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: 10624228
• 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/10624228
• 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; Disparity; Elderly; Electronic Health Record; Ensure; Environment; Ethnic Origin; Farm; Federally Qualified Health Center; Focus Groups; Food; Food Access; 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 Care; Qualitative Methods; Qualitative Research; Race; 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 testing; effectiveness/implementation study; 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; 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.

项目总结/摘要 这个K01指导研究科学家发展奖的目的是促进候选人的 发展成为独立的健康差距研究员，重点是初级保健干预措施 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异。博士 Guppson-Lastad将使用混合方法研究， 初级保健干预措施，以实现她的长期职业目标，促进健康公平， 多样化的社区。为此，K01奖的建议指导研究将评估 一种创新的护理模式，提供新鲜水果和蔬菜的处方， 对种族和语言多样化的低收入患者进行集体医疗访问。支持这一 研究和Dr. Dr. Lampson-Lastad的独立健康公平研究的目标，这个K01提案 包括通过课程作业和量身定制的定量方法教程进行的正式指导培训， 基于实践的研究，测量医疗保健环境中的社会需求，社区参与 方法和负责任的研究行为。该培训将应用于两个具体的研究 目的：（1）评估9个诊所生产处方和集体医疗访问的执行情况 采用纵向过程评价;（2）审查粮食不安全和社会孤立的变化 在400名接受生产处方的糖尿病成人中，有和没有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，其中包括 联邦合格的健康中心，县政府和当地农场的网络。该伙伴关系将 设计并实施干预措施。加州大学旧金山弗朗西斯科是一个理想的环境 为拟议的培训，因为它提供了获得专家在健康差距，社会需求， 糖尿病完成拟议的研究和职业发展活动将使 开展R01级临床试验，重点研究如何在获得食物的情况下进行集体医疗访问 随着时间的推移，这些组成部分影响着社区卫生服务中心的社会联系、健康结果和社会需求。 人口。完成K01将确保Dr. 研究初级保健干预措施，以促进多族裔、多语言和多文化群体之间的健康公平 人口。