A multilevel community engaged intervention to build a sustainable and equitable food economy with food is medicine offerings in the mississippi delta to improve minority health and reduce disparities

Active Project Grant Awarded Last action

Award ID
R01MD018208
Recipient
Awarding agency
Obligated
$20,066,122

Award facts

Completion date 78% complete
Originally
Place of performance
Boston, MA 02111, USA

Award details come from USAspending.gov.

Description

Abstract
The goal of this project is to test whether a multi-level, community-engaged intervention to build a sustainable food economy with food-is-medicine programs in the mississippi delta can improve minority health and reduce health disparities. Our central hypothesis is that an intervention developed with active community engagement to increase local production and distribution of fruits and vegetables (FV), will increase FV consumption and decrease body mass index (BMI), hemoglobin A1C (HBA1C) and health disparities among participating adults compared to control participants over a 12-month study period. Aim 1: to design a novel intervention that bolsters the local food economy and delivers food-is-medicine programming to a minority population within communities with persistent disadvantage. Using the principles and processes of community-engaged research, we will unite community partners and members of bolivar, washington, and sunflower counties in a local multi-sector delta food policy council (FPC). The FPC will design and implement a multi-level intervention to provide appropriate nutrition, focusing on locally grown FV, to build a sustainable food economy and improve health outcomes. Aim 2: to test whether the novel intervention reduces health disparities by improving outcomes related to obesity and diabetes among a rural minority population. We will work collaboratively with the FPC to implement and evaluate a multi-level, community-engaged, randomized controlled intervention targeting 300 adults (>25 y) with food insecurity, BMI >25, and HBA1C)>5.7-8.5%. Outcome measures are (*primary): individual-level: increase f+v consumption*; decrease obesity (BMI)*, diabetes risk (HBA1C)*, and systolic blood pressure community-level: increase production and distribution of FV; institute access to produce and decrease food insecurity; and decrease health care utilization aim 3: generate a replicable and scalable food economy model to reduce obesity and improve diabetes. The model will focus on adults living in areas with disadvantage and make sustainable food-is-medicine policy recommendations related to snap, medicare/medicaid and the farm bill to state and federal legislatures. Expected impact: community-centered efforts that build vital local food economies to support food-is-medicine programming represent a major innovation that integrates nutrition into the healthcare system and social safety net to ameliorate disease, mitigate disparities, and save billions of dollars in health care expenditures annually.

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Subawards

Subrecipient Amount Awarded
Tougaloo College Tougaloo College's Reuben V. Anderson Institute for Social Justice will over see research consultants who will conduct thee community-based participatory… $85,710
Reuben V. Anderson Center For Justice The Reuben V. Anderson Center for Justice ("Anderson Center") will be responsible for managing and implementing the research study on the ground as well as… $118,709
Delta Health Center, Inc. Delta Health Center will partner with Tufts University and Tougaloo College to recruit 300 participants, at a rate of approximately 17 per month, who meet the… $157,071
Center For Science In The Public Interest Sara John, Senior Policy Scientist at Center for Science in the Public Interest (CSPI), will support 1) formative community-based participatory research… $16,360
Center For Science In The Public Interest $13,715
Tougaloo College Tougaloo College's Reuben V. Anderson Institute for Social Justice will over see research consultants who will conduct thee community-based participatory… $135,710
Delta Health Center, Inc. Delta Health Center will partner with Tufts University and Tougaloo College to recruit 300 participants, at a rate of approximately 17 per month, who meet the… $153,197
Reuben V. Anderson Center For Justice Research $334,025

Quick answers

Who received award R01MD018208?

R01MD018208 was awarded to Trustees Of Tufts College by National Institute for Minority Health and Health Disparities (National Institutes of Health) on September 23, 2022.

How much is award R01MD018208 worth?

$20,066,122 has been obligated on R01MD018208.

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