Appalachians Together Restoring the Eating Environment (APPAL-TREE)

阿巴拉契亚人共同恢复饮食环境（APPAL-TREE）

• 批准号: 8610946
• 负责人: Nancy E. Schoenberg
• 金额: $ 34.01万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8610946
• 关键词: Address; Advocate; Agriculture; Americas; Appalachian Region; Area; Behavior; Benefits and Risks; Cause of Death; Chronic; Collaborations; Commit; Communities; Community Developments; Complex; Consumption; County; Development; Diabetes Mellitus; Diet; Dietary intake; Disease; Eating; Economics; Education; Effectiveness; Environment; Equipment and supply inventories; Evaluation; Evidence based intervention; Experimental Designs; Farming environment; Focus Groups; Food; Food Access; Food Safety; Frequencies; Grant; Health; Health Food; Health Status; Health care facility; Heart Diseases; Improve Access; Individual; Institute of Medicine (U.S.); Institution; Intervention; Kentucky; Link; Malignant Neoplasms; Maps; Measures; Methods; Minority Groups; Mission; Morbidity - disease rate; Needs Assessment; Nutritional; Obesity; Outcome; Overweight; Participant; Pattern; Population; Premature Mortality; Principal Investigator; Process; Production; Public Health; Publications; Reporting; Research; Research Personnel; Resources; Risk Factors; Social Development; Socioeconomic Status; System; Techniques; Testing; United States; base; community intervention; community organizations; cost; design; evidence base; experience; farmer; food environment; fruits and vegetables; health disparity; health economics; improved; innovation; meetings; member; modifiable risk; mortality; nutrition; programs; risk perception; safety net; satisfaction; therapy design

DESCRIPTION (provided by applicant): identified as a key priority population by the NIMHD, the Appalachian counties of Kentucky suffer from some of the nation's highest rates of obesity and overweight, lowest rates of produce consumption, and high rates of premature mortality and diet-related diseases such as diabetes, heart disease, and various cancers. With the main partnership of three community-based organizations - the Community Farm Alliance (a community development organization designed to improve food production systems). Faith Moves Mountains (a community-based research team with ten years of culturally-based intervention experience), and the Big Sandy Area Development District (a well-respected network that plans, promotes, and coordinates programs for regional economic, health, and social development of Appalachia) - and with extensive input from the Community Advisory Board (CAB), faith partners, and Cooperative Extension, this community-academic partnership proposes to address the most modifiable risk factor for these main causes of morbidity and mortality: suboptimal diet. In this three-year planning grant, the community-academic collaboration will undertake three specific aims and associated activities. In Aim 1, the project team will conduct a community needs assessment and assets inventory, hold community forums to present this information, and meet regularly with the community partners and CAB. The nutrition and agricultural economic co-investigators will partner with the community research team to use innovative and established methods, including GIS mapping, focus groups, and nutritional and economic assessment techniques. In Aim 2, community forums, CAB meetings, and collaborative engagement sessions among project partners will facilitate the selection and initiation of an evidence-based pilot intervention to promote better nutrition, emphasizing food access, particularly fruits and vegetables. In Aim 3, the community-academic collaborative will implement and evaluate this pilot intervention, tracking nutritional outcomes, participant satisfaction, and costs and reporting results to Appalachian community members. RELEVANCE: By addressing one of the nation's leading public health challenges - poor diet leading to overweight/obesity and subsequent health impacts - in a region (Appalachian Kentucky) suffering extreme disparities in diet and diet-related disease, this project will develop implement, and evaluate a comprehensive approach to dietary change by increasing access to healthy foods.

描述（由申请人提供）：肯塔基州的阿巴拉契亚县被确定为NIMHD的关键优先级人群，遭受了全国一些肥胖和超重，产品消费率最低的最高率，并且早产和饮食相关疾病的率很高，例如糖尿病，心脏病，心脏病，以及各种罐头。通过三个基于社区的组织的主要合作伙伴关系 - 社区农场联盟（一个旨在改善粮食生产系统的社区发展组织）。信仰移动山脉（一个基于社区的研究团队，具有十年的基于文化的干预经验），以及大沙区开发区（一个备受尊重的网络，计划，促进和协调阿巴拉契亚州地区经济，健康和社会发展的计划），以及来自社区咨询委员会（Cabiforpormentive）的大多数，旨在解决社区促销的范围，以及跨社区的范围，交易委员会，交易范围，以及范围内的大多数，以及这些社区的范围，以及这些社区的范围，以及合作的一部分，派出了这些委员会，以及合作的范围，以及竞争的范围，以及范围的范围。发病率和死亡率的原因：次优饮食。在这项为期三年的计划补助金中，社区学术的合作将开展三个特定的目标和相关活动。在AIM 1中，项目团队将进行社区需求评估和资产库存，举办社区论坛以介绍此信息，并定期与社区合作伙伴和出租车会面。营养和农业经济共同研究人员将与社区研究团队合作，使用创新和既定的方法，包括GIS映射，焦点小组以及营养和经济评估技术。在AIM 2中，项目合作伙伴之间的社区论坛，驾驶室会议和协作参与会议将促进和开始基于证据的试点干预措施，以促进更好的营养，强调食品获取，尤其是水果和蔬菜。在AIM 3中，社区学术合作将实施和评估这项试点干预，跟踪营养成果，参与者满意度以及成本以及向阿巴拉契亚社区成员报告结果。 相关性：通过应对全国领先的公共卫生挑战之一 - 饮食不佳，导致超重/肥胖症以及随后的健康影响 - 在一个地区（阿巴拉契亚肯塔基州）在饮食和饮食相关疾病中遭受极大的差异，该项目将开发实施，并通过增加对健康食品的饮食变化来评估饮食变化的全面方法。