Source: ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND, THE submitted to NRP
PARTNERSHIP: ADDRESSING FOOD INSECURITY AND DIETARY BEHAVIORS AMONG COLLEGE STUDENTS AT MINORITY SERVING INSTITUTIONS (MSIS) IN THE UNITED STATES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1030671
Grant No.
2023-69015-40684
Cumulative Award Amt.
$1,046,346.00
Proposal No.
2022-10131
Multistate No.
(N/A)
Project Start Date
Sep 1, 2023
Project End Date
Aug 31, 2026
Grant Year
2023
Program Code
[A1344]- Diet, Nutrition and the Prevention of Chronic Disease
Recipient Organization
ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND, THE
6823 SAINT CHARLES AVE
NEW ORLEANS,LA 70118-5665
Performing Department
(N/A)
Non Technical Summary
Food insecurity and unhealthy dietary behaviors are prevalent among college students--a major segment of the U.S. population--and are associated with poor physical and mental health outcomes and lower academic performance. Low-income and racial/ethnic minority students are at particular risk. Central to AFRI's program goals, this integrated project aims to reduce these inequities through multiple research and educational objectives that will actively engage key stakeholders and focus on policy, systems, and environmental change approaches. Project partners across five universities, including three minority serving institutions (MSIs), will conduct research that will lead to the creation of evidence-based strategies to address food insecurity and unhealthy dietary behaviors among low-income and racial/ethnic minority college students. To do so, we will use multiple methods including: 1) analyzing determinants and correlates of food insecurity and unhealthy dietary behaviors of students at MSIs using a national college health dataset; 2) conducting a policy, systems, and environmental (PSE) assessment consisting of key informant interviews with campus stakeholders, document review, and food environment assessments at 3 MSIs; and 3) implementing focus groups with multiple stakeholder groups to confirm and expand on PSE assessment findings. These methods will be triangulated to create evidence-based recommendations for PSE interventions. Also core to this project will be developing, evaluating, and disseminating educational programming for students based on our research methods and results. We will create three course modules to be delivered asynchronously online, pilot test them, and then disseminate the refined materials widely at MSIs and other colleges and universities nationally.
Animal Health Component
30%
Research Effort Categories
Basic
0%
Applied
30%
Developmental
70%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70460991010100%
Goals / Objectives
The goals and associated objectives of this project are:Goal 1: To conduct research that will inform the design of evidence-based strategies to address food insecurity and unhealthy dietary behaviors among college students in the U.S., particularly low-income and racial/ethnic minority students.Objective #1: To identify determinants and correlates of food insecurity and unhealthy dietary behaviors of college students at MSIs, using national data from the American College Health Association-National College Health Assessment III (ACHA-NCHA III) 2019-2022.Objective #2: To identify policy, systems, and environmental (PSE) levers within MSI college environments which could be used to address food insecurity and unhealthy dietary behaviors of low-income and racial/ethnic minority students.Objective #3: To validate and contextualize the results of the PSE assessment and preliminary recommendations with students, faculty, and administrators of participating colleges and universities.Objective #4: To create evidence-based recommendations for PSE interventions to address food insecurity and unhealthy dietary behaviors of college students at MSIs.Goal 2: To develop, evaluate, and disseminate educational programming for college and university students based on the methods and results of our research.Objective #5: To develop three course modules on methods, food and nutrition security, environmental determinants, and policy and system solutions based on our research. These modules will be designed to be incorporated into a variety of courses at the associate's, bachelor's, and master's degree levels.Objective #6: To implement and evaluate the course modules at the colleges and universities participating in this project.Objective #7: To disseminate the course modules to MSIs and other colleges and universities across the country.
Project Methods
For objective 1,"To identify determinants and correlates of food insecurity and unhealthy dietary behaviors of college students at MSIs" - we will conduct secondary analyses of national data from the American College Health Association-National College Health Assessment III (ACHA-NCHA III), 2019-2022.For objective #2 - "To identify PSE levers within MSI college environments which couldbe used to address food insecurity and unhealthy dietary behaviors of low-income and racial/ethnic minority students" - we will collect different types of data to identify food insecurity- and diet-relevant levers within the policy, systems, and environments (PSE) in each of the campuses included in the study using a collective case study approach. In particular, we will collect data via key informant interviews, policy document reviews, and food environment assessments at each of the MSIs.For objective #3 - "To validate and contextualize the results of the PSE assessment with students, faculty, and administrators of participating colleges and universities" - we will conduct virtual cross-campus focus groups with each type of stakeholder whoparticipated in the key informant interviews, including students, faculty, and administrators.To finalize recommendations for evidence-based PSE approaches to address food insecurity and unhealthy dietary behaviors among MSI students (objective #4), we will triangulate the findings from objectives 1 and 2 and combine them with feedback from the focus groups regarding 1) the comprehensive results, 2) utility of our preliminary recommendations, and 3) additional suggestions provided.For objective #5 - "To develop three course modules on methods, food and nutrition security, environmental determinants, and policy and system solutions based on our research" - we will create 9 hours of content (3 hours per module) that can be deliveredasynchronously in either a standalone or combined fashion depending on instructors' preferences and course goals (e.g., research methods vs. nutrition course).Module content areas will likely include topics related to food insecurity and dietary behaviors among college students, PSE development and implementation methodologies, and key findings and recommendations from the project.For objective #6 - "To implement and evaluate the course modules at the colleges and universities participating in this project" - pilot testing of the course modules will be done at Tulane University, Indiana University, CSUF, Xavier, and the CUNY Bronx Hub.For objective #7 - "To disseminate the course modules to MSIs and other colleges and universities across the country" - refined course modules based on the evaluation and quality improvement procedures,with explicit efforts to reach MSIs. This will be done through 1) direct contacts of the research team and Advisory Group at their own and other institutions; 2) membership based listservs used by faculty (e.g.,the American Schools and Programs of Public Health (ASPPH) Friday Letter); and 3) targeted outreach tocMSI faculty in relevant departments.

