Fresh to You: Multilevel approaches in low income housing to increase F&V intake

新鲜感：低收入住房的多层次方法可提高 F

• 批准号: 8823870
• 负责人: Kim M. Gans
• 金额: $ 17.45万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8823870
• 关键词: Address; Adult; American; Attention; Attitude; Baseline Surveys; Cardiovascular Diseases; Chronic Disease; Communities; Consumption; Diet; Dose; Eating; Education; Educational Intervention; Effectiveness; Enrollment; Evaluation; Guidelines; Health; Home environment; Household; Housing; Improve Access; Individual; Industry; Intake; Intervention; Knowledge; Life; Life Style; Location; Low Income Population; Low income; Malignant Neoplasms; Marketing; Measures; Mediating; Outcome; Participant; Pathway interactions; Patient Self-Report; Placebos; Population; Price; Process; Psychosocial Factor; Public Health; Randomized; Recommendation; Research; Risk; Sampling; Site; Social Environment; Social support; Supermarket; Surveys; Taste Perception; Time; Underserved Population; Universities; Work; Workplace; authority; base; cohort; comparison group; cooking; cost; cost effective; effective intervention; efficacy testing; ethnic minority population; falls; farmer; follow-up; fruits and vegetables; group intervention; improved; innovation; meetings; primary outcome; programs; randomized trial; successful intervention; tool

DESCRIPTION (provided by applicant): Eating ample amounts of fruits and vegetables (F&V) is associated with a lower risk of chronic disease. Dietary guidelines recommend eating more F&V, but most Americans fall short of recommendations especially low income populations. Cost-effective multilevel interventions that improve access and availability to F&V as well as provide education and change the social environment to increase the F&V intake of underserved population are critically needed. The proposed research will study the efficacy of innovative interventions by building upon a successful pilot F&V delivery intervention that was conducted in worksites. The study will be conducted in 16 subsidized housing projects that will be pair-matched. A random sample of 135 household addresses will be chosen at each of the housing projects. Door-to-door recruitment will take place to enroll 108 households in an evaluation cohort. Individuals who agree will complete a baseline survey as well as 6 and 12 month follow-up surveys. Randomization will occur into one of two intervention groups after the baseline is completed: a Fresh To You group (including delivery of reduced price F&V directly to the housing project by a F&V distribution company, plus educational interventions) vs. a comparison group (receiving an attention placebo intervention and access to Fresh To You after the study). The primary outcome will be F&V consumption. The Specific Aims are: S.A.1 To conduct formative research with low income, ethnically diverse individuals living in subsidized housing projects to inform the adaptation of multi-level interventions to improve F&V intake and evaluation tools and measures. S.A.2 To employ a group randomized trial to study the efficacy of an innovative intervention combining educational interventions with a F&V delivery intervention to increase F&V access and availability on increasing participants' F&V consumption (Fresh To You intervention) compared to a Comparison intervention. We will also examine mechanisms involved in delivery and receipt of programming and the causal pathway of the intervention by addressing the following secondary aims: a) To include extensive implementation process evaluation to determine costs, reach, fidelity and dose and the relationship of these variables with evaluation outcomes; b) To use a mediating variable framework to examine relationships among important psychosocial factors/determinants with changes in F&V consumption.

描述（由申请人提供）：吃大量的水果和蔬菜（F＆V）与慢性疾病的风险较低有关。饮食指南建议吃更多的F＆V，但大多数美国人都没有提出建议，尤其是低收入人群。需要具有成本效益的多层次干预措施，以改善对F＆V的访问和可用性，并提供教育和改变社会环境以增加服务不足人群的F＆V摄入量。拟议的研究将通过建立成功的飞行员F＆V输送干预措施来研究创新干预措施的功效。该研究将在将配对的16个补贴住房项目中进行。在每个住房项目中将选择135个家庭住址的随机样本。挨家挨户的招聘将招募108个家庭进行评估队列。同意的个人将完成基线调查以及6个月和12个月的随访调查。基线完成后，随机分组将分为两个干预组之一：向您组的新鲜（包括将价格较低的价格降低到F＆v分发公司直接向住房项目交付，以及教育干预措施）与比较组（接收一个比较组（接收一个研究后，请注意安慰剂干预和与您的新鲜接触）。主要结果将是F＆V消费。具体目的是：S.A.1以低收入，种族多样的人生活在补贴住房项目中进行形成性研究，以告知多层干预措施的适应，以改善F＆V摄入量，评估工具和措施。 S.A.2使用一项小组随机试验来研究将教育干预措施与F＆V递送干预措施相结合的创新干预措施的功效，以增加餐饮访问和可用性，以增加参与者的F＆V消费量（与比较干预措施相比，您的干预措施新鲜）。我们还将通过解决以下次要目的来研究涉及编程交付和接收的机制以及干预措施的因果途径：评估结果； b）使用中介变量框架来检查重要的社会心理因素/决定因素之间随着F＆V消耗的变化的关系。

项目成果

A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: Rationale, design and methods of the 'Live Well, Viva Bien' cluster randomized trial.

• DOI: 10.1186/s12889-016-3141-7
• 发表时间: 2016-06-28
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Gans KM;Gorham G;Risica PM;Dulin-Keita A;Dionne L;Gao T;Peters S;Principato L
• 通讯作者: Principato L

Identifying Barriers to and Facilitators of Using a Mobile Fruit and Vegetable Market Intervention Delivered to Low-Income Housing Sites: A Concept Mapping Study.

• DOI: 10.1177/1090198121998287
• 发表时间: 2022-03
• 期刊: Health education & behavior : the official publication of the Society for Public Health Education
• 作者: Dulin A;Mealy R;Whittaker S;Cardel M;Wang J;Risica PM;Gans K
• 通讯作者: Gans K

Feasibility and acceptability of an early childhood obesity prevention intervention: results from the healthy homes, healthy families pilot study.

• DOI: 10.1155/2014/378501
• 发表时间: 2014
• 期刊: Journal of obesity
• 影响因子: 3.3
• 作者: Keita AD;Risica PM;Drenner KL;Adams I;Gorham G;Gans KM
• 通讯作者: Gans KM