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 lowincome 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 #
5U54HD070725-02
Application #
8381557
Study Section
Special Emphasis Panel (ZHD1-DSR-A)
Project Start
Project End
2016-12-31
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
2
Fiscal Year
2012
Total Cost
$466,814
Indirect Cost
$178,657
Name
Johns Hopkins University
Department
Type
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Min, Jungwon; Yan, Alice Fang; Wang, Vivian H C et al. (2018) Obesity, body image, and its impact on children's eating and exercise behaviors in China: A nationwide longitudinal study. Prev Med 106:101-106
Ruggiero, C F; Poirier, L; Trude, A C B et al. (2018) Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention. Health Educ Res 33:458-472
Perepezko, K; Tingey, L; Sato, P et al. (2018) Partnering with carryouts: implementation of a food environment intervention targeting youth obesity. Health Educ Res 33:4-13
Trude, Angela Cristina Bizzotto; Kharmats, Anna Yevgenyevna; Jones-Smith, Jessica C et al. (2018) Exposure to a multi-level multi-component childhood obesity prevention community-randomized controlled trial: patterns, determinants, and implications. Trials 19:287
Bartsch, Sarah M; Asti, Lindsey; Nyathi, Sindiso et al. (2018) Estimated Cost to a Restaurant of a Foodborne Illness Outbreak. Public Health Rep 133:274-286
Garcia, Mariana T; Sato, Priscila M; Trude, Angela C B et al. (2018) Factors Associated with Home Meal Preparation and Fast-Food Sources Use among Low-Income Urban African American Adults. Ecol Food Nutr 57:13-31
Ross, Alexandra; Krishnan, Nandita; Ruggiero, Cara et al. (2018) A mixed methods assessment of the barriers and readiness for meeting the SNAP depth of stock requirements in Baltimore's small food stores. Ecol Food Nutr 57:94-108
Carnell, S; Grillot, C; Ungredda, T et al. (2018) Morning and afternoon appetite and gut hormone responses to meal and stress challenges in obese individuals with and without binge eating disorder. Int J Obes (Lond) 42:841-849
Henry, JaWanna L; Trude, Angela C B; Surkan, Pamela J et al. (2018) Psychosocial Determinants of Food Acquisition and Preparation in Low-Income, Urban African American Households. Health Educ Behav 45:898-907
Min, Jungwon; Zhao, Yaling; Slivka, Lauren et al. (2018) Double burden of diseases worldwide: coexistence of undernutrition and overnutrition-related non-communicable chronic diseases. Obes Rev 19:49-61

Showing the most recent 10 out of 179 publications