Telenutrition Center, Mississippi INBRE Community Engagement and Training Core, The University of Southern Mississippi, Hattiesburg, MS, United States of America; School of Health Professions, College of Nursing and Health Professions, The University of Southern Mississippi, Hattiesburg, MS, United States of America.
School of Psychology, Mississippi INBRE Community Engagement and Training Core, The University of Southern Mississippi, Hattiesburg, MS, United States of America.
Contemp Clin Trials. 2024 Nov;146:107683. doi: 10.1016/j.cct.2024.107683. Epub 2024 Sep 3.
Minorities living in the Southern US generally have greater incidence and prevalence of cardiometabolic diseases compared to other groups. Cardiometabolic disease prevalence and risk can be reduced by focusing on diet and lifestyle modifications. There is need for holistic and integrated care models for community-based healthcare organizations who are already working with minorities. This research aimed to select and optimize essential psychosocial and structural components to address diet behaviors among racial/ethnic minorities, and/or disadvantaged background young to middle aged adult populations in Mississippi.
Nutrition360 was guided by a community-academic team using a participatory approach and included a preparation and two optimization phases to examine different approaches to dietary interventions utilizing the multiphase optimization strategy. Each intervention arm included three different modalities to identify the most feasible delivery method. The intervention was conducted at a community-based, outpatient healthcare center located in Jackson, MS. Eligible participants were between 25 and 50 years old, residents of Jackson metropolitan area, at risk for cardiovascular disease-related premature mortality, and had internet access. Individuals who completed baseline surveys were randomly assigned to an intervention group and then to modality order. Co-primary outcomes were research participant burden and cost-effectiveness and secondary outcomes were attendance, and dietary measures.
Thirty-one, African American individuals with a mean age of 40.5 years completed baseline surveys and were randomized to an intervention program.
The two most feasible and cost-effective interventions will be combined to further test this model's delivery in the real-world setting as part of the next optimization phase.
ClinicalTrials.gov, NCT06286618. https://clinicaltrials.gov/study/NCT06286618.
与其他群体相比，居住在美国南部的少数族裔通常患心血管代谢疾病的发病率和患病率更高。通过关注饮食和生活方式的改变，可以降低心血管代谢疾病的患病率和风险。对于已经在为少数族裔服务的社区为基础的医疗保健组织来说，需要有整体和综合的护理模式。本研究旨在选择和优化基本的心理社会和结构成分，以解决密西西比州的少数族裔和/或处于不利背景的年轻至中年成年人的饮食行为问题。
Nutrition360 由一个社区学术团队指导，采用参与式方法，包括准备和两个优化阶段，以利用多阶段优化策略来检查不同的饮食干预方法。每个干预组包括三种不同的方式来确定最可行的交付方式。该干预措施在杰克逊市的一个社区为基础的门诊医疗中心进行。符合条件的参与者年龄在 25 至 50 岁之间，居住在杰克逊大都市区，有患心血管疾病相关早逝风险，并且可以上网。完成基线调查的个人被随机分配到干预组，然后再随机分配到模式顺序。主要研究结果是研究参与者的负担和成本效益，次要结果是出勤率和饮食措施。
31 名平均年龄为 40.5 岁的非裔美国人完成了基线调查，并被随机分配到一个干预计划中。
将两种最可行和最具成本效益的干预措施结合起来，将进一步在真实环境中测试该模型的交付，作为下一优化阶段的一部分。
ClinicalTrials.gov，NCT06286618。https://clinicaltrials.gov/study/NCT06286618。
