Tundra Gifts: Harvesting Local And Regional Resources To Prevent Obesity Among Alaska Native Children In Remote, Underserved Communities
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 500
- Primary Endpoint
- Change in child physical activity
Study Overview
Brief Summary
The long-term goal of this community based participatory research project is to prevent obesity in 3-5 year old Alaska Native children in remote communities.
Investigators will design and evaluate a culturally responsive, home-focused intervention, Tundra Gifts, that links early childhood education programming (i.e. Head Start) and federal food assistance programs (i.e. WIC and SNAP) with primary caregivers to support healthy eating and an active lifestyle using a cluster-randomized design. The intervention integrates behavior change theory with Indigenous traditional knowledge. Primary caregivers will attend monthly interactive education session, receive a monthly gift basket that includes resources and supplies to support behavior change at home and receive ongoing social support through a Facebook site. Investigators will also evaluate key process indicators of Tundra Gifts to understand the impact on outcomes of variations in persons and settings and to enhance the generalizability of findings.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 3 Years to 5 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •3-5 year old children enrolled in Head Start and their primary caregiver in Yup'ik Alaska Native communities
Exclusion Criteria
- Not provided
Arms & Interventions
Tundra gifts program
Intervention: Tundra Gifts (Behavioral)
Comparison
Outcomes
Primary Outcomes
Change in child physical activity
Time Frame: twice annually for 3 years
Physical activity questionnaire
Change in age- and sex-specific BMI percentiles and z-scores
Time Frame: twice annually for 3 years
Change in child intake of vegetables and fruit
Time Frame: twice annually for 3 years
24-hour recall in combination with a 2-day food record
Change in child intake of sugar sweetened beverages
Time Frame: twice annually for 3 years
Hair biomarker of sugar using N and C stable isotope ratios
Change in child screen time
Time Frame: twice annually for 3 years
Screen time questionnaire
Secondary Outcomes
- Change in adult attitudes and beliefs around healthy eating and active lifestyle(twice annually for 3 years)
- Change in adult BMI(twice annually for 3 years)
- Change in adult intake of vegetables and fruit(twice annually for 3 years)
Investigators
Andrea Bersamin
Associate Professor
University of Alaska Fairbanks