Food and Nutrition Education in Quilombolas Communities With Food Insecurity: Multi-sector Intervention

Study Overview
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Brief Summary
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To optimize the food security in quilombolas communities with high prevalence of food insecurity and obesity, the present study proposes to test a multi-sector intervention including agriculture sectors, health professionals and family members of communities, based on promotion of traditional food practices, health eating and enforceability of human right to adequate food.

Detailed Description
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The present study proposes to develop nutrition education strategies through multi-sector intervention in order to promote the consumption of healthy foods and improvements in the health status of the quilombola population.This is a non-randomized cluster trial in four quilombolas communities in Southern Brazil (Passo do Lorenço, Algodão, Serrinha do Cristal and Nova Palma), combining qualitative and quantitative methodologies.

Official Title
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Food and Nutrition Education in Quilombolas Communities With Food Insecurity: Intervention Based on Traditional Food Practices, Healthy Eating Promotion and Enforceability of Human Right to Adequate Food

Conditions
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Obesity

Intervention / Treatment
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* Other: Multi-sector interventions
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Quilombolas certified communities in Rio Grande do Sul, Brazil, with higher prevalence of food insecurity and obesity. Exclusion Criteria: Community leaders with no interest in study intervention.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multi-sector interventions<br>Multi-sector interventions Multi-sector interventions to enhance food security: Agricultural interventions are matched with field training for government sectors working with quilombolas communities on best agronomic practices to promote technical assistance for this communities. Stimulate the participation in the Program of Food Acquisition, supporting quilombolas agriculture. For quilombolas participants: nutritional counseling based on traditional healthy cooking practices, using traditional recipes. For health professionals: to strengthen food and nutrition actions at all levels of health care. Food and nutritional education training for primary care health professionals. Helping families to have more knowledge about your citizen rights. | Other: Multi-sector interventions<br>* Multi-sector interventions to enhance food security: Agricultural interventions are matched with field training for government sectors working with quilombolas communities on best agronomic practices to promote technical assistance for this communities. Stimulate the participation in the Program of Food Acquisition, supporting quilombolas agriculture. For quilombolas participants: nutritional counseling based on traditional healthy cooking practices, using traditional recipes. For health professionals: to strengthen food and nutrition actions at all levels of health care. Food and nutritional education training for primary care health professionals. Helping families to have more knowledge about your citizen rights.<br>|
| Placebo Comparator: Control<br>Conventional approach of current public food and nutrition policies. | Other: Control<br>* Placebo Comparator: Conventional approach of current public food and nutrition policies.<br>* Other names: Placebo;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in Brazilian Food Insecurity Scale score |  | 16 weeks after multisector intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improve consumption of healthy foods | Healthy Eating Index (HEI) score. HEI is an indicator of dietary quality developed according to current Brazilian nutritional recommendations. | 16 weeks after multisector intervention | 
| Number of participants who access food programs |  | 16 weeks after multisector intervention | 
| Number of participants that improve knowledge about citizen rights. |  | 16 weeks after multisector intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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food insecurity