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Impact of the Minneapolis Staple Foods Ordinance (STORE)

2019年1月22日 更新者:University of Minnesota

Impact of a Local Staple Foods Ordinance on Food Choice and Calories Purchased

Improving healthy food availability and decreasing the availability of high calorie, low nutrient products, particularly in underserved communities, has been identified as a leading strategy for local governments to prevent obesity. However, policy action in this area to date has been limited. This R01 will examine the impact of a local policy change that establishes minimum stocking criteria for a wide array of healthy foods as a requirement of food store licensing. To our knowledge, this is the only policy of its kind in the US. As such, if it is successful, it could serve as an important model policy for other local governments seeking to increase healthy food availability and prevent obesity through local policy action.

調査の概要

状態

完了

条件

介入・治療

詳細な説明

The aim of this study is to evaluate the impact of a local policy change (i.e., the Minneapolis Staple Foods Ordinance) that establishes minimum stocking criteria for a wide array of healthy foods as a requirement of food store licensing. Recent calls to action from the Institute of Medicine, the Centers for Disease Control and Prevention and other authorities have identified improving access to healthy foods as a primary strategy for local governments to use in advancing obesity prevention efforts, but policy initiatives in this area have been limited. In this study, the impact of the Minneapolis Staple Foods Ordinance will be evaluated by assessing objectively measured changes in: (a) food environments among small- to mid-sized, urban food stores, including availability, promotion, advertising, quality, price, and placement of both healthy and unhealthy foods and beverages, (b) nutritional quality of consumer purchases at small food stores, including assessment of energy density and calories via customer intercept surveys and direct observation of purchases and (c) home food environments, including availability of healthy and unhealthy foods/beverages and an overall home food obesogenicity score, among households that frequently shop at small- to mid-sized stores. These changes will be assessed pre-policy implementation, as well as 4-, 12- and 24-months post-policy implementation, in two Minnesota cities: Minneapolis and St. Paul, (our control community). The proposed scope of work in this study is important because its takes advantage of a unique opportunity to evaluate an innovative local policy addressing a recommended action area for obesity prevention that aligns with key recommendations by leading obesity prevention authorities. To our knowledge, the Minneapolis Staple Food Ordinance is the only policy of its kind in the US, and as such it could serve as an important model policy for other local governments if it is successful.

研究の種類

観察的

入学 (実際)

3488

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Minnesota
      • Minneapolis、Minnesota、アメリカ、55454
        • University of Minnesota, Division of Epidemiology and Community Health

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

サンプリング方法

非確率サンプル

調査対象母集団

Customers exiting small- to mid-size food stores after having purchased a food or beverage item

説明

Inclusion Criteria:

  • Must be 18 years of age or older
  • Must be able to speak and understand English
  • Must have purchased at least one food or beverage item from a randomly selected store that meets the following criteria:
  • Outside the central downtown commercial core
  • Not authorized to accept benefits from the Special Supplemental Nutrition Program for Women, Infants, and Children
  • Valid licensing address
  • >100 square feet of retail floor space
  • Not small vendors in market areas or specialty stores
  • Non-supermarket
  • Permission from store staff to recruit participants

Exclusion Criteria:

  • Not meeting inclusion criteria

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

コホートと介入

グループ/コホート
介入・治療
Minneapolis, Minnesota Customers
Minneapolis, Minnesota has a policy in place whereby minimum quantities and varieties of healthy food are required for all licensed food stores. The policy is our "intervention" condition.
This local policy change (i.e., the Minneapolis Staple Foods Ordinance) establishes minimum stocking criteria for a wide array of healthy foods as a requirement of food store licensing. To our knowledge, it is the first and only policy of its kind in the U.S. This Staple Foods Ordinance requires stores to stock specific types of foods in minimum quantities and varieties, including fruits and vegetables, low-fat dairy, and whole grains. A full list of all requirements can be found online through the City of Minneapolis: http://www.minneapolismn.gov/health/living/eating/staple-foods.
St. Paul, Minnesota Customers
No policy exists in St. Paul, Minnesota. This is the control condition.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Healthy Food Supply (store-level)
時間枠:24 months post-policy implementation (i.e., 12-months post-policy enforcement)
To assess changes in healthy and unhealthy food availability, we will use a tool developed at the Yale Rudd Center for Food Policy and Obesity to evaluate the impact of 2009 Special Supplemental Nutrition Program for Women, Infants, and Children policy revisions in small stores, with minor adaptations to suit the needs of our study (See Andreyeva et al, J Acad Nutr Diet. 2012;112(6):850-858). As detailed in Andreyeva et al, we will create and use an an adapted Healthy Food Supply (HFS) score that summarizes availability, price, quality, and variety in the stores in our sample.We will examine changes in healthy food supply scores over time in stores in our sample in Minneapolis (where the policy is in place, i.e., our "intervention" community) versus those in St. Paul (where no such policy exists, i.e., our "control" community).
24 months post-policy implementation (i.e., 12-months post-policy enforcement)
Calories purchased (customer-level)
時間枠:24 months post-policy implementation (i.e., 12-months post-policy enforcement)
Our staff will examine all foods and beverages purchased (via a "bag check") by participating customers existing stores in our sample and will record item names, product types and weights/sizes. We will conduct detailed nutrient analyses on these purchases to assess total calories purchased and possible changes in calories purchased over time, comparing relative changes in purchasing among participants recruited outside of stores in Minneapolis (where the policy is in place, i.e., our "intervention" community) versus those in St. Paul (where no such policy exists, i.e., our "control" community).
24 months post-policy implementation (i.e., 12-months post-policy enforcement)

その他の成果指標

結果測定
メジャーの説明
時間枠
Healthy home food availability/obesogenicity score (customer-level)
時間枠:24 months post-policy implementation (i.e., 12-months post-policy enforcement)
Trained staffers will visit the homes of participants who report frequently shopping in small- and non-traditional food stores to complete a home food inventory using a validated assessment tool. (See Fulkerson et al, International Journal of Behavioral Nutrition and Physical Activity 2008;5(55).) Data collected using this tool will be used to create a validated summative obesogenicity score, as detailed in Fulkerson et al 2008. Changes in this score will be examined over time.
24 months post-policy implementation (i.e., 12-months post-policy enforcement)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Melissa N Laska, PhD、University of Minnesota

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2014年9月1日

一次修了 (実際)

2017年12月18日

研究の完了 (実際)

2018年11月30日

試験登録日

最初に提出

2016年5月4日

QC基準を満たした最初の提出物

2016年5月16日

最初の投稿 (見積もり)

2016年5月17日

学習記録の更新

投稿された最後の更新 (実際)

2019年1月24日

QC基準を満たした最後の更新が送信されました

2019年1月22日

最終確認日

2019年1月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • 1311S45924
  • 1410S54204 (その他の識別子:University of Minnesota Institutional Review Board)
  • R01DK104348 (米国 NIH グラント/契約)
  • U48DP005022 (米国 NIH グラント/契約)

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

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