Project Grant R21MD019367

Award Date 5/30/24
Completion Date 12/31/25
Dollars Obligated $1.1M
Federal Grant Program
93.307
Assistance Type
Project Grant
Place of Performance
미국 뉴욕
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ADAPTING THE VEGGIE VAN MOBILE MARKET INTERVENTION TO ADDRESS DISPARITIES IN NUTRITION SECURITY AMONG COLLEGE STUDENTS - ABSTRACT: US POSTSECONDARY STUDENTS FACE DISPROPORTIONATELY HIGH FOOD INSECURITY RATES, TWO TO EIGHT TIMES HIGHER THAN THE 2021 RATE FOR US HOUSEHOLDS. FOOD INSECURITY AMONG COLLEGE STUDENTS NOT ONLY THREATENS EDUCATIONAL ATTAINMENT BUT PERPETUATES HEALTH DISPARITIES, PARTICULARLY AMONG LOWER-INCOME, RACIAL/ETHNIC MINORITY, AND FIRST- GENERATION STUDENTS DUE TO HISTORICAL DISCRIMINATION. FOOD INSECURITY HAS BEEN ASSOCIATED WITH POORER PHYSICAL AND MENTAL HEALTH OUTCOMES, LEADING TO DECREASED ACADEMIC PERFORMANCE, RETENTION, AND GRADUATION RATES. EXISTING SOLUTIONS TO THE PROBLEM ARE LIMITED, AND RESEARCH IS SCARCE. FOOD PANTRIES, THOUGH THE MOST COMMONLY USED APPROACH, OFTEN FALL SHORT DUE TO THEIR RELIANCE ON DONATIONS, INABILITY TO IMPROVE STUDENTS' NUTRITIONAL BEHAVIORS OR ENVIRONMENTS, AND ASSOCIATED STIGMA. STUDENTS REPORT SHAME, EMBARRASSMENT, AND FEAR OF JUDGMENT AS COMMON BARRIERS. THIS RESEARCH PROPOSES AN INNOVATIVE SHIFT FROM MERELY PROVIDING EMERGENCY FOOD ASSISTANCE TO PROMOTING NUTRITION SECURITY. IT PLANS TO ADAPT THE VEGGIE VAN -AN EVIDENCE- BASED APPROACH TO INCREASING ACCESS TO HEALTHY FOOD IN UNDERSERVED COMMUNITIES- TO A COLLEGE CONTEXT. VEGGIE VAN IS A MOBILE PRODUCE MARKET INTERVENTION SUPPORTED BY OVER TEN YEARS OF EFFICACY, EFFECTIVENESS, AND IMPLEMENTATION RESEARCH. THE ADAPTED INTERVENTION WILL BE TESTED AT THE UNIVERSITY AT BUFFALO, THE LARGEST UNIVERSITY IN THE STATE UNIVERSITY OF NEW YORK (SUNY) SYSTEM, KNOWN FOR ITS DIVERSE STUDENT POPULATION. THE STUDY WILL UTILIZE IMPLEMENTATION SCIENCE ADAPTATION FRAMEWORKS TO ASSESS NEEDS, ENGAGE STAKEHOLDERS, MONITOR AND DOCUMENT ADAPTATIONS, AND EVALUATE THE EFFECTS OF ADAPTATIONS. IN AIM 1, A CAMPUS-WIDE ONLINE SURVEY WILL ASSESS STUDENTS' NUTRITION SECURITY STATUS. COMPLEMENTING THIS, A SERIES OF IN-DEPTH INTERVIEWS WILL BE CONDUCTED TO IDENTIFY BARRIERS AND FACILITATORS TO NUTRITION INSECURITY AMONG STUDENTS EXPERIENCING FOOD INSECURITY. WE WILL FURTHER INVITE STUDENTS TO JOIN AN ADVISORY BOARD TO REVIEW THE SURVEY AND INTERVIEW FINDINGS AND GUIDE PRELIMINARY ADAPTATIONS TO THE VEGGIE VAN MODEL. IN AIM 2, THE ADAPTED CAMPUS VEGGIE VAN WILL BE PILOTED TO EXPLORE ITS EFFECT ON FRUIT AND VEGETABLE CONSUMPTION AND NUTRITION SECURITY AMONG FOOD-INSECURE STUDENTS USING A QUASI-EXPERIMENTAL PRETEST-POSTTEST DESIGN. FOR AIM 3, SEMISTRUCTURED INTERVIEWS WITH STAKEHOLDERS AND FOCUS GROUPS WITH VEGGIE VAN CUSTOMERS WILL BE USED TO IDENTIFY ADAPTATIONS TO THE CAMPUS VEGGIE VAN NECESSARY FOR INCREASING PROGRAM FEASIBILITY, ACCEPTABILITY, AND USAGE IN A CAMPUS SETTING. FINDINGS FROM THIS STUDY WILL BE USED TO DEVELOP AN ADAPTABLE MODEL THAT TARGETS THE NEEDS OF STUDENTS FACING NUTRITION INSECURITY AND PROVIDES CONSISTENT ACCESS TO FRESH FRUITS AND VEGETABLES AND SUPPORT FOR HEALTHY EATING. ULTIMATELY, ALIGNING WITH THE NATIONAL STRATEGY ON HUNGER AND NUTRITION, AND FOCUSING ON STUDENT DIGNITY AND PARTICIPATION, THIS MODEL CAN BE USED TO ENHANCE CAMPUS NUTRITION SECURITY NATIONWIDE. THE MODEL WILL BE TESTED IN A FUTURE CLUSTER RANDOMIZED TRIAL, AND DISSEMINATED THROUGH OUR EXISTING VEGGIE VAN TRAINING CENTER, PROVIDING TRAINING, ASSISTANCE, MONITORING, AND EVALUATION FOR NEW CAMPUS VEGGIE VANS.

Posted 5/30/24, 12:00 AM