- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT02774330
Impact of the Minneapolis Staple Foods Ordinance (STORE)
2019년 1월 22일 업데이트: 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.
연구 개요
상세 설명
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.
연구 유형
관찰
등록 (실제)
3488
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Minnesota
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Minneapolis, Minnesota, 미국, 55454
- University of Minnesota, Division of Epidemiology and Community Health
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
예
연구 대상 성별
모두
샘플링 방법
비확률 샘플
연구 인구
Customers exiting small- to mid-size food stores after having purchased a food or beverage item
설명
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
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
개입 / 치료 |
|---|---|
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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.
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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.
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St. Paul, Minnesota Customers
No policy exists in St. Paul, Minnesota.
This is the control condition.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Healthy Food Supply (store-level)
기간: 24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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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).
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24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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Calories purchased (customer-level)
기간: 24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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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).
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24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Healthy home food availability/obesogenicity score (customer-level)
기간: 24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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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.
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24 months post-policy implementation (i.e., 12-months post-policy enforcement)
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
협력자
수사관
- 수석 연구원: Melissa N Laska, PhD, University of Minnesota
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Caspi CE, Winkler MR, Lenk KM, Harnack LJ, Erickson DJ, Laska MN. Store and neighborhood differences in retailer compliance with a local staple foods ordinance. BMC Public Health. 2020 Feb 4;20(1):172. doi: 10.1186/s12889-020-8174-2.
- Laska MN, Caspi CE, Lenk K, Moe SG, Pelletier JE, Harnack LJ, Erickson DJ. Evaluation of the first U.S. staple foods ordinance: impact on nutritional quality of food store offerings, customer purchases and home food environments. Int J Behav Nutr Phys Act. 2019 Sep 18;16(1):83. doi: 10.1186/s12966-019-0818-1.
- Caspi CE, Lenk K, Pelletier JE, Barnes TL, Harnack L, Erickson DJ, Laska MN. Association between store food environment and customer purchases in small grocery stores, gas-marts, pharmacies and dollar stores. Int J Behav Nutr Phys Act. 2017 Jun 5;14(1):76. doi: 10.1186/s12966-017-0531-x.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2014년 9월 1일
기본 완료 (실제)
2017년 12월 18일
연구 완료 (실제)
2018년 11월 30일
연구 등록 날짜
최초 제출
2016년 5월 4일
QC 기준을 충족하는 최초 제출
2016년 5월 16일
처음 게시됨 (추정)
2016년 5월 17일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2019년 1월 24일
QC 기준을 충족하는 마지막 업데이트 제출
2019년 1월 22일
마지막으로 확인됨
2019년 1월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- 1311S45924
- 1410S54204 (기타 식별자: University of Minnesota Institutional Review Board)
- R01DK104348 (미국 NIH 보조금/계약)
- U48DP005022 (미국 NIH 보조금/계약)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
아니요
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .