Produce Prescriptions and Group Medical Visits: Addressing Food Insecurity and Social Isolation in Primary Care

制定处方和团体就诊：解决初级保健中的粮食不安全和社会隔离问题

• 批准号: 10368636
• 负责人: Ariana Lauren Thompson-Lastad
• 金额: $ 13.74万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10368636
• 关键词: Address; Adoption; Adult; Affect; Asian; Black race; COVID-19 pandemic; California; Caring; Centers for Population Health; Chronic; Clinic; Clinical Trials; Communities; County Government; Data; Development; Diabetes Mellitus; Elderly; Electronic Health Record; Ensure; Environment; Farm; Federally Qualified Health Center; Focus Groups; Food; Food Access; Foundations; Funding; Glycosylated hemoglobin A; Goals; Health; Health Benefit; Health Surveys; Health education; Home; Household; Human; Immigrant family; Intervention; Interview; K-Series Research Career Programs; Latino; Linguistics; Low income; Maintenance; Managed Care Programs; Measurement; Medicaid; Medical; Mental Health; Mentored Research Scientist Development Award; Mentors; Methods; Modeling; Multilingualism; Natural experiment; Observational Study; Outcome; Patients; Persons; Population; Practice based research; Primary Health Care; Process; Qualitative Methods; Qualitative Research; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Methodology; Research Personnel; Research Support; Risk; Role; San Francisco; Site; Social isolation; Structure; Time; Training; United States Department of Agriculture; Universities; Visit; career; career development; comparison group; design; effectiveness study; effectiveness testing; ethnic diversity; experience; food insecurity; fruits and vegetables; future implementation; health care service utilization; health care settings; health disparity; health equity; health inequalities; implementation evaluation; implementation outcomes; improved; innovation; literacy; medically underserved population; mortality; nutrition; nutrition education; patient oriented; patient population; peer support; physical conditioning; primary care setting; process evaluation; programs; research and development; responsible research conduct; social; social influence; synergism; telehealth; transportation access; treatment as usual

Project Summary/Abstract The purpose of this K01 Mentored Research Scientist Development Award is to promote the candidate's development as an independent health disparities researcher, with a focus on primary care interventions to address disparities in food insecurity and social isolation among adults with chronic conditions. Dr. Thompson-Lastad will use mixed-methods research to study the effectiveness and implementation of primary care interventions in order to meet her long-term career goal of advancing health equity in diverse communities. Towards this end, the proposed mentored research for this K01 award is to assess an innovative model of care that provides prescriptions for fresh fruit and vegetables with or without group medical visits (GMVs) to ethnically and linguistically diverse, low-income patients. To support this research and Dr. Thompson-Lastad’s goal of independent health equity research, this K01 proposal includes formal, mentored training through coursework and tailored tutorials in quantitative methods for practice-based research, measurement of social needs in health care settings, community-engaged methods, and responsible conduct of research. This training will be applied to research with two specific aims: (1) Assess the implementation of produce prescriptions and group medical visits at nine clinics using a longitudinal process evaluation; and (2) Examine changes in food insecurity and social isolation among 400 adults with diabetes receiving produce prescriptions with and without GMV participation. This research leverages interventions implemented by a USDA-funded partnership which includes a network of Federally Qualified Health Centers, county government, and local farms. The partnership will design and implement the intervention. University of California, San Francisco is an ideal environment for the proposed training because it provides access to experts in health disparities, social needs, and diabetes. Completion of the proposed research and career development activities will inform the development of an R01-level clinical trial focused on how group medical visits with food access components influence social connectedness, health outcomes, and social needs over time among FQHC populations. Completing the K01 will ensure Dr. Thompson-Lastad’s ability to conduct independent research on primary care interventions to advance health equity among ethnically diverse, multilingual populations.

项目概要/摘要 K01 导师研究科学家发展奖的目的是促进候选人的 发展成为一名独立的健康差异研究员，重点关注初级保健干预措施 解决慢性病成人之间的粮食不安全和社会孤立问题。 Thompson-Lastad 将使用混合方法研究来研究其有效性和实施情况 初级保健干预措施，以实现她促进健康公平的长期职业目标 为此，K01 奖项的拟议指导研究是评估不同的社区。 一种创新的护理模式，提供带或不带新鲜水果和蔬菜的处方 对不同种族和语言的低收入患者进行团体医疗就诊 (GMV) 以支持这一目标。 研究和 Thompson-Lastad 博士独立健康公平研究的目标，这个 K01 提案 包括通过课程作业和定量方法定制教程进行正式的指导培训 基于实践的研究、医疗保健环境中社会需求的衡量、社区参与 方法和负责任的研究行为该培训将应用于两个具体的研究。 目标：（1）评估9个诊所的农产品处方和团体就诊的实施情况 采用纵向过程评估；以及 (2) 检查粮食不安全和社会隔离的变化 在 400 名接受治疗的成人糖尿病患者中，在有或没有 GMV 参与的情况下开出处方。 这项研究利用了美国农业部资助的合作伙伴关系实施的干预措施，其中包括 该合作伙伴关系将由联邦合格的健康中心、县政府和当地农场组成。 加州大学旧金山分校是设计和实施干预的理想环境。 对于拟议的培训，因为它提供了接触健康差异、社会需求和 完成拟议的研究和职业发展活动将为糖尿病患者提供信息。 开发 R01 级临床试验，重点关注团体医疗就诊如何获得食物 随着时间的推移，各个组成部分会影响 FQHC 的社会联系、健康结果和社会需求 完成 K01 将确保 Thompson-Lastad 博士独立开展工作的能力。 研究初级保健公平干预措施，以促进不同种族、多语言群体的健康 人口。