A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities

项目总结/摘要 NIMHD R 01 MD 018208母项目标题的行政补充：“一个参与的多层次社区 在密西西比州采取干预措施，建立一个可持续和公平的粮食经济， 三角洲改善少数民族健康和减少差距”。本行政补充文件基于NOT-OD- 23-083，“特别关注的通知（NOSI）：行政补充研究工作，阐明 行为改变、维持和坚持的基本过程。这是请求支持 纳入新的措施和方法，补充母体研究，并扩大其范围， 食物中行为改变的潜在机制是药物干预。干预措施提供 承诺实现行为改变;然而，这种行为改变的潜在途径尚未得到 研究了通过这个行政补充，我们将使用一个解释性的顺序混合方法的方法 从社会认知理论的透镜探讨行为改变的机制。SCT是 最广泛使用的行为理论之一，当应用于干预时可能特别有用 在农村环境中进行，因为它强调健康的社会决定因素和个人如何相互作用， 都受到环境的影响。对于那些被分配到父母补助金干预的人， 补充将增加一个新的调查措施，以评估SCT结构（例如，知识、自我效能等）在 计划基线、3个月和6个月时间点。我们还建议增加新的深入采访，在三个- 和六个月的时间点，以进一步解释和解释定量数据的结果。这项工作将由 由博士Economos，家长研究合作PI艾琳轩尼诗，家长研究合作我，和博士起亚琼斯，早期的职业生涯 他是密西西比的一名调查员，也是一名博士后研究员。 这项研究的结果将大大推进正在进行的努力，通过研究 影响人们接受和采用旨在增加水果产量的每周产品交付的因素， 蔬菜消费需要理论驱动的干预措施来推动行为改变， 参与干预的农村少数民族人口与饮食有关的健康结果趋势。

PROJECT SUMMARY/ABSTRACT Administrative Supplement to NIMHD R01MD018208 Parent project title: “A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities”. This Administrative Supplement is based on NOT-OD- 23-083, “Notice of Special Interest (NOSI): Administrative Supplement for Research Efforts that Elucidate Fundamental Processes Underlying Behavior Change, Maintenance, and Adherence.” It is a request to support the inclusion of new measures and methods that will complement the parent study and expand it to identify the mechanisms underlying behavior change within a food is medicine (FIM) intervention. FIM interventions offer promise to achieve behavior change; however, the pathway(s) underlying this behavior change have not been studied. Through this administrative supplement, we will use an explanatory sequential mixed-methods approach to investigate the mechanisms of behavior change through the lens of Social Cognitive Theory (SCT). SCT is one of the most widely used behavioral theories and may be particularly useful when applied to interventions conducted in rural settings given its emphasis on social determinants of health and how individuals interact and are influenced by their environment. For those allocated to the FIM intervention of the parent grant, this supplement will add a new survey measure to assess SCT constructs (e.g., knowledge, self-efficacy, etc.) at the planned baseline, three- and six-month timepoints. We also propose adding new in-depth interviews at the three- and six-month time points to further explain and interpret results from the quantitative data. This work will be led by Dr. Economos, parent study co-PI Erin Hennessy, parent study co-I, and Dr. Kia Jones, an early career investigator based in Mississippi and a post-doctoral fellow on the parent grant. Findings from this study will greatly advance ongoing efforts to apply and scale FIM interventions by studying the factors affecting the acceptance and adoption of weekly produce delivery aimed to increase fruit and vegetable consumption. Theory-driven FIM interventions that propel behavior change are needed to reverse the trends in diet related health outcomes for the rural minority population participating in the intervention.