Tundra Gifts: Harvesting Local And Regional Resources To Prevent Obesity Among Alaska Native Children In Remote, Underserved Communities

Not Applicable

• Conditions: Childhood Obesity
• Interventions: Behavioral: Tundra Gifts

• Registration Number: NCT03986632
• Lead Sponsor: University of Alaska Fairbanks

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2019-06
• Study First Submitted: 2019-06-02
• Study First Submitted QC: 2019-06-12
• Last Update Submitted: 2019-06-12
• Study First Posted: 2019-06-14
• Last Update Posted: 2019-06-14
• Study Start: 2019-09-01
• Primary Completion: 2022-05-30
• Study Completion: 2022-05-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 500

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Tundra gifts program	Tundra Gifts	-

Primary Outcome Measures

Name	Time	Method
Change in child screen time	twice annually for 3 years	Screen time questionnaire
Change in child intake of vegetables and fruit	twice annually for 3 years	Skin carotenoid meter using reflection spectroscopy (veggie-meter)
Change in child physical activity	twice annually for 3 years	Physical activity questionnaire
Change in age- and sex-specific BMI percentiles and z-scores	twice annually for 3 years
Change in child intake of sugar sweetened beverages	twice annually for 3 years	24-hour recall in combination with a 2-day food record

Secondary Outcome Measures

Name	Time	Method
Change in adult intake of vegetables and fruit	twice annually for 3 years	skin carotenoid meter using reflection spectroscopy (veggie-meter)
Change in adult BMI	twice annually for 3 years
Change in adult attitudes and beliefs around healthy eating and active lifestyle	twice annually for 3 years	Attitudes and beliefs questionnaire