，2型糖尿病和癌症有关。有效性和效率 食品援助计划受到许多因素的限制，包括：招聘和培训 员工/志愿者；满足客户的需求，以获得可接受的健康选择；并提供实时信息 计划和紧急操作。在2020年，Covid-19的大流行加剧了所有这些问题， 继续这样做。大流行之前，之中和之后的食品储藏室的有效管理是最高的 优先考虑资源有限，通信通常是分散的，并且内部适应能力 在线设置的实践几乎不存在。同样，食品储藏室（通常是老年人）是 食品储藏室的主要支持人员和严重Covid-19的健康影响最大的风险。基于 大量的初步数据和二十年来努力改善巴尔的摩食品的经验 系统，这项NHLBI临床试验试验研究将开发和试行一个工作的移动支持申请 食品储藏室（SAFPAS）应用程序（APP）以应对这些挑战。没有提供功能的应用程序 用于员工/志愿者招聘，培训和日程安排；营养教育和与客户的消息传递；保险箱 客户选择的形式；和/或双向通信，以进行紧急准备和响应目前 存在。我们与巴尔的摩食品储藏室和马里兰州食品银行人员的成立研究发现很高 对将这些功能结合起来的应用的热情，我们最近对食品储藏室总监的调查也是如此。 这项研究将开发和驾驶该应用程序，并评估其可行性和对食品储藏室工作人员紧急情况的影响 在巴尔的摩准备健康食品和卧室的准备，库存和客户的吸收，以下 目的：1）开发和优化技术稳定的功能性应用程序，以改善食品储藏室服务 巴尔的摩； 2）用巴尔的摩的食品储藏室和客户驾驶SafPAS应用程序，马里兰州食品 银行和巴尔的摩的紧急运营中心团队，并评估其可行性； 3）评估 Safpas对食品储藏室客户的健康状况的影响，在360个低收入样本中 城市客户（基线），从20个随机干预前和干预后测得 受控的飞行员试验。调查结果将使我们能够：1）生成功能和可接受的应用程序； 2）提供 未来全尺度试验的电源计算的初步数据； 3）产生和完善影响和过程 评估工具和设定的实施标准； 4）建立协议并证明我们的 能够招募和保留食品餐厅和食品餐厅客户的能力。我们将评估应用程序的潜在可扩展性 通过对底特律的食品储藏室人员和客户进行形成性和可行性评估。发现 通过这项R34研究将支持一项全面临床试验，该试验将测试SAFPAS应用的多城市部署 并评估其对食品储藏室客户健康结果，饮食和粮食安全的影响。