Reducing the summer health gap: Evaluation of a community-based child nutrition assistance program

缩小夏季健康差距：对基于社区的儿童营养援助计划的评估

基本信息

批准号：
10641704
负责人：
Jiwoo Lee
金额：
$ 14.8万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-07-01 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10641704
关键词：
Accounting Address Affect Area Behavior Behavioral Body Weight Changes Body Weight decreased Body fat Body mass index Career Mobility Characteristics Child Child Health Child Nutrition Collaborations Communities Data Collection Development Diet Disparity Doctor of Philosophy Educational Activities Eligibility Determination Equation Equity Evaluation Family Sizes Food Food Services Funding Future Goals Health Health Status Healthy Eating Height Heterogeneity Hour Household Intervention Knowledge Length Low income Measurement Measures Mentored Patient-Oriented Research Career Development Award Mentors Methods Minnesota Mission Modeling Nonprofit Organizations Nutritional Obesity Observational Study Outcome Overweight Parents Participant Physical activity Positioning Attribute Preparation Prevention program Price Program Description Provider Public Health Random Allocation Reporting Research Research Personnel Research Project Grants Role Sampling School-Age Population Schools Scientist Services Site Social Environment Sports Surveys Training Twin Cities United States Department of Agriculture United States National Institutes of Health Universities Weight Weight Gain Work career career development cohort cost effective demographics dietary elementary school experience family structure food insecurity health disparity health equity implementation intervention implementation science improved indexing innovation interest lower income families metropolitan multidisciplinary nutrition nutritional guideline obesity in children obesity prevention operation portability preventive intervention programs prospective psychosocial recruit school district service programs skills therapy design therapy development

项目摘要

PROJECT SUMMARY The K23 award will support the career development of candidate, Jiwoo Lee, PhD, RN, LSN, to become an independent researcher with expertise in evaluation of public health nutrition programs that will guide future development of childhood obesity prevention interventions designed to reduce weight-related disparities. Dr. Lee will achieve this goal by conducting an innovative research project and career development activities that are aligned with her career goals. The proposed research will evaluate a summertime, community-based child nutrition assistance program, the Summer Food Service Program (SFSP), funded by the United States Department of Agriculture. This program addresses the nutritional gap of increased food insecurity that low- income children experience during the summer months by providing meals to children at program sites. However, nutritional guidelines of the program are not as comprehensive as other nutrition assistance programs, which may contribute to weight gain among children from low-income households who are disproportionately affected by childhood obesity. Additionally, the program sites vary in operation length and the extent to which there is additional healthy programming beyond the provision of foods. Lastly, characteristics of program participants as well as the program’s impact on child diet quality and weight are not well documented. Without this knowledge, it is challenging to characterize what works and for whom and identify targets for optimizing the SFSP and for future interventions. The proposed research will conduct a prospective observational study to describe program site and participant characteristics at baseline to evaluate the current program implementation (Aim 1) and determine if the site and participant characteristics are associated with child program attendance and changes in food insecurity, diet quality and weight gain (Aims 2 and 3). Two cohorts of elementary school-aged children and their parents (n=210) recruited through SFSP sites in Twin Cities metropolitan area of Minnesota will participate in data collection before and in the final weeks of the program (spring and end of summer, respectively). Data collection components include an online psychosocial survey, three 24-hour dietary recalls, and measurement of height, weight and percent body fat. Additionally, parents will report program usage weekly during the program. A multi-disciplinary team of mentors at the University of Minnesota will guide the proposed project and career development activities. Training areas include: a) health equity approaches in reducing food insecurity and weight gain (Drs. Jayne Fulkerson and Lisa Harnack), b) advanced statistical skills for use in evaluation of the long-term impacts of public health programs (Dr. Weihua Guan), c) implementation science and intervention development (Dr. Nancy Sherwood) and d) collaborations with community partners (Drs. Jayne Fulkerson and Lisa Harnack). The project and training plan will position Dr. Lee to advance her career as an independent investigator while contributing to the mission of the NIH by reducing weight-related health disparities of children living in low-income households.

