Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities

旨在改善服务不足社区饮食的经过研究测试的移动农产品市场的有效性和实施

• 批准号: 10064485
• 负责人: Lucia A Leone
• 金额: $ 5.16万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-12-14 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10064485
• 关键词: Administrative Supplement; Award; Carotenoids; Chronic; Cluster randomized trial; Color; Communities; Consumption; Control Groups; Country; Dermal; Development; Diet; Dose; Eating; Education; Effectiveness; Face; Fibrinogen; Food; Food Access; Food Preferences; Funding; Future; Generations; Health; Health Food; Heart Diseases; Immigrant; Income; Individual; Intake; Intervention; Interview; Knowledge; Latina; Lead; Low income; Malignant Neoplasms; Mentors; Minority; Minority Groups; Modeling; Neighborhoods; Obesity; Process; Process Measure; Randomized; Randomized Controlled Trials; Reporting; Research; Research Personnel; Sales; Schools; Site; Socioeconomic Status; Sodium; Testing; Time; Vulnerable Populations; Woman; community based participatory research; design; effectiveness implementation study; effectiveness measure; effectiveness testing; farmers markets; fruits and vegetables; health disparity; human subject; improved; intervention participants; member; outreach; parent grant; programs; saturated fat; skills; sugar

Abstract This administrative supplement will support the development of Rosaura Romero's research and professional skills and provide her with mentoring for graduate school. We are not proposing any changes to the scope or human subjects of the parent grant and the abstract remains as follows: Lower-income and minority groups face significant health disparities with respect to obesity, cancer, heart disease and other diet-related chronic conditions. Poor diets, low in fruits and vegetables (F&V) and high in saturated fat, sodium and sugar, contribute to many of the health problems faced by vulnerable groups. While socioeconomic status and other individual level factors (i.e., food preferences, time and skills to prepare healthy food, etc.) can lead to reduced F&V consumption, these must be viewed in an environmental context. Compared with higher-income neighborhoods, lower-income and minority neighborhoods are less likely to have stores that sell a variety of F&V and other healthy foods. When stores are available, produce may not be affordable, high quality or culturally appropriate. Farmers' markets and mobile produce markets (MM) have become increasingly popular strategies to alleviate food access concerns in underserved communities. However, it is unclear if these programs have the necessary components to have an appreciable impact on diet. Our research team recently completed one of the first randomized controlled trials of a MM program called the Veggie Van (VV). VV delivered boxes of fresh, locally grown produce and food-focused education to communities with significant barriers to F&V consumption including availability, affordability, quality and knowledge. In this small cluster- randomized trial in 12 communities (N=201), we saw impressive changes in F&V intake with intervention participants eating almost 1 more cups per day of F&Vs than the control group. Intervention participants also reported increases in perceived access to healthy foods and VV customers attributed many dietary changes to the MM program. While these results are very promising, we believe it is important to test the effectiveness of the VV program when implemented by different organizations in multiple communities. If shown to be effective, we can create a research-tested intervention toolkit which can be disseminated to communities across the country. For this research, we identified 8 organizations nationwide that are well-qualified to implement the VV model. Organizations will identify appropriate sites for MM deliveries (32 total) and we will randomize them to either an implementation or planning condition. With the help of our team's technical assistance and provided funding, partner organizations will engage community members in the process and initiate a MM program. We will use a Type 1 Hybrid Effectiveness-Implementation to measure effectiveness (diet, BMI, dermal carotenoids) and implementation (customer reach and sales, process measures, qualitative interviews with MM staff). We will also examine sustainability of MM financial models and determine implementation standards (i.e., dose needed to maintain impact) for inclusion in our MM toolkit for future dissemination.

抽象的 这种行政补充将支持Rosaura Romero的研究和专业人士的发展 技能并为她提供研究生院的指导。我们没有提出任何更改范围或 父母赠款和摘要的人类主题如下：低收入和少数群体 在肥胖，癌症，心脏病和其他与饮食有关的慢性方面面临重大健康差异 状况。饮食不佳，水果和蔬菜（F＆V）低，饱和脂肪，钠和糖高， 为弱势群体所面临的许多健康问题做出了贡献。而社会经济地位和其他 个人水平因素（即食物的偏好，时间和准备健康食品等的技能）可能会导致减少 F＆V消耗，必须在环境环境中查看这些内容。与高收入相比 社区，低收入和少数民族社区不太可能拥有出售各种商店的商店 F＆V和其他健康食品。当商店可用时，农产品可能不起作用，高质量或 在文化上适当。农民市场和移动农产品市场（MM）已变得越来越受欢迎 减轻服务不足社区的粮食获取问题的策略。但是，目前尚不清楚这些是否 程序具有必要的组成部分，以对饮食产生明显的影响。我们的研究团队最近 完成了名为The Veggie Van（VV）的MM程序的第一个随机对照试验之一。 VV 向有重要的社区提供了一盒新鲜的，本地种植的农产品和以食品为中心的教育 F＆V消费的障碍，包括可用性，负担能力，质量和知识。在这个小集群中 - 在12个社区的随机试验（n = 201），我们看到了餐饮摄入量的令人印象深刻的变化 与对照组相比，参与者每天吃近1杯F＆V。干预参与者 据报道，人们感知到的健康食品的获取和VV客户的增加，将许多饮食变化归因于 MM程序。尽管这些结果非常有前途，但我们认为测试有效性很重要 VV计划在多个社区的不同组织实施时。如果证明是有效的， 我们可以创建一个经过研究的干预工具包，可以将其传播给整个社区 国家。在这项研究中，我们确定了全国8个组织，这些组织具有良好的资格实施VV 模型。组织将确定用于MM交付的适当站点（总计32个），我们将将其随机 实施或计划条件。在我们团队的技术帮助的帮助下，并提供了 资金，合作伙伴组织将与社区成员参与此过程，并启动MM计划。我们 将使用1型混合有效性实践来衡量有效性（Diet，BMI，Dermal 类胡萝卜素）和实施（客户覆盖和销售，过程措施，与MM的定性访谈 职员）。我们还将检查MM财务模型的可持续性并确定实施标准 （即需要维持影响的剂量）将我们的MM工具包纳入未来的传播。