A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities

多层次社区参与干预，在密西西比三角洲建立可持续和公平的食品经济，提供“食品即药品”，以改善少数族裔的健康并减少差距

• 批准号: 10826681
• 负责人: CHRISTINA D ECONOMOS
• 金额: $ 29.24万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-23 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10826681
• 关键词: Adherence; Administrative Supplement; Adoption; Affect; Behavior; Behavioral; Behavioral Mechanisms; Communities; Complement; Consumption; Counseling; Data; Diet; Dietary intake; Effectiveness; Environment; Equity; Food; Frequencies; Future; Goals; Health; Individual; Intervention; Intervention Studies; Interview; Investigation; Knowledge; Life Style; Maintenance; Measurement; Measures; Mediator; Medicine; Methods; Minority Groups; Mississippi; Monitor; National Institute on Minority Health and Health Disparities; Outcome; Parents; Participant; Pathway interactions; Persons; Phase; Postdoctoral Fellow; Process; Psychological reinforcement; Quality of life; Questionnaires; Reduce health disparities; Research; Research Design; Research Personnel; Review Literature; Rural Minority; Sample Size; Self Efficacy; Surveys; Target Populations; Techniques; Testing; Time; Work; behavior change; career; clinical care; community engagement; design; dietary; disparity reduction; evidence base; food preparation; fruits and vegetables; improve minority health; improved; insight; interest; intervention participants; intervention refinement; learned behavior; lens; literacy; member; minority health disparity; nutrition; nutrition education; parent grant; parent project; programs; recruit; relapse risk; rural setting; skills; social cognitive theory; social health determinants; theories; therapy design; trend

PROJECT SUMMARY/ABSTRACT Administrative Supplement to NIMHD R01MD018208 Parent project title: “A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the Mississippi Delta to improve minority health and reduce disparities”. This Administrative Supplement is based on NOT-OD- 23-083, “Notice of Special Interest (NOSI): Administrative Supplement for Research Efforts that Elucidate Fundamental Processes Underlying Behavior Change, Maintenance, and Adherence.” It is a request to support the inclusion of new measures and methods that will complement the parent study and expand it to identify the mechanisms underlying behavior change within a food is medicine (FIM) intervention. FIM interventions offer promise to achieve behavior change; however, the pathway(s) underlying this behavior change have not been studied. Through this administrative supplement, we will use an explanatory sequential mixed-methods approach to investigate the mechanisms of behavior change through the lens of Social Cognitive Theory (SCT). SCT is one of the most widely used behavioral theories and may be particularly useful when applied to interventions conducted in rural settings given its emphasis on social determinants of health and how individuals interact and are influenced by their environment. For those allocated to the FIM intervention of the parent grant, this supplement will add a new survey measure to assess SCT constructs (e.g., knowledge, self-efficacy, etc.) at the planned baseline, three- and six-month timepoints. We also propose adding new in-depth interviews at the three- and six-month time points to further explain and interpret results from the quantitative data. This work will be led by Dr. Economos, parent study co-PI Erin Hennessy, parent study co-I, and Dr. Kia Jones, an early career investigator based in Mississippi and a post-doctoral fellow on the parent grant. Findings from this study will greatly advance ongoing efforts to apply and scale FIM interventions by studying the factors affecting the acceptance and adoption of weekly produce delivery aimed to increase fruit and vegetable consumption. Theory-driven FIM interventions that propel behavior change are needed to reverse the trends in diet related health outcomes for the rural minority population participating in the intervention.

项目概要/摘要 NIMHD R01MD018208 的行政补充 父项目标题：“一个多层次的社区参与 在密西西比州进行干预，以“食物即药物”的方式建立可持续和公平的粮食经济 达美航空旨在改善少数族裔健康并减少差异”。本行政补充文件基于 NOT-OD-。 23-083，“特别兴趣通知（NOSI）：阐明研究工作的行政补充 这是行为改变、维持和遵守的基本过程。” 纳入新的措施和方法，以补充母研究并扩展其以确定 食物即药物 (FIM) 干预措施中行为改变的机制。 承诺实现行为改变；然而，这种行为改变背后的途径尚未实现 通过这个行政补充，我们将使用解释性顺序混合方法。 通过社会认知理论（SCT）的视角研究行为改变的机制。 使用最广泛的行为理论之一，应用于干预时可能特别有用 在农村环境中进行，因为其重点是健康的社会决定因素以及个人如何互动和 对于那些分配给父补助金的 FIM 干预的人来说，这会受到其环境的影响。 补充材料将添加一项新的调查措施来评估 SCT 结构（例如知识、自我效能等） 我们还建议在三个月和六个月的时间点进行新的深度访谈。 以及六个月的时间点，以进一步解释和解释定量数据的结果。 作者：Economos 博士（家长研究共同 PI） Erin Hennessy（家长研究共同 I）和 Kia Jones 博士（早期职业生涯） 密西西比州的研究员和靠家长资助的博士后研究员。 这项研究的结果将极大地推动正在进行的努力，通过研究 FIM 干预措施的应用和规模化 影响接受和采用每周农产品交付的因素旨在增加水果和 需要以理论驱动的 FIM 干预措施推动行为改变，以扭转这一趋势。 参与干预的农村少数民族人口的饮食相关健康结果趋势。