项目概要 K23 奖将支持候选人 Jiwoo Lee（博士、注册护士、LSN）的职业发展，使其成为一名独立研究人员，具有评估公共卫生营养计划的专业知识，该计划将指导未来制定旨在减少与体重相关的差异的儿童肥胖预防干预措施。李将通过开展创新研究项目和职业发展活动来实现这一目标与她的职业目标一致，拟议的研究将评估一个夏季的、以社区为基础的孩子。营养援助计划，夏季食品服务计划（SFSP），由美国资助农业部。该计划解决了粮食不安全加剧造成的营养缺口，夏季，儿童通过在项目地点为儿童提供膳食获得收入。然而，该计划的营养指南并不像其他营养援助那么全面计划，这可能会导致低收入家庭儿童的体重增加此外，项目地点的运行时间和时间也各不相同。最后，除了提供食物之外，还有哪些额外的健康计划。计划参与者的特征以及计划对儿童饮食质量和体重的影响并未被考虑在内。如果没有这些知识，就很难描述什么有效、对谁有效以及对谁有效。确定优化 SFSP 和未来干预措施的目标。前瞻性观察研究，描述项目地点和基线参与者特征以进行评估当前的实施计划（目标 1）并确定场地和参与者特征是否符合与儿童计划出席率以及粮食不安全、饮食质量和体重增加的变化相关（目标 2 3). 通过 SFSP 招募的两组小学适龄儿童及其家长 (n=210)。明尼苏达州双城都会区的站点将在决赛前和决赛中参与数据收集该计划的周数（分别在春季和夏末）包括在线数据收集部分。心理社会调查、3 次 24 小时饮食回忆以及身高、体重和体脂百分比测量。此外，家长将在项目期间每周报告项目使用情况。明尼苏达大学将指导拟议的项目和职业发展活动。包括： a) 减少粮食不安全和体重增加的健康公平方法（Jayne Fulkerson 博士和 Lisa Harnack), b) 用于评估公共卫生长期影响的先进统计技能计划（关卫华博士），c) 科学实施和干预发展（Nancy Sherwood 博士） d) 与社区合作伙伴（Jayne Fulkerson 博士和 Lisa Harnack 博士）的合作。培训计划将使李博士能够推进她作为独立调查员的职业生涯，同时为 NIH 的使命是减少低收入家庭儿童与体重相关的健康差异。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Prioritizing nutrition interventions for low-income clients receiving public health nurses' home visiting services: a latent class analysis study of Omaha System data.

优先考虑接受公共卫生护士家访服务的低收入客户的营养干预措施：奥马哈系统数据的潜在类别分析研究。

DOI：
发表时间：
2023-10-19
期刊：
影响因子：
0
作者：
Lee, Jiwoo;Austin, Robin R;Mathiason, Michelle A;Monsen, Karen A
通讯作者：
Monsen, Karen A

Assessment of Youth Coping and Appraisals Through a Timelining Activity: Validation and Utility of a Tool for Pediatric Research and Practice.

通过时间安排活动评估青少年的应对和评价：儿科研究和实践工具的验证和实用性。

DOI：
发表时间：
2023
期刊：
影响因子：
0
作者：
Looman, Wendy S;Eull, Donna;Geiger;Lee, Jiwoo;Nersesian, Paula V;Bell, Adrianna N;Miller, Angela L
通讯作者：
Miller, Angela L

Beyond coping: The role of supportive relationships and meaning making in youth well-being.

超越应对：支持性关系和意义创造在青少年福祉中的作用。

DOI：
发表时间：
2023-11
期刊：
影响因子：
0
作者：
Looman, Wendy S;Geiger;Eull, Donna J;Lee, Jiwoo;Nersesian, Paula V;Bell, Adrianna N;Miller, Angela L
通讯作者：
Miller, Angela L