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.

项目摘要/摘要 农村社区的老年人经历了食品和营养安全和心血管的分配 疾病结果。通过紧急食品系统（食品，食物，食物 银行和其他直接粮食援助组织）有可能改善低收入年龄较大的饮食 成人，增强食物和营养安全，并作为心血管疾病的预防措施， 但是，这种资源不足以使老年人充分利用。与NIH营养的战略计划保持一致 研究专注于通过营养促进健康衰老的促进，需要研究以了解研究 如何有效鼓励老年人使用紧急食品系统。在拟议的项目中，博士 混合方法研究人员布雷迪（Brady）将与紧急食品系统中的利益相关者合作 以及老年人共同进行有关障碍和促进者的研究，以获取和开发干预措施 将老年人与社区中的食品储藏室联系起来。与潜水员精神团队和资源 通过明尼苏达大学获得该独立奖的这一奖项将支持布雷迪博士 填补他在社区参与研究培训中的关键空白，干预开发过程 传播的概念和饮食评估，以开始他的职业生涯 与社区合作，共同生产食品和营养安全和与饮食有关的慢性解决方案 疾病。为了为这一角色做准备，布雷迪博士将完成一项全面的培训计划，包括课程， （1）在社区参与研究中应用专业知识中的精通，参与和研究，（2） 干预开发，测试，实施和传播，以及（3）饮食和营养评估 方法。这项培训将使布雷迪博士做好准备，以进行拟议的研究。在指导的K99期间 阶段，他将确定障碍和促进者，以便为农村社区的老年人的紧急食品进入 使用社区参与方法的混合方法研究（AIM 1）。在独立R00阶段，博士 布雷迪将使用以人为中心的设计方法来共同开发干预策略，以增加获得的访问 紧急食品系统中的老年人和利益相关者的紧急食品（AIM 2）。最后，他将测试 这项干预初步研究，以评估改善食物的可行性，可接受性和潜力 营养安全，饮食摄入和心血管疾病结果（AIM 3）。提出的发现 研究将被用作研究研究有效性的干预研究的基础 通过改善食物和营养来改善饮食摄入量和心血管疾病结果的策略 安全和支持布雷迪博士向成功的独立研究职业的过渡。