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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：
Donald Leslie Chi
金额：
$ 78.1万
依托单位：
UNIVERSITY OF WASHINGTON
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：
https://reporter.nih.gov/project-details/9924503
关键词：
Address Age Alaska Alaska Native American Heart Association American Indians Behavior Behavioral trial Belief Beverages Biological Markers Caregivers Child Chronic Communication Communities Community Health Aides Consumption Data Dental Dental Care Dental caries Development Diet Disease Elements Enhancers Ensure Evidence based program Exercise Family Focus Groups Food Fruit Goals Group Interviews Hair Health Health Promotion Health education Healthy People 2020 Home environment Hour Indigenous Infant Intake Interdisciplinary Study Intervention Lead Learning Life Maintenance Manuals Manuscripts Measures Milk Misinformation Modeling Morbidity - disease rate Mouth Diseases National Institute of Dental and Craniofacial Research Native Americans Oral health Outcome Output Paper Participant Persons Population Price Program Sustainability Public Health Quality of life Research Resources Risk Factors Rural Sampling Schools Selection Bias Self Efficacy Services Social support Structure Systemic disease Taste Perception Testing Time Training Update Vulnerable Populations Water Weight Work Yukon Kuskokwim Yukon-Kuskokwim Delta Yup&apos ik active method arm base behavior change caregiver education community planning early childhood experience health inequalities healthy lifestyle improved indigenous community member middle childhood nutrition primary outcome program dissemination programs recruit research study response social cognitive theory sugar systematic review tool treatment 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