**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** FOOD INSECURITY IS STRONGLY ASSOCIATED WITH INCREASED PREVALENCE OF TYPE 2 DIABETES (T2D) IN U.S. ADULTS. T2D REPRESENTS A PARTICULAR CHALLENGE TO LOW-INCOME FOOD INSECURE PEOPLE, WHO OFTEN LACK RESOURCES TO MANAGE THIS DIET-SENSITIVE CHRONIC DISEASE. EFFORTS TO IMPROVE THE FOOD SECURITY AND NUTRITIONAL HEALTH OUTCOMES OF INDIVIDUALS WITH T2D MUST ENGAGE THE PROBLEM AT MULTIPLE LEVELS. THE DELIVERING HEALTH PROJECT INTEGRATES INNOVATIVE RESEARCH, EXTENSION, AND EDUCATION ACTIVITIES IN ARKANSAS, A HIGH-NEED STATE, LEVERAGING RESOURCES OF A MEDICAL SCHOOL (UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES) AND ARKANSAS'S COOPERATIVE EXTENSION SERVICE. GUIDED BY STAKEHOLDER INPUT, THIS PROJECT HAS THREE OBJECTIVES AIMED AT IMPROVING THE NUTRITIONAL HEALTH AND SELF-SUFFICIENCY OF LOW-INCOME FOOD INSECURE PEOPLE WITH T2D: 1. IMPLEMENT AND EVALUATE AN INTERVENTION USING HOME-DELIVERY OF T2D-APPROPRIATE FOOD BOXES THAT INCLUDE PLAIN LANGUAGE ADAPTED EDUCATION MATERIALS AIMED AT IMPROVING DIETQUALITY, PHYSICAL ACTIVITY, AND HEALTH OUTCOMES OF LOW-INCOME FOOD INSECURE PEOPLE WITH T2D. 2. IMPLEMENT, DISSEMINATE, AND EVALUATE EXTENSION MATERIALS--INCLUDING A TOOLKIT AND CURRICULUM--TO ENGAGE FOOD PANTRIES IN SUPPORTING THE HEALTH OF THEIR CLIENTS WITH T2D. 3. IMPLEMENT AND EVALUATE AN EDUCATION MODULE TO IMPROVE GRADUATE MEDICAL, NURSING, AND PHARMACY STUDENTS' READINESS TO SUPPORT THE HEALTH OF FOOD INSECURE INDIVIDUALS AT RISK FOR T2D AND OTHER DIET-SENSITIVE CHRONIC DISEASES. THESE OBJECTIVES ARE BASED ON TWO USDA NIFA PROGRAM AREA PRIORITIES: WE EXPECT TO 1) IMPROVE FOOD SECURITY AND NUTRITIONAL HEALTH OUTCOMES FOR LOW-INCOME PEOPLE THROUGH EVIDENCE-BASED APPROACHES TO HEALTHY EATING AND ACTIVE LIVING LIFESTYLE PROGRAMS AND 2) IMPLEMENT AND EVALUATE INNOVATIVE STRATEGIES TO IMPROVE EATING PATTERNS THAT PREVENT CHRONIC DISEASE.
$991,099FY2020National Institute of Food and AgricultureUSDA
University Of Arkansas For Medical Sciences