Progress 09/01/23 to 08/31/24

Outputs
Target Audience:Activities and accomplishments in the first reporting year targeted multiple audiences: Target audience for research outputs: Researchers who study nutrition and health outcomes, particularly among college students. MSI Partner leads and data collectors at each MSI - ensuring that data collection tools are user friendly and responsive to researcher needs in the field while simultaneously ensuring data collection methods are capturing clearly defined and relevant inputs. Approval for research to go forward: Advisory Board - Inform advisory group of updates, changes and seek technical support for research activities. Human Research Protection Office teams and IRB reviewers - provided the necessary information and comprehensive IRB application for Exempt determination at each institution to proceed with responsible research. Changes/Problems:Changes: Addition of intercept interviewto better contextualize the food environment assessment data by getting input from students. Problems: No serious or insurmountable problems occurred in the first reporting year. As expected, building administration and communication structures took time. Some activities did take longer than anticipated including hiring the Program Manager at Tulane University, subaward execution and the IRB review of the Exempt determination application. What opportunities for training and professional development has the project provided?Tulane Senior Program Manager attended Human Research Protection Training for Researchers, an in-person half day training led by HRP Consultant Group in May 2024. Indiana University PD and two RAs attended "Food insecurity toolkit for educators" webinar, sponsored by the Society for Nutrition Education and Behavior Higher Education Division on April 19th, 2024. Research Assistants at CUNY participated in the Food Justice Leadership Advocacy Program, a workshop designed for prospective research assistants interested in food justice, Human Subjects Research and Human Subjects Research trainings. How have the results been disseminated to communities of interest?Results from the first manuscript were published in the Journal of Nutrition, which is widely accessed by those in the nutrition community. Researchers who study nutrition and food security, particularly on college campuses, as well as those who study minority health outcomes will have access to this work. Further, the paper was deposited in the NAL PubAg repository for public access. Thismanuscript was also disseminated to the project's Advisory Board, composed of researchers and practitioners working on food insecurity and other aligned topics among college students. At California State University, Fullerton (CSUF), the Co-Investigator has integrated discussions of preliminary findings into both graduate and undergraduate classes. These findings highlight key aspects of the campus food environment, including the closure of campus restaurants in the evening and the limited availability of healthy food options in vending machines. What do you plan to do during the next reporting period to accomplish the goals?As per the proposed timeline, we completed objective #1 in Year 1, as explained above, and developed all the tools needed for Objective #2 data collection. The data collection and analysis for Objective #2 - food environment assessment, policy document analysis, and in-depth key informant interviews - is ongoing for Year 2, i.e., the next reporting period. Further, the intercept interviewdescribed above, which was not in the original proposal, will take place Spring 2025 with a goal of about 75 respondents from each of the five campuses. Exempt determinations from university IRBs have been granted at Tulane University, Indiana University, CUNY Lehman, and Xavier University. California State University Fullerton, University of Washington, CUNY Hostos, and CUNY Bronx Community College Exempt applications are in progress. In terms of dissemination, we anticipate the second manuscript mentioned above (focused on institutional factors associated with food insecurity, low fruit and vegetable consumption, and high intake of sugar-sweetened beverages among U.S. post-secondary students) to be published in Year 2. Further, we submitted an abstract to present at the ACHA Annual Meeting in May 2025 on October 2024. If accepted, this presentation will also be a Year 2 activity.

