Health Care by Food Planning Grant
Amrik Singh Khalsa
Summary
The goal of this study is to learn whether combining healthy food access with personalized tools can help families improve heart health and make lasting lifestyle changes. The main questions the study aims to answer are: * Do the new tools (PRO-CVH and Triple-C) help families improve their heart health? * Which combination of tools and supports works best for families with limited access to healthy food? * Is this type of program easy to carry out and acceptable to families and healthcare teams? Families in the study will include one parent with a BMI greater than 30 who has Medicaid insurance and their child aged 6 to 11 years. Depending on which group they are assigned to, families may: * Receive food and nutrition education via handouts and/or online curriculum * Have access to an online health assessment tool than can help you understand your/your child's risk factors for heart disease * Work with a personalized health coach who can help you set goals for healthier living online/virtually. * Receive medically tailored groceries and cooking classes. Researchers will follow participants for several months to see how their heart health changes and which parts of the program work best together. The information from this study will help design a larger clinical trial to test a practical, cost-effective program that can help families build healthier habits and reduce their risk of heart disease.
Description
Heart disease is one of the leading causes of death in the United States and affects people from low-income communities at higher rates. Families with Medicaid insurance often face food insecurity, limited access to healthy foods, and other barriers that make it difficult to maintain a heart-healthy lifestyle. This study aims to address these challenges by combining nutrition support with behavioral tools that help families make and sustain healthy changes. This study will test several "Food is Medicine" strategies that include medically tailored groceries, nutrition education, and new digita…
Eligibility
- Age range
- 6+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Parent or legal guardian of school-aged child (ages 6 - 11 years of age) * Parent/legal guardian is 18 years or older and the primary caregiver at home * Parent and/or child has an eligible Medicaid insurance plan * Parent is able to read and speak English fluently * Parent has BMI greater than 30 kg/m/m * Ability to consume fruits and vegetables without concerns of any medication-nutrient interactions (for example, warfarin) Exclusion Criteria: * Parent not a legal guardian or the primary caregiver * Non-English speakers * Parent or child is diagnosed with active meta…
Interventions
- BehavioralNutrition Education
Participants will receive handouts and access to an online curriculum for nutrition education. This education will be based on the Great Garden Detective Adventure (GDA) Team Nutrition, a USDA-supported Team Nutrition program that supports the United States Department of Agriculture (USDA) MyPlate guidelines and United States Dietary Guidelines. Educational content includes: increasing fruits and vegetables, improving whole grain intake, increasing water intake and limiting sugar-sweetened and high-fat beverages, selecting lean proteins, limiting sweets, and incorporating 60 minutes of physical activity per day.
- BehavioralPRO-CVH
PRO-CVH is the name of a cardiovascular health assessment and risk communication using a personalized, visual, and health-literacy friendly method. This web-based application is interactive and will assess and communicate cardiovascular health based on participant responses to surveys. The surveys will assess participant cardiovascular health indices based on the American Heart Association's Life's Essential 8 framework, behavioral components to change (e.g., motivation) and environmental barriers.
- BehavioralHealthy Conversation Skills
Healthy Conversation Skills are a behavioral intervention where health coaches and participants engage in conversations that promote change, supporting the client's autonomy in the change process, and goal-setting skills
- BehavioralMedically tailored groceries/cooking classes
Location
- Nationwide Children's HospitalColumbus, Ohio