Addressing Rural Disparities in Food and Nutrition Security and Cardiovascular Diseases Through Access to Emergency Food for Older Adults

通过为老年人提供紧急食品来解决农村地区粮食和营养安全以及心血管疾病方面的差异

• 批准号: 10721118
• 负责人: Patrick J. Brady
• 金额: $ 12.3万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10721118
• 关键词: Address; Adult; Aging; Area; Award; COVID-19 pandemic; Cardiovascular Diseases; Chronic Disease; Client; Communities; Conceptions; Coronary heart disease; County; Data; Data Collection; Diet; Dietary Assessment; Dietary intake; Disease Outcome; Disparity; Elderly; Emergency Situation; Environment; Equity; Evaluation; Food; Food Access; Food Assistance Programs; Foundations; Goals; Government; Health; Health Food; Health Services Accessibility; Hour; Household; Individual; Intervention; Intervention Studies; Interview; Lead; Low income; Mentors; Mentorship; Methods; Minnesota; Nutrition Assessment; Nutritional; Nutritional Study; Pathway interactions; Phase; Policies; Population; Preparation; Prevalence; Prevention Measures; Preventive measure; Process; Qualitative Research; Recording of previous events; Research; Research Methodology; Research Personnel; Resources; Risk; Role; Rural; Rural Community; Rural Population; Sampling; Security; Site; Strategic Planning; Surveys; System; Testing; Training; Transportation; United States National Institutes of Health; Universities; Work; adult nutrition; burden of illness; career; community engaged research; community engagement; design; disease disparity; effectiveness evaluation; environmental change; environmental intervention; experience; food quality; good diet; health care availability; healthy aging; human centered design; implementation intervention; improved; metropolitan; nonmetropolitan area; novel; nutrition; operation; pilot test; population survey; programs; rural area; rural counties; rural disparities; rural dwellers; rural underserved; safety net; social health determinants; success; therapy design; therapy development; tool; urban disparity; volunteer

PROJECT SUMMARY/ABSTRACT Older adults in rural communities experience disparities in food and nutrition security and cardiovascular disease outcomes. Enhancing access to healthy food through the emergency food system (food pantries, food banks, and other direct food aid organizations) has the potential to improve dietary intake for low-income older adults, enhance food and nutrition security, and serve as a prevention measure for cardiovascular diseases, but this resource is underutilized by older adults. Thus, aligned with the Strategic Plan for NIH Nutrition Research’s focus on promotion of healthy aging through nutrition, research is critically needed to understand how to effectively encourage older adults to use the emergency food system. In the proposed project, Dr. Brady, a mixed-methods researcher, will collaboratively work with stakeholders in the emergency food system and older adults to co-produce research on barriers and facilitators to access and develop an intervention to connect older adults to food pantries in their communities. With a diverse mentorship team and the resources available through the University of Minnesota, this Pathway to Independence Award will support Dr. Brady in filling critical gaps in his training in community engaged research, the intervention development process from conception to dissemination, and dietary assessment to begin his career as an independent investigator working with communities to co-produce solutions to food and nutrition security and diet-related chronic disease. To prepare for this role, Dr. Brady will complete a comprehensive training plan including coursework, mentorship, engagement, and research in (1) applied expertise in community-engaged research, (2) intervention development, testing, implementation, and dissemination, and (3) dietary and nutrition assessment methods. This training will prepare Dr. Brady to conduct the proposed research. During the mentored K99 phase, he will identify barriers and facilitators to emergency food access for older adults in rural communities in a mixed methods study using a community engaged approach (Aim 1). In the independent R00 phase, Dr. Brady will use human centered design approaches to co-develop intervention strategies to increase access to emergency foods with older adults and stakeholders in the emergency food system (Aim 2). Finally, he will test this intervention in a preliminary study to assess the feasibility, acceptability, and potential to improve food and nutrition security, dietary intake and cardiovascular disease outcomes (Aim 3). The findings from this proposed research will be used as the foundation for an intervention study examining the effectiveness of these strategies to improve dietary intake and cardiovascular disease outcomes through enhancing food and nutrition security and facilitate Dr. Brady’s transition to a successful, independent research career.

项目概要/摘要 农村社区的老年人在粮食和营养安全以及心血管方面存在差异 通过紧急食品系统（食品储藏室、食品中心）增加获得健康食品的机会。 银行和其他直接粮食援助组织）有可能改善低收入老年人的饮食摄入量 成人，增强粮食和营养安全，并作为心血管疾病的预防措施， 但老年人并未充分利用这一资源，因此，这与 NIH 营养战略计划保持一致。 研究重点是通过营养促进健康老龄化，迫切需要研究来理解 在拟议的项目中，如何有效地鼓励老年人使用紧急食品系统。 混合方法研究员布雷迪将与紧急粮食系统的利益相关者合作 和老年人共同开展有关障碍和促进因素的研究，并制定干预措施 通过多元化的指导团队和资源，将老年人与社区的食品储藏室联系起来。 该独立之路奖由明尼苏达大学颁发，将支持布雷迪博士 填补了他在社区参与研究培训、干预开发过程中的关键空白 从构思到传播，以及饮食评估，开始他作为独立研究者的职业生涯 与社区合作，共同制定粮食和营养安全以及与饮食相关的慢性病的解决方案 为了为这一角色做好准备，布雷迪博士将完成一项全面的培训计划，包括课程作业、 (1) 社区参与研究的应用专业知识，(2) 方面的指导、参与和研究 干预措施的制定、测试、实施和传播，以及 (3) 膳食和营养评估 该培训将为布雷迪博士在指导的 K99 期间进行拟议的研究做好准备。 阶段，他将确定农村社区老年人获得紧急粮食的障碍和促进因素 使用社区参与方法的混合方法研究（目标 1）。 布雷迪将使用以人为本的设计方法来共同制定干预策略，以增加获得 最后，他将与老年人和紧急食品系统的利益相关者一起测试紧急食品。 这项干预措施是一项初步研究，旨在评估改善食品和饮料的可行性、可接受性和潜力。 营养安全、膳食摄入和心血管疾病结果（目标 3）。 研究将作为干预研究的基础，检查这些措施的有效性 通过增强食物和营养来改善饮食摄入和心血管疾病结果的策略 安全并促进布雷迪博士过渡到成功的独立研究职业。