Long-term impact of home-visiting on SSB intake & early childhood obesity, and effects of emergency COVID-19 water equity efforts on the Navajo Nation

This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also examines point of use water More

Expanding Reach of a Health System Intervention for Family Beverage Choice by Partnering with a Local WIC Program

This study seeks to partner with the local Special Supplemental Nutrition Program for Women, Infants and Children (WIC) to pair an electronic health record (EHR)-based sugar-sweetened beverage screener with a technology-based intervention in order to improve intervention reach and uptake in nutritionally at-risk infants and young children. Specific aims include: (1) Enhance EHR data infrastructure More

Assessing Supplement Nutrition Assistance Program families’ online food purchasing behaviors to inform policies targeting expansion of SNAP benefits

Online grocery services may be a promising strategy to increase food access by creating systems that increase the self-reliance of communities to meet their food needs; however, there may be unintended consequences that should be considered. Despite the potential to increase healthier choices, individuals may purchase more soft drinks and juices online than fresh produce. More

Studying facilitators and barriers in coupon redemption for fruits and vegetables by Nutrition Program for Women, Infants, and Children participants

The Special Supplemental Nutrition program for Women, Infants, and Children (WIC) is a federally-funded nutrition assistance program supporting low-income women, infants, and children. The Farmers Market Nutrition Program (FMNP) provides WIC clients with coupons to purchase fruits and vegetables from approved farmers markets in addition to their regular WIC benefits. Research is inconclusive about the More

Providing actionable evidence for equity-focused strategies to improve diet quality and food security for low-income pregnant women and for infants

Households with children ages 6 and younger are at a particularly high risk of food insecurity (14.3% food insecure). These are also the households in which new pregnancies are most likely to occur. The Special Supplemental Program for Women, Infants, and Children (WIC) is designed to improve the health of low-income pregnant and post-partum women, More

Studying the impact of combining fiscal incentives and disincentives to improve healthy food purchases by low-income households with children

Using economic modeling, this study seeks to advance nutritional equity by identifying ways to lower economic barriers to healthy eating among low-income households with children. This study will identify mechanisms for directing unhealthy food and beverage tax revenues towards healthy incentives, particularly through existing federally-funded, but local and state-run programs such as WIC and SNAP. More

Improving the actionable research base for health equity in breastfeeding by assessing an intervention to increase rates in minority populations

Breastfeeding equity is a critical component of nutrition-related equity. Breastfeeding rates in the United States are strongly correlated with poverty and race. Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a multi-sectoral, policy, system, and environmental initiative which has significantly increased breastfeeding rates among black populations. CHAMPS was launched in Mississippi (MS) in 2014. Since More

Identifying strategies to improve American Indian women’s participation in the federal Nutrition Program for Women, Infants, and Children

This project aims to develop solutions that will increase participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program among Native American communities. Native Americans experience high rates of food insecurity and have higher mortality rates due to diet-related chronic diseases compared to other ethnicities. The WIC program has a strong More

Understanding the lost opportunity of the Child and Adult Care Food Program in improving child nutrition and reducing health inequities

The USDA Child and Adult Care Food Program (CACFP) plays a large role in supporting nutrition in child care settings, specifically targeting these benefits to low-income populations. Foods provided to children participating in CACFP programs must meet specific nutrition standards in order to be reimbursed with federal funds. This study seeks to understand how the More

Evaluating innovations to overcome barriers to equitable access to and use of federal Nutrition Program for Women, Infants, and Children benefits

In King County, WA, food insecurity is pervasive among low-income children and inequitable by race, yet WIC utilization is also low. We propose to evaluate an innovative WIC mobile strategy to be implemented in 2020 to advance nutrition and food security equity. Mobile WIC teams will bring services to non-traditional community settings (e.g., food banks More