Reducing Sugared Fruit Drinks in Alaska Native Children
减少阿拉斯加原住民儿童的含糖水果饮料
基本信息
- 批准号:9924503
- 负责人:
- 金额:$ 78.1万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-06-01 至 2022-05-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAgeAlaskaAlaska NativeAmerican Heart AssociationAmerican IndiansBehaviorBehavioral trialBeliefBeveragesBiological MarkersCaregiversChildChronicCommunicationCommunitiesCommunity Health AidesConsumptionDataDentalDental CareDental cariesDevelopmentDietDiseaseElementsEnhancersEnsureEvidence based programExerciseFamilyFocus GroupsFoodFruitGoalsGroup InterviewsHairHealthHealth PromotionHealth educationHealthy People 2020Home environmentHourIndigenousInfantIntakeInterdisciplinary StudyInterventionLeadLearningLifeMaintenanceManualsManuscriptsMeasuresMilkMisinformationModelingMorbidity - disease rateMouth DiseasesNational Institute of Dental and Craniofacial ResearchNative AmericansOral healthOutcomeOutputPaperParticipantPersonsPopulationPriceProgram SustainabilityPublic HealthQuality of lifeResearchResourcesRisk FactorsRuralSamplingSchoolsSelection BiasSelf EfficacyServicesSocial supportStructureSystemic diseaseTaste PerceptionTestingTimeTrainingUpdateVulnerable PopulationsWaterWeightWorkYukon KuskokwimYukon-Kuskokwim DeltaYup&aposikactive methodarmbasebehavior changecaregiver educationcommunity planningearly childhoodexperiencehealth inequalitieshealthy lifestyleimprovedindigenous communitymembermiddle childhoodnutritionprimary outcomeprogram disseminationprogramsrecruitresearch studyresponsesocial cognitive theorysugarsystematic reviewtooltreatment arm
项目摘要
Project Abstract
Yup’ik children in Alaska’s YK Delta consume an average of 50 teaspoons of sugar each day, 16 times the
American Heart Association’s recommended maximum. Most of this sugar is from fruit drinks like Tang and
Kool-Aid consumed at home. Consequently, Yup’ik children experience tooth decay rates that are 16x the U.S.
average and suffer from oral health inequalities compared to children from communities that are better off.
Tooth decay is a multifactorial disease, but our pilot work shows sugared fruit drinks are the key risk factor. YK
Delta communities have expressed a desire to target sugared fruit drinks that continue to harm their children.
This study is a culmination of over 5 years of engaged research within YK Delta communities to co-develop a
culturally-appropriate, feasible, and sustainable program to address persisting public health problems caused
by sugared fruit drinks. We propose a 2-arm quasi-experimental behavioral trial in 3 small, isolated Alaska
Native communities to test the hypothesis that Community Health Worker-led health education and self-
efficacy training for caregivers will decrease child added sugar intake. We will introduce families to sugar-free
water enhancers that will be made available through local stores. The Specific Aims are to: (1) Complete pre-
intervention activities and finalize the intervention; (2) Implement the intervention and assess outcomes; and
(3) Identify intervention improvement opportunities and disseminate findings. This application builds on
previous R56 research by the study team and will for the first time seek to change sugared fruit drink intake in
Alaska Native communities. 3 communities will be assigned to 1 of 2 arms based on the order communities
were recruited into the study. In Communities A and B, 136 Yup’ik children ages 0-10 years will be recruited to
test the 6-month culturally-adapted, 5-session intervention consisting of interactive health education and self-
efficacy training delivered in-person by an indigenous Community Health Worker. In Community C, 56 children
will be recruited to a comparison condition in which health education with the same culturally-adapted content
is delivered by mail. Health education will address misinformation about sugared fruit drinks and promote
sugar-free water enhancers. Self-efficacy training will empower caregivers to sustain behavior change over
time. Local stores in all 3 communities will stock sugar-free water enhancers (Tang, Kool-Aid, and other
popular flavors) as a tool to help shift children from sugared fruit drinks. The primary outcomes at the child
level are sugared fruit drink intake (24-hour food recalls) and added sugar intake (validated, non-invasive
biomarker) and will be measured at baseline and at 1, 3, 6, and 12 months. The Yukon Kuskokwim Health
Corporation will maintain and disseminate the program if it works to address a critical problem facing 15,000+
Alaska Native children in the YK Delta. Moreover, it can be adapted to meet the needs of other populations
with similar problems, including the millions of indigenous children in the Lower 48.
项目摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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减少阿拉斯加原住民儿童的含糖水果饮料
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减少阿拉斯加原住民儿童的含糖水果饮料
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