A Culturally-Adapted Multicomponent Teaching Kitchen Intervention for Low-Income Latino Adults

针对低收入拉丁裔成年人的文化适应多成分厨房教学干预

基本信息

批准号：
10723878
负责人：
Lorena Sonia Pacheco
金额：
$ 14.17万
依托单位：
HARVARD SCHOOL OF PUBLIC HEALTH
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：
2023-08-03 至 2028-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10723878
关键词：
Academic Medical Centers Address Adult Area Attitude Award Behavior Behavioral Sciences Boston California Canada Cardiometabolic Disease Central American Certification Clinical Trials Cluster randomized trial Communities Cooking Practices Counseling Cuban Data Development Plans Diet Dietary Intervention Dietary intake Disparity Doctor of Philosophy Dominican Eating Educational Activities Educational Curriculum Educational process of instructing Educational workshop Effectiveness Environment Epidemiologist Ethnic Origin Evaluation Exercise Family Focus Groups Food Foundations Frequencies Funding Gender Goals Health Health Sciences Health behavior Hispanic Hispanic Community Health Study/Study of Latinos Home Individual Institution Instruction Internet Intervention Interview Island Knowledge Latino Latino Population Low income Medical center Medicine Mentors Mentorship Metabolic syndrome Methods Mexican Mexico Mindfulness Training Minority Groups Modeling Movement Multicenter Trials National Heart, Lung, and Blood Institute Neighborhood Health Center Non-Insulin-Dependent Diabetes Mellitus Not Hispanic or Latino Nutritional Nutritional Science Obesity Participant Phase Physical activity Population Postdoctoral Fellow Prevention strategy Process Public Health Public Health Schools Puerto Rican Puerto Rico Randomized Readiness Recommendation Research Research Activity Research Personnel Resources Risk Risk Factors Risk Reduction Role Rural Sampling Socioeconomic Status South American Structure Surveys Training Training Programs Variant Work Youth cardiometabolic risk cardiometabolism career career development cohort community based participatory research community clinic cooking dietary ethnic diversity evidence base food insecurity food preparation frontier good diet healthy lifestyle healthy weight high risk improved innovation intervention program mindfulness minority communities multi-component intervention multidisciplinary nutrition nutrition education preference prevent primary outcome programs recruit retention rate secondary outcome skills stress management success symposium therapy development treatment as usual

项目摘要

Lorena S. Pacheco, PhD, MPH, RDN is a nutritional epidemiologist whose overarching career goal is to become a leading researcher studying scalable interventions to prevent cardiometabolic disease in Latinos and other minority populations. Her proposed work entitled A Culturally-Adapted Multicomponent Teaching Kitchen Intervention for Low-Income Latino Adults is timely as there is need for research on culturally-adapted multicomponent interventions for Latinos of diverse ethnicities. Candidate: Dr. Pacheco is a Yerby postdoctoral research fellow in the Department of Nutrition at Harvard T.H. Chan School of Public Health (HSPH). Her prior work on an innovative cluster randomized trial in Latinos, and research in an underserved Latino community in rural Baja California, Mexico, demonstrates her commitment to developing culturally- sensitive interventions for dietary improvement in minority communities. The proposed plan will build upon her expertise with four training objectives to enable her transition toward independence: 1) Attain knowledge about examining health behaviors and integrative teaching kitchen (TK) curricula; 2) Gain expertise in using mixed- methods approaches for intervention development; 3) Develop proficiency in cultural adaptations of interventions; and 4) Obtain expertise in community-based participatory research for intervention development. Dr. Pacheco’s training plan comprises didactic work/certification, conferences, and workshops, that will support and enrich her skillset. Environment and Mentorship: HSPH has well-established research and training programs in public health, nutrition, and behavioral science, and Boston Medical Center (BMC) is an academic medical center committed to advancing the frontiers of medicine via research. Dr. Pacheco’s proposed career development plan incorporates robust resources available in these two institutions. Additionally, she assembled an excellent multidisciplinary mentoring team, with the commitment, knowledge, and expertise to guide her through her training plan and research activities. Research: The goal of this project is to develop and assess a research and training program involving a TK intervention to improve cardiometabolic health in Latinos by: Aim 1 evaluating the longitudinal associations between distinct dietary behaviors and metabolic syndrome and type 2 diabetes by Latino ethnic heritage; Aim 2 determining the level of at-home readiness and practices, attitudes, preferences, barriers, and solutions regarding components of a TK intervention in low- income Latinos of diverse ethnic heritages by using sequential explanatory mixed-methods strategies; and Aim 3 evaluating the feasibility, acceptability, and effectiveness of a culturally-adapted multicomponent TK intervention for low-income Latinos of diverse ethnic heritages compared to usual care. Summary: This is an innovative proposal as this will be the first project to examine the feasibility of a culturally-adapted TK multicomponent intervention for low-income Latinos. This award will provide the research and training required for Dr. Pacheco’s success, and serve as the foundation for a large-scale, TK multi-center trial in Latinos.

Lorena S. Pacheco博士，MPH，RDN是一名营养流行病学家，其总体职业目标是成为研究可扩展干预措施的主要研究人员，以防止拉丁美洲裔和其他少数民族。她提出的题为文化适应的多组分教学厨房的作品低收入拉丁裔成年人的干预是及时的，因为需要研究文化适应的研究对潜水员种族的拉丁裔的多组分干预措施。候选人：Pacheco博士是Yerby 哈佛T.H.营养部的博士后研究员陈公共卫生学院（HSPH）。她先前在拉丁美洲人的创新集群随机试验中的工作，并在服务不足的情况下进行研究墨西哥加利福尼亚州巴哈乡村的拉丁裔社区表明了她致力于发展文化的承诺 - 对少数民族社区饮食改善的敏感干预措施。拟议的计划将建立在她身上具有四个培训对象的专业知识，使她能够过渡到独立性：1）检查健康行为和综合教学厨房（TK）课程； 2）获得使用混合的专业知识方法开发的方法； 3）提高了文化适应的熟练程度干预措施； 4）在干预开发中获得基于社区的参与研究的专业知识。 Pacheco博士的培训计划包括教学/认证，会议和讲习班，将支持并丰富她的技能。环境与指导：HSPH拥有良好的研究和培训公共卫生，营养和行为科学和波士顿医疗中心（BMC）的计划是学术医疗中心致力于通过研究推进医学领域。帕切科博士的职业生涯开发计划结合了这两个机构中可用的强大资源。另外，她组建了一个出色的多学科心理团队，并以承诺，知识和专家为指导她完成她的培训计划和研究活动。研究：该项目的目的是开发并评估涉及TK干预措施以改善心脏代谢健康的研究和培训计划拉丁美洲人：AIM 1评估不同饮食行为与代谢之间的纵向关联综合征和2型糖尿病，由拉丁裔族裔遗产；目标2确定在家准备水平和关于低 - 通过使用顺序剥夺的混合方法策略，潜水员遗产的收入拉丁美洲人的收入；和目标 3评估具有文化适应的多组分TK的可行性，可接受性和有效性与通常的护理相比，对潜水员遗产的低收入拉丁裔的干预。摘要：这是创新的提案将是第一个研究文化适应的TK的可行性的项目低收入拉丁裔的多组分干预。该奖项将提供所需的研究和培训为了取得Pacheco博士的成功，并为拉丁美洲人的大规模，TK多中心试验的基础。