Behavioral economics to implement a traffic light nutrition ranking system in a network of food pantries

行为经济学在食品储藏室网络中实施红绿灯营养排名系统

• 批准号: 10733657
• 负责人: Douglas Levy
• 金额: $ 74.01万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 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 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10733657
• 关键词: Adopted; Adoption; American; Architecture; Boston; Cardiometabolic Disease; Cardiovascular Diseases; Carotenoids; Client; Cluster randomized trial; Collaborations; Consumption; Diabetes Mellitus; Diet; Dietary Intervention; Dietary intake; Dissemination and Implementation; Effectiveness; Eligibility Determination; Equipment and supply inventories; Evidence based intervention; Evidence based practice; Family; Food; Food Assistance Programs; Food Labeling; Food Selections; Health; Health Food; Household; Hunger; Hybrids; Incentives; Intervention; Knowledge; Label; Light; Maintenance; Measures; Nutrition Labeling; Online Systems; Persons; Practical Robust Implementation and Sustainability Model; Privatization; Randomized, Controlled Trials; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Recommendation; Research; Skin; Source; System; Testing; Time; Waiting Lists; Workplace; behavior test; behavioral economics; budget impact; cost effectiveness; dietary; dietary guidelines; disorder risk; effectiveness/implementation study; evidence base; experience; feeding; food consumption; food insecurity; food quality; high risk; implementation barriers; implementation research; improved; marginalization; nutrition; obesity risk; programs; social norm; tool

Approximately one in 10 US households experience food insecurity, which is associated with cardiometabolic disease risk. Federal food assistance programs are often insufficient, and therefore the charitable food system, largely comprised of food banks that distribute food to partner agencies (e.g., pantries), is a regular food source for 53 million people a year. The quality of food offered in pantries and consumed by clients often does not align with US dietary guidelines. Pantry interventions to promote healthier food choices can improve clients’ health but have not been widely adopted due to implementation barriers. The project’s overall objective is to use multi-level behavioral economics (BE) interventions to implement evidence-based strategies to improve the dietary quality of food offered by pantries and selected and consumed by clients. Traffic light nutrition ranking is an evidence-based BE strategy for increasing healthy food choices in multiple settings. Feeding America, the largest U.S. private hunger relief organization, released recommendations in 2021 for food banks to implement traffic light nutrition ranking on their ordering platforms. Supporting Wellness at Pantries (SWAP) is a program to guide both traffic light labeling for use on ordering platforms and pantry shelves, as well as food pantry layout to inform clients and encourage healthy food choice. Nevertheless, widespread implementation of SWAP is challenging due to barriers such as time constraints and competing priorities. The proposed project is a collaboration with the Greater Boston Food Bank (GBFB) to test BE strategies (choice architecture, framing, social norms, and incentives) for implementation of an evidence-based intervention (traffic light nutrition ranking, SWAP) at two levels of the charitable food system: a food bank and food pantries. We will conduct a Hybrid Type II effectiveness-implementation study, guided by the Practical, Robust, Implementation, and Sustainability Model (PRISM) to examine Reach Effectiveness Adoption Implementation Maintenance (RE- AIM) domains. Aim 1 is a randomized controlled trial of 600 GBFB partner agencies to determine if using BE strategies on the GBFB ordering platform will increase agencies’ utilization of the platform’s traffic light nutrition labels (Reach) and their orders of healthy food over 12 months (Effectiveness and Maintenance). Aim 2 is a waitlist-control randomized trial of 30 GBFB pantries to determine if BE interventions will increase pantries’ implementation of SWAP (Implementation, Adoption) and improve clients’ food selection and dietary intake, assessed with the PRIME diet screener and Veggie Meter skin carotenoid measure over 24 months (Effectiveness, Maintenance). Aim 3 will evaluate the budget impact and cost-effectiveness of BE strategies (Implementation, Effectiveness) from the food bank’s and pantries’ perspectives. Results of this research will inform Feeding America and other national and local hunger relief organizations about the implementation and dissemination of evidence-based nutrition recommendations that can improve the diet and health of marginalized families at highest risk for cardiometabolic diseases.

大约十分之一的美国家庭经历粮食不安全，这与心脏代谢有关 联邦粮食援助计划往往不足，因此慈善粮食系统， 主要由食品银行组成，向合作伙伴机构（例如食品储藏室）分发食品，是一种常规食品 每年为 5300 万人提供食品的食品质量往往会受到影响。 不符合美国饮食指南的食品储藏室干预措施促进更健康的食物选择可以改善客户的健康状况。 健康，但由于实施障碍尚未得到广泛采用。该项目的总体目标是 使用多层次的行为经济学（BE）干预措施来实施基于证据的策略来改善 食品储藏室提供的、由顾客选择和食用的食品的膳食质量。 排名是一种基于证据的 BE 策略，用于增加多种环境下的健康食品选择。 美国最大私人饥饿救济组织America发布2021年食品银行建议 在其订购平台上实施红绿灯营养排名。Supporting Wellness at Pantries (SWAP) 是一个指导在订购平台和食品储藏室货架上使用交通灯标签以及食品的计划 食品储藏室的布局旨在告知顾客并鼓励选择健康食品。 由于时间限制和优先事项竞争等障碍，SWAP 具有挑战性。 与大波士顿食品银行 (GBFB) 合作测试 BE 策略（选择架构、框架、 社会规范和激励措施），以实施循证干预措施（红绿灯营养 我们将在慈善食品系统的两个层面上开展排名（SWAP）：食品银行和食品储藏室。 混合型 II 有效性实施研究，以实用、稳健、实施和 可持续发展模型（PRISM），用于检查达到有效性、采用、实施、维护（RE- AIM）域的目标 1 是一项对 600 个 GBFB 合作机构进行的随机对照试验，以确定是否使用 BE。 GBFB 订购平台上的策略将提高代理商对平台红绿灯营养的利用率 标签（达到）及其 12 个月内健康食品的订单（有效性和维护）是目标 2。 对 30 个 GBFB 食品储藏室进行等候名单对照随机试验，以确定 BE 干预措施是否会增加食品储藏室的 实施SWAP（实施、采用）并改善客户的食物选择和膳食摄入量， 使用 PRIME 饮食筛选器和 Veggie Meter 皮肤类胡萝卜素测量进行超过 24 个月的评估 （有效性、维护）。目标 3 将评估 BE 策略的预算影响和成本效益。 （实施、有效性）从食品银行和食品储藏室的角度来看，这项研究的结果将。 向 Feeding America 以及其他国家和地方饥饿救济组织通报实施情况和 传播基于证据的营养建议，可以改善人们的饮食和健康 减去心脏代谢疾病风险最高的家庭。