Developing a novel, food-based intervention to improve nutritional health and ageing in older South Asian and Black African and Caribbean communities living in the UK – co-produced research project

ISRCTN ISRCTN71874112
DOI https://doi.org/10.1186/ISRCTN71874112
Submission date
27/01/2025
Registration date
30/01/2025
Last edited
24/06/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Nutrition is an important factor in healthy ageing, and a healthy diet from midlife onwards can improve the quality of life in older age. People from South Asian or Black Caribbean and African communities are affected by a lot of diet-related conditions such as diabetes, high blood pressure and heart disease at earlier stages in their older age than those of White British origin. Certain ways of eating such as following the Mediterranean Diet have been shown to reduce the risk of these diseases. However, people from South Asian or Black Caribbean and African communities may prefer to maintain their traditional diets or adapt the Western diet to include traditional elements. We need to better understand the cultural food habits to be able to develop nutrition approaches that work, specifically targeting these communities and helping people to live healthily for longer. The overall aim of this research project is to work with communities to co-produce a novel food-based intervention to improve nutrition and promote healthy ageing in UK South Asian and Black Caribbean and African older adults.

Who can participate?
Older adults aged 60 years and over from South Asian and Black African and Caribbean backgrounds living in the UK can participate in the qualitative study.

What does the study involve?
This study will use a 'co-production' approach, which is research undertaken by researchers with people who have a direct interest in, or experience of, the issue being researched. We will collaborating with project leads and public involvement/engagement members from four community third-sector organisations, who will be involved in all stages of the research project - from reviewing study materials, undertaking recruitment and data collection, helping to interpret the study findings, and helping to develop the toolkit of recommendations. There will be two methods of data collection and analysis. Firstly, we will analyse large national datasets of survey data to explore dietary practices. Secondly, through interviews, focus groups and photographs taken by participants, we will explore the day-to-day diets of older adults from these communities. We want to understand which factors help to maintain a culturally based diet and the role of food in maintaining social relationships and traditions, as well as the barriers to achieving these. Using the information collected from this study, we will work with stakeholders and project partners to develop sustainable, culturally inclusive food solutions that promote better nutrition and healthy ageing that can be used by services and policy makers.

What are the possible benefits and risks of participating?
Whilst there are no immediate benefits to you participating in the project, it is hoped that this work will help us understand factors that influence nutrition in different communities and will help us to develop a toolkit to improve nutrition and promote healthy ageing in older adults of South Asian and Black Caribbean and African origin in the UK.
Whilst we do not anticipate any risks in taking part in this study, there is a possibility that talking about experiences with food and health may generate emotional responses.

Where is the study run from?
Bournemouth University (UK)

When is the study starting and how long is it expected to run for?
September 2023 to September 2025

Who is funding the study?
Medical Research Council - UK Research and Innovation

Who is the main contact?
Pooja Shah, shahp@bournemouth.ac.uk

Study website

Contact information

Dr Pooja Shah
Public, Scientific

Bournemouth Gateway Building
Bournemouth University
St Pauls Lane
Bournemouth
BH8 8GP
United Kingdom

ORCiD logoORCID ID 0000-0001-5101-8129
Phone +44 (0) 1202 524111
Email shahp@bournemouth.ac.uk
Prof Jane Murphy
Principal Investigator

Bournemouth Gateway Building
Bournemouth University
St Pauls Lane
Bournemouth
BH8 8GP
United Kingdom

ORCiD logoORCID ID 0000-0003-3531-5566
Phone +44 (0) 1202 524111
Email jmurphy@bournemouth.ac.uk

Study information

Study designMixed methods: Secondary quantitative analysis of large national datasets and qualitative visual ethnographic study across multiple sites
Primary study designObservational
Secondary study designQualitative research
Study setting(s)Charity/Voluntary sector, Community, Home
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleTANGERINE - nuTritional heAlth aNd aGeing in oldER ethnIc miNoritiEs
Study acronymTANGERINE
Study objectivesThere is limited data exploring factors influencing healthy dietary practices and a dearth of well-designed nutrition interventions specifically targeting ethnic communities. Through co-production, we aim to:
1. Investigate the key determinants (e.g. socio-economic, environmental, psychosocial, and physical) of nutrition, dietary behaviour, and food insecurity during midlife and how these vary between ethnic groups through secondary analysis of key UK national datasets.
2. Use photovoice as a novel approach to qualitatively explore dietary practices in older adults from Black African and Caribbean, Indian, Pakistani, and Bangladeshi communities in Greater Manchester and Bournemouth, Christchurch and Poole.
3. Work with key stakeholders and community and faith groups to co-produce sustainable and culturally inclusive food solutions that promote better nutrition and healthy ageing.
Ethics approval(s)

