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A multi-component intervention in the hunger relief network to improve diet among adults experiencing food insecurity

Award Number: R01HL136640
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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ABSTRACT The overarching goal of this application is to evaluate the health impact of an intervention targeting the hunger relief network and the clients with food insecurity it serves. The long-term goal of this work is to reduce nutrition-related health disparities by intervening on a system that serves individuals at high risk for chronic disease. In 2014, an estimated 14% of U.S. households experienced food insecurity (i.e., they lacked access to enough food for an active, healthy life for all household members). Large numbers of low-income, racial/ethnic minority, and immigrant families who experience food insecurity rely on a hunger relief network that includes food banks and food pantries. Pantry clients have demonstrated poor nutritional outcomes, high chronic disease rates, and dissatisfaction with the quality and cultural-appropriateness of food offered. Unlike other food assistance programs, there are currently no standards on the nutritional quality of pantry offerings, but recent work by our study team demonstrated the need to improve the healthfulness of hunger relief network inventory. We proposed an evaluation of a randomized, sustainable intervention in 8 intervention and 8 control pantries. We will enroll 272 clients at baseline and follow them for 1 year to assess changes in overall diet quality (the primary outcome). Working with our food bank partners, the intervention at the pantry level targets the supply of nutritious foods, through policy and practice changes and capacity-building. At the client level, the intervention targets healthy food demand, using behavioral economic and educational approaches. Measured outcomes include overall diet quality (the primary outcome), as assessed by the Healthy Eating Index-2010 (HEI), the nutritional quality of foods selected at the food shelf visit, and cardiovascular disease health (assessed by the American Heart Association's Life's Simple 7 scores). The study will also evaluate the impact of a multilevel intervention on the nutritional quality of pantry offerings, measured by a Hunger Relief Nutrition Index. The study also aims to improve implementation of policies and practices that promote a nutrition-focused hunger relief network, as assessed by survey and key informant interviews. As an exploratory aim, the study will evaluate the cultural appropriateness of pantry foods and services, given the burden of poor food access on minority, immigrant, and refugee families. After a 1-year needs assessment, an intervention will be conducted in 2 waves in Years 2-3. Years 4-5 will be focused on analysis and local and regional dissemination through channels supported by our partnering agencies. This work capitalizes on a palpable local momentum towards improving the hunger relief system. Research aims address the need for a system- wide approach to improving the hunger relief network and evaluation of its impact on client outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$2,515 )
2024	2021	UNIVERSITY OF CONNECTICUT	438 WHITNEY RD EXTENSION UNIT 1133	STORRS	CT	06269	TOLLAND	USA	Cardiovascular Diseases Research	000	6	12/18/2023	NON-COMPETING CONTINUATION	-$2,515
														Subtotal = -$2,515

Issue Date FY: 2023 ( Subtotal = -$22,456 )
2023	2020	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	4	2/27/2023	NON-COMPETING CONTINUATION	-$22,456
														Subtotal = -$22,456

Issue Date FY: 2021 ( Subtotal = $397,357 )
2021	2021	UNIVERSITY OF CONNECTICUT	438 WHITNEY RD EXTENSION UNIT 1133	STORRS	CT	06269	TOLLAND	USA	Cardiovascular Diseases Research	002	6	3/30/2021	NON-COMPETING CONTINUATION	$397,357
2021	2020	UNIVERSITY OF CONNECTICUT	438 WHITNEY RD EXTENSION UNIT 1133	STORRS	CT	06269	TOLLAND	USA	Cardiovascular Diseases Research	001	5	11/28/2020	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$312,966
2021	2020	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	4	11/27/2020	NON-COMPETING CONTINUATION	-$312,966
														Subtotal = $397,357

Issue Date FY: 2020 ( Subtotal = $574,603 )
2020	2020	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	4	3/17/2020	NON-COMPETING CONTINUATION	$574,603
														Subtotal = $574,603

Issue Date FY: 2019 ( Subtotal = $708,624 )
2019	2019	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	001	3	3/16/2019	NON-COMPETING CONTINUATION	$708,624
2019	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	2	12/12/2018	NON-COMPETING CONTINUATION	$0
														Subtotal = $708,624

Issue Date FY: 2018 ( Subtotal = $703,462 )
2018	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	001	2	6/8/2018	NON-COMPETING CONTINUATION	$14,070
2018	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	2	3/23/2018	NON-COMPETING CONTINUATION	$689,392
2018	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	002	2	8/24/2018	NON-COMPETING CONTINUATION	$0
														Subtotal = $703,462

Issue Date FY: 2017 ( Subtotal = $685,706 )
2017	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Cardiovascular Diseases Research	000	1	4/10/2017	NEW	$685,706
														Subtotal = $685,706

Grand Total All Awards = $3,044,781

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A multi-component intervention in the hunger relief network to improve diet among adults experiencing food insecurity

Award Number: R01HL136640

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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