Southern California Center for Chronic Health Disparities in Latino Children and Families.

南加州拉丁裔儿童和家庭慢性健康差异中心。

• 批准号: 10674434
• 负责人: Michael Isaac Goran
• 金额: $ 41.74万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10674434
• 关键词: Adherence; Adult; Artificial Intelligence; Asian; Body Weight decreased; California; Calories; Carbon; Child; Chronic; Communities; Control Groups; Country; Cultural Backgrounds; Custom; Development; Diet; Enrollment; Ensure; Exposure to; Family; Family Sizes; Food; Food Preferences; Funding; Generations; Goals; Grant; Guidelines; Health; Health Food; Healthy Eating; Household; Individual; Infrastructure; Intervention; Latino; Latino Population; Logistics; Measures; Menu Planning; Methods; Modeling; Nutrient; Nutritional; Outcome; Parents; Participant; Persons; Population; Recipe; Recommendation; Recommended Dietary Allowance; Research Design; Research Support; Restaurants; Soy Bean Curd; Specific qualifier value; Structure; Supermarket; Taste preferences; Testing; Time; Validation; Vegetables; Weight Gain; base; cost; experience; falls; feasibility testing; good diet; health difference; health disparity; health goals; impression; improved; improved outcome; indexing; meetings; nutrition; parent grant; preference; preventive intervention; programs; prototype; satisfaction; scale up

ABSTRACT This application is responding to the NOSI supplement (NOT-OD-22-159) to support research on preventive interventions with populations that experience health disparities. Our project under parent grant P50 MD017344, is called “Food Prescriptions to Promote Affordable Diets that Meet RDAS among Multi- Generational Latino Households” and is developing meal plans accompanied by grocery delivery to improve diet quality and support weight loss. We are specifically planning meals and procuring groceries that are affordable, meet the recommended dietary allowances (RDAs) and adhere to sustainability guidelines to reduce the food-related carbon footprint. We are requesting the supplemental funds to add a FoodRx app as an intervention component that was not originally included in the parent study. Our recent household pilot had very promising results with the average Healthy Eating Index (HEI) increasing nearly 20 points (from 49.8 to 69.2) among adults, and adult participants achieving an average weight loss of 7 lbs. in a four-week period. Participants that did not do as well said there were several recipes and ingredients provided that they did not like and would have preferred substitutions. We currently lack the capacity to fully customize the menu plans and grocery lists. An app will enable participants to customize their weekly meal plans. We hypothesize that having the ability to customize the weekly menus through a FoodRx app will improve outcomes, as the lack of customization appeared to be a barrier for some families to improve their diet quality and achieve weight loss goals. (eg, some families did not like tofu or oatmeal, and would have preferred a substitute). It will not change the overall study design, which is to plan healthy meals and deliver the necessary groceries, and at the same time reduce the exposure to supermarkets and restaurants. We will be able to test the impact of the Food Rx app by comparing participants who use it to our control group that does not currently have access to the standard menus/grocery delivery or FoodRx app. Other benefits to creating a FoodRx app include the ability to expand enrollment to families with different ethnic/cultural backgrounds and food preferences, ability to scale the project, and ability for families to continue the program once the 6-month study ends. If this intervention ultimately proves effective and we can scale it up, it will create an alternative infrastructure that will constitute a new method for healthy diet promotion and transform the food marketplace. The more people that use Food Rx to obtain healthy groceries, the fewer that will be exposed to retail outlets that promote nutrient poor foods.

抽象的 此应用程序响应 NOSI 补充 (NOT-OD-22-159)，以支持以下方面的研究 我们在家长补助金 P50 下对存在健康差异的人群进行预防性干预。 MD017344，被称为“促进多国经济实惠的饮食，满足 RDAS 的食品处方” 拉丁裔一代家庭”，正在制定伴随杂货配送的膳食计划，以改善 我们正在专门计划膳食并采购符合标准的食品杂货。 负担得起，满足建议的膳食摄入量（RDA）并遵守可持续发展指南 我们正在请求补充资金来添加 FoodRx 应用程序。 最初未包含在母研究中的干预部分。 我们最近的家庭试点取得了非常有希望的结果，平均健康饮食指数 (HEI) 成人的得分提高了近 20 分（从 49.8 到 69.2），成人参与者的平均分达到了 四个星期内体重减轻了 7 磅的参与者表示，有几种食谱。 和成分，前提是他们不喜欢并且希望有替代品。 完全定制菜单计划和杂货清单的能力将能够定制他们的应用程序。 我们追求的是能够通过 FoodRx 定制每周菜单。 应用程序将改善结果，因为缺乏定制似乎成为一些家庭改善的障碍 他们的饮食质量并实现减肥目标（例如，一些家庭不喜欢豆腐或燕麦片，并且会吃）。 它不会改变总体研究设计，即计划健康膳食并提供营养。 必要的杂货，同时减少去超市和餐馆的机会。 通过将使用 Food Rx 应用程序的参与者与我们的对照组进行比较，能够测试 Food Rx 应用程序的影响 目前无法访问标准菜单/杂货配送或 FoodRx 应用程序。 创建 FoodRx 应用程序的其他好处包括能够将注册范围扩大到患有以下疾病的家庭： 不同的种族/文化背景和食物偏好、扩展项目的能力以及家庭的能力 一旦 6 个月的研究结束，如果这种干预措施最终证明有效，我们就可以继续该计划。 扩大规模，它将创建替代基础设施，构成健康饮食推广的新方法 并改变食品市场，使用 Food Rx 获取健康食品的人越少。 他们将接触到推销营养不良食品的零售店。