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 Colin Orr 博士成为一名独立医生- 奥尔博士是一名普通儿科医生，在粮食不安全和儿童肥胖预防方面拥有专业知识。其长期目标是设计、测试和实施干预措施，以解决粮食不安全问题并促进儿童的最佳营养和健康体重增加他强大的方法背景，结合他的经验。对种族和少数民族群体健康差异的经验和了解使他成为理想的人选奥尔博士的初步工作描述了该研究的横截面影响。奥尔博士的研究将有助于了解粮食不安全对父母喂养行为和儿童健康结果的影响。通过检查粮食不安全之间的纵向关系（如果有的话）来预防肥胖的科学，具体来说，他提出的研究有以下目标： 1) 研究粮食不安全变化与父母喂养行为变化之间的关联 2) 评估家长对喂养行为和食品不安全的知识、态度和理解，以及这些与儿童肥胖有何关系；3) 开发 NCCARE360+ 同伴家长教练 (PPC) 干预并进行试点随机对照试验（RCT），评估干预的可行性和该试点研究将作为后续 R01 的初步数据。奥尔组建了一个由导师和合作者组成的团队，他们将指导他完成以下培训目标：1) 学习随意推理、纵向分析和定性方法来检查粮食不安全如何发生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来指导干预发展；2）学习行为理论的变化，为同伴支持的发展提供信息干预；以及 3) 获得实施科学方面的培训，以指导奥尔博士干预措施的实施。导师团队将定期与他会面，提供撰写手稿和内容方面的额外专业知识 R01 和同等资助，并将确保他在实现奥尔博士的研究目标和培训目标方面取得进展。职业发展将得到吉林斯全球公共卫生学院课程的支持奥尔博士的工作与北卡罗来纳大学教堂山分校的国家糖尿病研究所保持一致。消化和肾脏疾病战略计划，支持旨在预防慢性疾病的研究，例如正如肥胖和糖尿病一样，他提出的研究在不同种族和民族的患者群体中具有很高的影响力。鉴于粮食不安全和儿童肥胖现象普遍存在，以及迫切需要精心设计的干预措施来解决少数种族和族裔人口中的这些问题。拟议的 K23 奖项将使奥尔博士能够在其职业发展和职位方面迈出重要的后续步骤作为一名独立调查员，他在测试、实施和评估创新解决方案方面拥有专业知识解决儿童粮食不安全和肥胖问题。