Southern California Center for Chronic Health Disparities in Latino Children and Families.

摘要 此应用程序响应NOSI附录(NOT-OD-22-159)以支持以下研究 对健康差距较大的人群进行预防性干预。我们在家长资助下的项目P50 MD017344，名为《在多种人群中推广符合RDA的负担得起的饮食的食品处方》 并正在制定餐饮计划，同时配合杂货送货，以改善 饮食质量和支持减肥。我们特别计划用餐和采购杂货，这些食品 负担得起，达到推荐的膳食摄入量(RDA)，并遵守可持续发展指南 减少与食品相关的碳足迹。我们正在请求补充资金，以添加FoodRx应用程序作为 最初未包括在母体研究中的干预组件。 我们最近的家庭试点在平均健康饮食指数(HEI)方面取得了非常有希望的结果 成年人提高近20分(从49.8分增加到69.2分)，成年参与者的平均成绩 体重减轻了7磅。在四周的时间里。成绩不佳的参与者表示，有几种食谱 以及原料，只要他们不喜欢，也愿意选择替代。我们目前缺乏 完全定制菜单计划和购物清单的能力。一款应用程序将允许参与者自定义他们的 每周用餐计划。我们假设能够通过FoodRx定制每周菜单 应用程序将改善结果，因为缺乏定制似乎是一些家庭改善的障碍 他们的饮食质量和实现减肥目标。例如，有些家庭不喜欢豆腐或燕麦粥，而愿意 更喜欢一个替代品)。它不会改变总体研究设计，即计划健康饮食和提供 购买必要的杂货，同时减少对超市和餐馆的接触。我们会 能够通过将使用Food Rx应用程序的参与者与我们的对照组进行比较来测试Food Rx应用程序的影响 目前无法访问标准菜单/杂货送货或FoodRx应用程序。 创建FoodRx应用程序的其他好处包括能够将注册范围扩大到以下家庭 不同的种族/文化背景和食物偏好，扩大项目规模的能力，以及家庭 在为期6个月的研究结束后，继续该计划。如果这种干预最终被证明是有效的，我们可以 扩大规模，它将创建一个替代基础设施，构成促进健康饮食的新方法 并改变食品市场。使用Food Rx购买健康食品的人越多，就越少 这将暴露在推广营养不良食品的零售店中。

ABSTRACT This application is responding to the NOSI supplement (NOT-OD-22-159) to support research on preventive interventions with populations that experience health disparities. Our project under parent grant P50 MD017344, is called “Food Prescriptions to Promote Affordable Diets that Meet RDAS among Multi- Generational Latino Households” and is developing meal plans accompanied by grocery delivery to improve diet quality and support weight loss. We are specifically planning meals and procuring groceries that are affordable, meet the recommended dietary allowances (RDAs) and adhere to sustainability guidelines to reduce the food-related carbon footprint. We are requesting the supplemental funds to add a FoodRx app as an intervention component that was not originally included in the parent study. Our recent household pilot had very promising results with the average Healthy Eating Index (HEI) increasing nearly 20 points (from 49.8 to 69.2) among adults, and adult participants achieving an average weight loss of 7 lbs. in a four-week period. Participants that did not do as well said there were several recipes and ingredients provided that they did not like and would have preferred substitutions. We currently lack the capacity to fully customize the menu plans and grocery lists. An app will enable participants to customize their weekly meal plans. We hypothesize that having the ability to customize the weekly menus through a FoodRx app will improve outcomes, as the lack of customization appeared to be a barrier for some families to improve their diet quality and achieve weight loss goals. (eg, some families did not like tofu or oatmeal, and would have preferred a substitute). It will not change the overall study design, which is to plan healthy meals and deliver the necessary groceries, and at the same time reduce the exposure to supermarkets and restaurants. We will be able to test the impact of the Food Rx app by comparing participants who use it to our control group that does not currently have access to the standard menus/grocery delivery or FoodRx app. Other benefits to creating a FoodRx app include the ability to expand enrollment to families with different ethnic/cultural backgrounds and food preferences, ability to scale the project, and ability for families to continue the program once the 6-month study ends. If this intervention ultimately proves effective and we can scale it up, it will create an alternative infrastructure that will constitute a new method for healthy diet promotion and transform the food marketplace. The more people that use Food Rx to obtain healthy groceries, the fewer that will be exposed to retail outlets that promote nutrient poor foods.