Knowledge, Attitudes, Practice, Nutrition, Healthy, Self Efficacy
Conditions
Brief summary
Despite a large proportion exhibiting cardiovascular disease risk factors and experiencing food insecurity, U.S. Hispanics/Latinos demonstrate low cardiovascular mortality, which may indicate existing capital (e.g., assets) protecting health and diet. The goal of this study is to evaluate the feasibility and short-term efficacy of a pilot intervention aimed at improving diet quality through strengthening food- and diet-related capital and food security among low-income, Hispanic/Latino adults in San Diego, California. The pilot intervention will be integrated into an existing local health or nutrition program serving low-income Hispanic/Latino adults. Participants will be asked to: * Complete questionnaires before and after the intervention * Engage in nutrition education activities * Engage in food access-related activities
Interventions
The behavior-change intervention with low-income Hispanic/Latino adults will mobilize existing sources of human, material, social, and cultural capital at the individual, household, social, and community level, and will include a nutrition education component and a food access component.
Sponsors
Study design
Eligibility
Inclusion criteria
* Self-identified Hispanic/Latino * Living full-time in San Diego County with no plan to move in next 3 months * At or below 200% of Federal Poverty Line
Exclusion criteria
* Not Hispanic/Latino * Living outside San Diego County * Living only part-time in San Diego County * Planning to move out of San Diego County in next 3 months * \>200% of Federal Poverty Line
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diet quality | 3 months | Food Behavior Checklist for Spanish-speaking participants |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Household food security status | 6 weeks, 3 months | U.S. Department of Agriculture 18-item Household Food Security Survey Module |
| Self-efficacy for food security | 6 weeks, 3 months | Self-efficacy for food security scale (Martin et al, 2016) |
| Food resource management knowledge | 6 weeks, 3 months | Expanded Food and Nutrition Education Program (EFNEP) food resource management questionnaire |
| Food resource management skills | 6 weeks, 3 months | Expanded Food and Nutrition Education Program (EFNEP) food resource management questionnaire |
| Material capital | 6 weeks, 3 months | Perceived neighborhood food availability and affordability scale |
| Human capital | 6 weeks, 3 months | Life Orientation Test (optimism subscale) |
| Social capital | 6 weeks, 3 months | Neighborhood cohesion scale |
| Cultural capital | 6 weeks, 3 months | Familism scale |