Approved 19/06/2024, Bournemouth University Research Ethics (Bournemouth University, Fern Barrow, Poole, Dorset, Bournemouth, BH12 5BB, United Kingdom; +44 1202 524111; researchethics@bournemouth.ac.uk), ref: 56768

Health condition(s) or problem(s) studiedDietary practices in older adults from diverse communities
InterventionWork Package (WP) 1: covers all three aspects of the study hypothesis. Work with community third-sector organisations (project partners) to Identify public involvement and engagement members to advise on research process, materials, and dissemination.

WP2a: Quantitative secondary data analysis of large national datasets (UK Biobank and Understanding Society) to investigate diet quality and factors which influence the diet of South Asian and Black African and Caribbean adults from midlife onwards.

WP2b: Qualitative visual ethnographic study of older (aged 60 years or over) adults from South Asian and Black African and Caribbean communities living in the UK. Focus groups, one-to-one interviews, and photographs will be used to explore current dietary habits and practices.

WP3: Work with stakeholders and community groups to mobilise new knowledge generated from WP1 and WP2 to inform the co-production of sustainable and culturally inclusive food solutions that will be a benchmark for services, policies and practices to support nutritional health and promote healthy ageing in older adults from diverse communities.
Intervention typeOther
Primary outcome measureWe will be using a qualitative visual ethnographic approach called ‘Photovoice’, whereby participants will take photographs to document, reflect upon, and communicate issues of concern, while stimulating social change. In the first focus group we will discuss perspectives on food and nutrition, including access to and use of traditional ingredients. Over the next two weeks, participants will be tasked with capturing photographs that tell stories through food. Then, during one-to-one interviews, participants will use the photos to discuss the role of food in their lives. Participants will choose one or two photographs to discuss in the second focus group to create discussion around culture, food choices, and challenges/barriers to accessing food.
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date29/09/2023
Completion date28/09/2025

Eligibility

Participant type(s)Healthy volunteer, Health professional, Other
Age groupAdult
Lower age limit60 Years
SexBoth
Target number of participants50 participants for WP2b; 20 stakeholders for WP3.
Key inclusion criteriaWP2b: Older adults aged 60 years and above from South Asian and Black African and Caribbean communities in the UK.

WP3: Stakeholders from different professions with experience in diet and nutrition in older age: NHS, voluntary/private organisations, commercial organisations, entrepreneurs and policy makers.
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment01/07/2024
Date of final enrolment31/07/2025

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Bournemouth University
Poole House
Talbot Campus, Fern Barrow
Poole
BH12 5BB
United Kingdom

Sponsor information

Bournemouth University
University/education

Fern Barrow
Bournemouth
BH12 5BB
England
United Kingdom

Phone +44 (0)1202 524111
Email ascott@bournemouth.ac.uk
Website https://www.bournemouth.ac.uk
ROR logo "ROR" https://ror.org/05wwcw481

Funders

Funder type

Research council

Medical Research Council
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planThe results will be shared at both national and international conferences. Academic papers from all three work packages (WPs) will be submitted to high-impact journals for open-access publication. The researchers will collaborate with community partners to create research summaries that are community-focused and accessible, and toolkits that are culturally-relevant and inclusive.
IPD sharing planThe datasets generated and/or analysed during this study will be securely stored in a restricted-access repository at Bournemouth University. The raw data will remain confidential and accessible only to the core research team. Full anonymised study datasets will be accessible only to named members of the immediate research team, and authorised representatives from the Sponsor or host institution for monitoring and audit purposes to ensure regulatory compliance. Personal data will not be shared with any third parties.

Editorial Notes

24/06/2025: The recruitment end date was changed from 30/06/2025 to 31/07/2025.
27/01/2025: Trial's existence confirmed by Bournemouth University.