Multi-level intervention to promote healthy beverage choices among Navajo families

多层次干预促进纳瓦霍家庭选择健康饮料

基本信息

批准号：
10776269
负责人：
Carmen George
金额：
$ 58.03万
依托单位：
BRIGHAM AND WOMEN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-24 至 2028-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10776269
关键词：
6 year old Address Adult Advocate Back Behavior Beverages Body mass index Cardiometabolic Disease Caregivers Child Childhood Chronic Chronic Disease Cluster randomized trial Colonialism Communities Comparative Effectiveness Research Consent Consumption Control Groups Data Dental caries Diabetes Mellitus Diet Diné Nation Disparity Education Educational Curriculum Educational process of instructing Effectiveness Elderly Enrollment Ensure Environment Equity Family Family dynamics Family health status Family member Future Goals Habits Health Health Personnel Home Hypertension Indigenous Individual Intervention Leadership Link Longevity Media Campaign Mentorship Methods Modeling Native-Born Navajo Nutrition Policy Outcome Parents Pattern Personal Satisfaction Population Prediabetes syndrome Randomized Research Reservations Risk Risk Factors Rural Shapes Site Spirituality System Waiting Lists Water aged cardiovascular risk factor cohesion community based participatory research community engagement community involvement design disorder risk drinking water early childhood effective intervention effectiveness study experience family structure group intervention health disparity health equity health equity promotion health literacy indigenous community innovation interest intergenerational member multidisciplinary obesity risk primary caregiver programs prospective protective factors social media sugar sweetened beverage therapy design tribal college tribal community university student water quality

项目摘要

PROJECT ABSTRACT Sugar-sweetened beverage (SSB) consumption in early childhood has profound implications on future health risks into adulthood. Family-based strategies have demonstrated effectiveness in reducing chronic health risk among children, yet few family-based interventions have specifically targeted healthy beverage consumption. This study advances a long-term goal of developing scalable, multi-level interventions to promote intergenerational health among indigenous families. Using community-based participatory methods and an indigenous conceptual framework – the Navajo Wellness Model – we will conduct a cluster randomized trial to study the effectiveness of Water is K’é, an innovative multi-level intervention designed to promote healthy beverage consumption through strengthened connections with Navajo culture, health information and access to reliable drinking water. Early child education sites will be randomly assigned to immediate or delayed intervention. Children enrolled in the programs, their primary caregiver and other family members will be enrolled and followed for 12 months to assess beverage consumption, health outcomes, as well as family cohesion and cultural continuity. Using a mixed methods design, we will explore how intergenerational family dynamics influence the way in which Water is K’é shapes family health and wellbeing. Finally, we will build greater research capacity in among Navajo partners through Community Advisory Group guidance and leadership, as well as mentorship of tribal college students interested in community research.

项目摘要儿童早期的糖粉床（SSB）消费对未来健康有深远的影响冒险成年。基于家庭的策略表明在降低慢性健康风险方面有效在儿童中，但很少有基于家庭的干预措施专门针对健康的床位消费。这项研究提出了一个长期目标，即开发可扩展的多层干预措施以促进土著家庭中的代际健康。使用基于社区的参与方法和土著概念框架 - 纳瓦霍健康模型 - 我们将进行集群随机试验研究水的有效性是K'é，这是一种创新的多层次干预措施，旨在促进健康通过加强与纳瓦霍文化，健康信息和获取的联系，饮料消费可靠的饮用水。早期儿童教育网站将被随机分配给立即或延迟干涉。参加该计划的孩子，他们的主要照顾者和其他家庭成员将是注册并紧随其后的12个月，以评估床位，健康成果以及家庭凝聚力和文化连续性。使用混合方法设计，我们将探讨如何代际家庭动态影响水为K'é的方式会影响家庭健康和福祉。最后，我们将建立通过社区咨询小组指导和领导力以及对社区研究感兴趣的部落大学生的指导。