Understanding and Addressing Food Insecurity and Obesity Among Infant-Parent Dyads

了解并解决婴幼儿父母之间的粮食不安全和肥胖问题

基本信息

批准号：
10662130
负责人：
Colin James Orr
金额：
$ 20.27万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-07-15 至 2028-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10662130
关键词：
Address Affect American Attitude Behavioral Black race COVID-19 pandemic Child Child Development Child Health Chronic Disease Clinical Communities Cross-Sectional Studies Cues Data Development Development Plans Diabetes Mellitus Economics Electronics Elements Ensure Family Feeding behaviors Food Funding Future Gills Goals Grant Growth Growth and Development function High Prevalence Hispanic Household Hunger Infant Intervention K-Series Research Career Programs Knowledge Learning Length Life Link Literature Longitudinal cohort Manuscripts Measures Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methodology National Institute of Diabetes and Digestive and Kidney Diseases North Carolina Not Hispanic or Latino Obesity Outcome Parents Pathway interactions Perception Physicians Pilot Projects Positioning Attribute Public Health Qualitative Methods Questionnaires Randomized, Controlled Trials Reporting Research Research Personnel Research Support Resources Schools Science Strategic Planning Testing Theory of Change Time Training Universities Weight Weight Gain Work Writing acceptability and feasibility behavior change career development cohort design disparity reduction effective intervention ethnic diversity ethnic minority population experience feeding food insecurity food security health disparity healthy weight implementation intervention implementation science improved infant adiposity innovation learned behavior longitudinal analysis meetings novel nutrition obesity in children obesity prevention obesity risk obesity treatment patient population pediatrician peer peer support preference prevent racial diversity racial minority population recruit skill acquisition theories therapy design therapy development

项目摘要

ABSTRACT The proposed K23 Career Development Award will enable Dr. Colin Orr to become an independent physician- researcher with expertise in food insecurity and childhood obesity prevention. Dr. Orr is a general pediatrician whose long-term goal is to design, test, and implement interventions to address food insecurity and promote optimal nutrition and healthy weight gain in children. His strong methodologic background, combined with his experience and knowledge of health disparities among racial and ethnic minority groups, makes him an ideal candidate to conduct the proposed research. Dr. Orr’s preliminary work has described the cross-sectional impact of food insecurity on parent feeding behaviors and child health outcomes. Dr. Orr’s research will contribute to the science of obesity prevention by examining the longitudinal relationships, if any, between food insecurity, parental feeding behaviors, and childhood obesity. Specifically, his proposed research has the following aims: 1) To examine the association between change in food insecurity and change in parental feeding behaviors in a cohort; 2) To assess parents’ knowledge, attitudes and understanding of feeding behavior and food insecurity, and how these relate to childhood obesity; and, 3) To develop the NCCARE360+Peer Parent Coach (PPC) intervention and conduct a pilot randomized controlled trial (RCT) that evaluates the intervention’s feasibility and acceptability. The pilot study will serve as preliminary data for a subsequent R01. To conduct this research, Dr. Orr has assembled a team of mentors and collaborators who will guide him in accomplishing the following training goals: 1) Learn casual inference, longitudinal analysis, and qualitative methods to examine how food insecurity influences child health over time and acquire the skills to design and execute qualitative studies to guide intervention development; 2) Learn behavior change theories to inform development of a peer support intervention; and 3) Gain training in implementation science to guide implementation of interventions. Dr. Orr’s mentorship team will meet with him regularly, provide additional content expertise in writing manuscripts and R01 and equivalent grants, and will ensure his progress toward his research aims and training goals. Dr. Orr’s career development will be supported by coursework at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. Dr. Orr’s work aligns with the National Institute of Diabetes and Digestive and Kidney Diseases Strategic Plan to support research that aims to prevent chronic diseases, such as obesity and diabetes, in racially and ethnically diverse patient populations. His proposed research has high potential for public health impact, given the high prevalence of food insecurity and childhood obesity and the urgent need for well-designed interventions to address these problems in racial and ethnic minority populations. The proposed K23 award will enable Dr. Orr to take important next steps in his career development and position him as an independent investigator with expertise in testing, implementing, and evaluating innovative solutions to address food insecurity and obesity in children.

抽象的拟议的K23职业发展奖将使科林·奥尔（Colin Orr）博士成为一名独立医师 - 粮食不安全和儿童肥胖症的专业知识的研究人员。其长期目标是设计，测试和实施干预措施以解决粮食不安全并促进儿童的最佳营养和健康体重增加。少数民族和少数民族之间对健康差异的经验和知识使他成为理想候选人进行拟议的研究。粮食对父母喂养行为和儿童健康结果的不安全感。肥胖科学阻止了粮食不安全之间的纵向关系（如果有的话）父母的喂养行为和童年的习惯。 1）检查粮食不安全性的变化与父母喂养行为变化之间的关联队列； 2）评估父母的知识，态度和理解和食物食品不安全以及与童年的习惯以及360+同伴教练（PPC）的关系间隔并转换一项试验随机对照试验（RCT），该试验评估国际的可行性和可接受性。奥尔（Orr）组建了一支导师和合作者团队，他们将指导他完成培训培训目标：1）学习休闲推理，纵向分析和定性方法，以研究粮食不安全感随着时间的推移影响儿童健康，并获得设计和执行定性研究的技能干预发展； 2）学习行为改变理论以告知同伴支持间隔和3）获得实施科学的培训，以指导实施。定期与他见面的指导团队，提供其他内容专业知识，以编写手稿， R01和等效赠款，并将确保他在研究目标和培训目标方面的进步。职业发展将由Thee的吉林斯全球公共卫生学院的课程支持北卡罗来纳大学教堂山。消化和肾脏疾病的战略计划，以支持旨在采用公主疾病的研究。作为肥胖和糖尿病，种族和种族多样化的患者人群。鉴于粮食不安全和儿童遵守的危机及主题的高度流行，可能会产生公共卫生影响迫切需要精心设计的InterventInt InterventInt，以解决种族和少数民族人口中的这些问题。拟议的K23奖项将威尔·威尔（Will Will Will Will Will Will Will Will Will Will Will Will Will Will）在其职业发展和职位上采取重要的下一步他是具有测试，实施和评估解决方案专业知识的独立研究者解决儿童的粮食不安全和观察。