Impacts
What was accomplished under these goals? Operational Framework To conduct research effectively, we established and designed an administrative, communication, and leadership framework to execute the project's goals and objectives for the first year and beyond. The first year is critical for building the administrative foundation of the project. Subaward Agreements: Developed, negotiated, and fully executed signed subaward agreements with two universities for co-project directors--Chaparro at the University of Washington (UW) and Lederer at Indiana University (IU)--and three study sites: Knapp at Xavier University (XU), Nobari at California State University Fullerton (CSUF), and Galvez at City University of New York (CUNY). Senior Program Manager Recruitment: Recruited a Senior Program Manager at Tulane University (the lead site) in March 2024. This role oversees overall project management and coordination, Institutional Review Board (IRB) processes, project reporting, administrative coordination with subcontractors, and communication facilitation across the multi-site team. Team Coordination: Established a structured schedule of meetings to ensure smooth collaboration, including bi-weekly meetings with Core Team members and monthly meetings with the full research team (PDs and Co-Is). Advisory Board Formation: Identified and invited five members to serve on the Advisory Board. The first virtual meeting was held on April 9, 2024, with regular updates provided to board members via email. Research Assistant Recruitment: Two graduate-level research assistants (RAs) were hired at Indiana University in January/February 2024. RAs at IU primarily supported literature reviews and intercept and interview instrument development. The UW Co-Project Director worked with a graduate-level research assistant through the School of Public Health's Top Scholar Award (non-USDA funded). The student contributed to the NIFA-funded project, assisting in developing food environment data collection tools under one-on-one guidance. Recruitment for RA positions at CUNY, CSUF and Xavier took place July/August 2024. CUNY hired one graduate and two undergraduate students in August 2024. In September 2024, Xavier University hired three undergraduate RAs and CSUF hired 2 graduate-level RAs. These efforts have created the conditions necessary to achieve the Year 1 goals and objectives and advance the project successfully into Year 2 and Year 3. Data Analysis (Objective 1) To identify determinants and correlates of food insecurity and unhealthy dietary behaviors of college students at Minority Serving Institutions (MSIs), using national data from the American College Health Association-National College Health Assessment III (ACHA-NCHA III), a secondary analysis of the ACHA-NCHA III data was completed and two manuscripts were produced from the research. The first manuscript focused on comparing the prevalence of food insecurity among students at MSIs and Predominantly White Institutions (PWIs) across three distinct phases: Pre-pandemic (Fall 2019-Spring 2020), Early pandemic (Fall 2020-Spring 2021), Later pandemic (Fall 2021-Spring 2022). This manuscript has been published in the Journal of Nutrition (DOI:10.1016/j.tjnut.2024.06.009) and submitted to the National Agricultural Library (NAL) PubAg repository for public access. The second manuscript explored institutional factors associated with food insecurity, low fruit and vegetable consumption, and high intake of sugar-sweetened beverages among U.S. post-secondary students. This manuscript was submitted to the Journal of the Academy of Nutrition and Dietetics in July 2024 and it is currently under review. By highlighting the influence of institutional contexts and broader circumstances--such as the COVID-19 pandemic--on food security and dietary behaviors, these two manuscripts offer valuable insights to inform policies, programs, and future research. Food Environment Assessment Development (Objective 2) To evaluate the variation in food price and healthfulness across food establishments on each MSI campus, standardized food environment assessment tools were developed. Food environment assessment tools were either adapted from existing tools or created for the seven types of food establishments identified on the 5 campuses which are the focus of this study: restaurants, campus dining facilities, corner stores, food trucks, grab and go, vending machines, and food pantries. These tools were tested at food establishments at each MSI, and feedback was provided to the Core Team that took into consideration the unique environments on each campus. A training manual was created to train student Research Assistants in the use of these tools. Intercept InterviewDevelopment (Objective 2) To complement the food environment audits, the project team initiated the development of an intercept interview instrument in July 2024, which was not originally included in the study design. This intercept interviewis designed to gather students' perspectives on their campus's food environment, information that will be used to orient the stakeholder interviews scheduled for Year 2. IRB Review and Exempt Determination (Objective 2) Tulane University led the initial IRB application process for Exempt determination. The application package was submitted in July 2024, and Exempt status was granted in August 2024. The process involved developing all necessary documents and protocols for submission to the Tulane Human Research Protection Office (HRPO). These included interview recruitment materials, facilitator guides for interviews and focus groups, consent scripts, and the HRPO protocol. All documents and the Exempt determination letter were shared with the Project Directors and Co-Investigators at each partner institution to assist with their IRB application processes.

Publications

  • Type: Peer Reviewed Journal Articles Status: Published Year Published: 2024 Citation: Freije SL, Lederer AM, Rose D, Chaparro MP. A comparison of food insecurity prevalence among students attending minority serving versus predominately white institutions in pre, earlier, and later phases of the COVID-19 pandemic. J Nutr. 2024;154:3125-3132.