Increasing SNAP enrollment in a diverse Latinx community

项目概要/摘要： 与健康有关的社会需求，如粮食不安全、住房质量和交通便利， 是健康差距持续扩大的主要驱动因素。未得到满足的HSRN在以下国家不成比例地普遍存在： 移民社区与美国出生的同行相比。西班牙裔/拉丁裔家庭的发病率是 与非西班牙裔/拉丁裔家庭相比，拉丁裔移民人口的粮食不安全率更高。 尽管有循证干预措施来解决粮食不安全问题，但人口健康差距仍然很大。 往往没有从这些干预措施中受益，因为没有发生必要的适应， 没有得到很好的记录或评估。这个职业发展奖利用现有的诊所- 社区合作，劳伦斯市长的健康工作队，制定实施战略， 增加补充营养援助计划（SNAP，也称为食品券）的入学人数 一个多文化的拉丁移民社区。SNAP入组将作为基于证据的原型 采取干预措施，以确定可用于调整和实施其他 基于证据的社会干预。该提案使用了强大的社区参与研究， 实施科学方法，以确定和利用社区优势，以增加SNAP入学率 并扩大在不同社区实施循证干预的科学。要做到这一点，博士。 Byhoff提出了一个职业发展计划，将严格的方法论培训与创新的 研究议程。该计划有三个科学目标：1）进行形成性评估，以了解 利益相关者对多文化拉丁美洲的粮食获取、粮食规划和SNAP利用的看法 移民社区; 2）制定一个实施战略，使用切实可行的实施和 可持续发展模型（PRISM）框架和社区参与的研究方法，以增加SNAP 招生;和3）试点SNAP招生策略，并确定成功的基本组成部分 在多文化拉丁移民社区中实施社会干预。除了先进的 通过正规课程的培训，这个职业发展奖是由一个非凡的支持， 导师团队，包括国际公认的健康差距研究专家，社区， 从事研究方法和实施科学。正规培训和辅导相结合 本申请中概述的研究旨在确保Byhoff博士将从该奖项中脱颖而出 独立的健康差异调查员，具有社区参与研究和实施方面的专业知识 科学方法

Project Summary/Abstract: Health Related Social Needs (HRSN), such as food insecurity, housing quality, and access to transportation, are key drivers of persistent and increasing health disparities. Unmet HSRN are disproportionately prevalent in immigrant communities compared to U.S. born counterparts. Hispanic/Latinx families experience twice the rate of food insecurity than non-Hispanic/Latinx families with higher rates among immigrant Latinx populations. Despite the existence of evidence-based interventions to address food insecurity, health disparity populations have often not benefited from such interventions because either necessary adaptations have not occurred or have not been well-documented or evaluated. This career development award leverages an existing clinic- community collaboration, the Lawrence Mayor's Health Task Force, to develop an implementation strategy to increase enrollment in the Supplemental Nutrition Assistance Program (SNAP, also known as food stamps) among a multicultural Latinx immigrant community. SNAP enrollment will serve as a prototype evidence-based intervention to identify core community-driven strategies that can be used to adapt and implement additional evidence-based social interventions. This proposal uses robust community-engaged research and implementation science methods to identify and leverage community strengths to increase SNAP enrollment and expand the science of implementing evidence-based interventions in diverse communities. To do so, Dr. Byhoff proposes a career development program that blends rigorous methodologic training with an innovative research agenda. This plan has three scientific objectives: 1) to conduct a formative evaluation to understand stakeholder perceptions of food access, food programming, and SNAP utilization in a multicultural Latinx immigrant community; 2) to develop an implementation strategy using the Practical Robust Implementation and Sustainability Model (PRISM) framework and community engaged research methods to increase SNAP enrollment; and 3) Pilot a SNAP enrollment strategy and identify the essential components for a successful social intervention implementation among a multicultural Latinx immigrant community. In addition to advanced training through formal coursework, this career development award is supported by an extraordinary mentorship team, including internationally-recognized experts in health disparities research, community- engaged research methods, and implementation science. The combination of formal training and mentored research outlined in this application is designed to ensure that Dr. Byhoff will emerge from this award as an independent health disparities investigator with expertise in community-engaged research and implementation science methods.