Reducing the summer health gap: Evaluation of a community-based child nutrition assistance program

缩小夏季健康差距：对基于社区的儿童营养援助计划的评估

• 批准号: 10349185
• 负责人: Jiwoo Lee
• 金额: $ 14.57万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10349185
• 关键词: Accounting; Address; Affect; Area; Behavior; Behavioral; Body Weight Changes; Body fat; Body mass index; Characteristics; Child; Child Health; Child Nutrition; Cities; Collaborations; Communities; Data Collection; Development; Diet; Doctor of Philosophy; Educational Activities; Equation; Evaluation; Family Sizes; Food; Food Services; Funding; Future; Goals; Health; Health Status; Healthy Eating; Height; Heterogeneity; Hour; Household; Intervention; Knowledge; Length; Low income; Measurement; Measures; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Minnesota; Mission; Modeling; Nonprofit Organizations; Nutritional; Obesity; Observational Study; Outcome; Overweight; Parents; Participant; Physical activity; Positioning Attribute; Preparation; Prevention program; Price; Provider; Public Health; Reporting; Research; Research Personnel; Research Project Grants; Role; Sampling; School-Age Population; Schools; Scientist; Services; Site; Social Environment; Sports; Surveys; Training; Twin Multiple Birth; United States Department of Agriculture; United States National Institutes of Health; Universities; Weight; Weight Gain; Work; base; career; career development; cohort; cost effective; demographics; dietary; elementary school; experience; family structure; food insecurity; health disparity; health equity; implementation intervention; implementation science; improved; indexing; innovation; interest; lower income families; metropolitan; multidisciplinary; nutrition; nutritional guideline; obesity in children; obesity prevention; operation; portability; preventive intervention; programs; prospective; psychosocial; recruit; school district; service programs; skills; therapy design; therapy development

PROJECT SUMMARY The K23 award will support the career development of candidate, Jiwoo Lee, PhD, RN, LSN, to become an independent researcher with expertise in evaluation of public health nutrition programs that will guide future development of childhood obesity prevention interventions designed to reduce weight-related disparities. Dr. Lee will achieve this goal by conducting an innovative research project and career development activities that are aligned with her career goals. The proposed research will evaluate a summertime, community-based child nutrition assistance program, the Summer Food Service Program (SFSP), funded by the United States Department of Agriculture. This program addresses the nutritional gap of increased food insecurity that low- income children experience during the summer months by providing meals to children at program sites. However, nutritional guidelines of the program are not as comprehensive as other nutrition assistance programs, which may contribute to weight gain among children from low-income households who are disproportionately affected by childhood obesity. Additionally, the program sites vary in operation length and the extent to which there is additional healthy programming beyond the provision of foods. Lastly, characteristics of program participants as well as the program’s impact on child diet quality and weight are not well documented. Without this knowledge, it is challenging to characterize what works and for whom and identify targets for optimizing the SFSP and for future interventions. The proposed research will conduct a prospective observational study to describe program site and participant characteristics at baseline to evaluate the current program implementation (Aim 1) and determine if the site and participant characteristics are associated with child program attendance and changes in food insecurity, diet quality and weight gain (Aims 2 and 3). Two cohorts of elementary school-aged children and their parents (n=210) recruited through SFSP sites in Twin Cities metropolitan area of Minnesota will participate in data collection before and in the final weeks of the program (spring and end of summer, respectively). Data collection components include an online psychosocial survey, three 24-hour dietary recalls, and measurement of height, weight and percent body fat. Additionally, parents will report program usage weekly during the program. A multi-disciplinary team of mentors at the University of Minnesota will guide the proposed project and career development activities. Training areas include: a) health equity approaches in reducing food insecurity and weight gain (Drs. Jayne Fulkerson and Lisa Harnack), b) advanced statistical skills for use in evaluation of the long-term impacts of public health programs (Dr. Weihua Guan), c) implementation science and intervention development (Dr. Nancy Sherwood) and d) collaborations with community partners (Drs. Jayne Fulkerson and Lisa Harnack). The project and training plan will position Dr. Lee to advance her career as an independent investigator while contributing to the mission of the NIH by reducing weight-related health disparities of children living in low-income households.

项目摘要 K23奖将支持候选人Jiwoo Lee，PhD，RN，LSN的职业发展，成为一名 独立研究人员具有评估公共卫生营养计划的专业知识，这些计划将指导未来 旨在减少与体重相关的差异的儿童肥胖预防干预措施的发展。博士 Lee将通过开展创新的研究项目和职业发展活动来实现这一目标 与她的职业目标保持一致。拟议的研究将评估一个夏季，基于社区的孩子 营养援助计划，夏季食品服务计划（SFSP），由美国资助 农业部。该计划解决了粮食不安全不安全的营养差异，低 - 收入儿童在夏季的月份经验，通过向计划网站提供餐点。 但是，该计划的营养准则并不像其他营养帮助那样全面 计划可能导致低收入家庭的儿童体重增加 受儿童对象的影响不成比例。此外，程序站点的操作长度各不相同， 除了提供食物之外，还有其他健康节目的程度。最后， 计划参与者的特征以及该计划对儿童饮食质量和体重的影响不是 据记录。没有这些知识，要表征有效的方法以及为谁和谁来说是挑战 确定目标以优化SFSP和以后的干预措施。拟议的研究将进行 前瞻性观察性研究描述了基线的计划站点和参与特征以评估 当前的计划实施（AIM 1）并确定网站和参与特征是否为 与儿童计划的出席性以及粮食不安全，饮食质量和体重增加有关（AIMS 2） 和3）。通过SFSP招募的两个小学生及其父母（n = 210） 明尼苏达州双城大都市地区的地点将在最后和最后的数据收集 该计划的几周（分别是夏季的春季和结束）。数据收集组件包括在线 社会心理调查，三个24小时的饮食召回以及身高，体重和体内脂肪百分比的测量。 此外，父母将在计划期间每周报告程序使用情况。多学科导师团队 明尼苏达大学将指导拟议的项目和职业发展活动。培训区 包括：a）减少粮食不安全和体重增加的健康公平方法（Jayne Fulkerson博士和 lisa harnack），b）用于评估公共卫生长期影响的高级统计技能 计划（Weihua Guan博士），C）实施科学与干预开发（Nancy Sherwood博士） D）与社区合作伙伴的合作（Jayne Fulkerson博士和Lisa Harnack博士）。项目和 培训计划将定位李博士，以促进她作为独立调查员的职业，同时为 NIH的使命是减少生活在低收入家庭中的儿童与体重有关的健康差异。