Innovative and culturally appropriate multilevel policy and environmental interventions are greatly needed to address the obesity epidemic in high-risk populations. However, the vast majority of intervention strategies have focused on selected targets and approaches, e.g., educating consumers about healthy food choices, while in many settings reduced access to healthy food choices greatly limits impact. MOPS will test an innovative multi-level intervention, which directly addresses the complex systems associated with childhood eating behaviors and adiposity. Our overarching goal is to develop and evaluate a community based obesity prevention program, which operates at multiple levels of an urban food system (policy, wholesaler, corner stores, carryout, household, individual;in Baltimore, MD), and will improve the healthy food supply chain to increase affordability, availability, purchasing and consumption of healthy foods within low income minority neighborhoods. Our proposed research will include stakeholders/ partners at different levels, e.g., the policy, wholesaler, retailer, adult caregiver, and individual child levels, and then develop, implement, and assess a two year multi-level systems-based child obesity prevention strategy targeting minority and low income children (predominantly AA). Thirty low-income, predominantly AA geographic zones will be identified ("healthy eating zones"). Half of these zones will be randomized to intervention, while the other half will be control. Within each intervention zone we will work with at least 5 small food stores and prepared food sources to increase access to healthy foods through wholesaler discounts, display point of purchase promotional materials, and provide nutrition and food preparation education targeting youth and caregivers. We will work with local policymakers to institutionalize and sustain these changes. The project will evaluate the impact of the program on: a) healthy food pricing and availability, b) low income African American adult food purchasing and preparation, and c) low-income African American youth diet, and associated psychosocial factors. The proposed intervention trial directly addresses the RFA by utilizing a systems-based approach to test and evaluate structural interventions at multiple levels.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54HD070725-03
Application #
8481566
Study Section
Special Emphasis Panel (ZHD1-DSR-A)
Project Start
Project End
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
3
Fiscal Year
2014
Total Cost
$417,067
Indirect Cost
$99,786
Name
Johns Hopkins University
Department
Type
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Lee, Bruce Y; Bartsch, Sarah M; Wong, Kim F et al. (2016) The Potential Trajectory of Carbapenem-Resistant Enterobacteriaceae, an Emerging Threat to Health-Care Facilities, and the Impact of the Centers for Disease Control and Prevention Toolkit. Am J Epidemiol 183:471-9
Xue, Hong; Wu, Yang; Wang, Xiaoyu et al. (2016) Time Trends in Fast Food Consumption and Its Association with Obesity among Children in China. PLoS One 11:e0151141
Barnes, Timothy L; Pelletier, Jennifer E; Erickson, Darin J et al. (2016) Healthfulness of Foods Advertised in Small and Nontraditional Urban Stores in Minneapolis-St. Paul, Minnesota, 2014. Prev Chronic Dis 13:E153
Carnell, S; Pryor, K; Mais, L A et al. (2016) Lunch-time food choices in preschoolers: Relationships between absolute and relative intakes of different food categories, and appetitive characteristics and weight. Physiol Behav 162:151-60
Schwartz, Brian S; Glass, Thomas A; Pollak, Jonathan et al. (2016) Depression, its comorbidities and treatment, and childhood body mass index trajectories. Obesity (Silver Spring) 24:2585-2592
Chodur, Gwen M; Shen, Ye; Kodish, Stephen et al. (2016) Food Environments around American Indian Reservations: A Mixed Methods Study. PLoS One 11:e0161132
Chen, Hsin-Jen; Wang, Youfa (2016) Changes in the Neighborhood Food Store Environment and Children's Body Mass Index at Peripuberty in the United States. J Adolesc Health 58:111-8
Lee, Bruce Y; Bartsch, Sarah M; Wong, Kim F et al. (2016) Beyond the Intensive Care Unit (ICU): Countywide Impact of Universal ICU Staphylococcus aureus Decolonization. Am J Epidemiol 183:480-9
Zhang, Ji; Xue, Hong; Cheng, Xi et al. (2016) Influence of proximities to food establishments on body mass index among children in China. Asia Pac J Clin Nutr 25:134-41
Sato, Priscila M; Steeves, Elizabeth A; Carnell, Susan et al. (2016) A youth mentor-led nutritional intervention in urban recreation centers: a promising strategy for childhood obesity prevention in low-income neighborhoods. Health Educ Res 31:195-206

Showing the most recent 10 out of 94 publications