Food Resource Equity and Sustainability for Health

NCT03251950 | Completed

• 1 other identifier: R01MD011266
• Study Type: interventional
• Target: 522
• Locations: 1 country
• Sites: 1

Brief Summary

Food insecurity increases the risk of obesity, diabetes, hypertension, and cancer. American Indians (AIs) in Oklahoma are three times as likely as Whites to be food-insecure (21% vs. 7%) and have burdens of obesity (42%), hypertension (38%), and diabetes (15%) that exceed those of the general US population. While individual-level obesity prevention efforts have been implemented with AIs, few environmental interventions to reduce food insecurity and improve fruit and vegetable intake have been conducted with tribal communities. Community gardening interventions have been shown to increase vegetable and fruit intake, reduce food insecurity, and lower BMI among children and adults; however, to date, no such interventions have been evaluated with AI families. The proposed study, entitled "Food Equity Resource and Sustainability for Health (FRESH)," will assess the impact of a tribally-initiated community gardening intervention on vegetable and fruit intake, food insecurity, BMI, and blood pressure in families living on the Osage Nation reservation in Oklahoma.

Conditions

BMI; Blood Pressure

Keywords

Vegetable and fruit intake

Outcome Measures

Primary Outcomes (1)

• Vegetable and fruit intake among children aged 3-5

  Targeted quarter cup increase in vegetable and fruit intake per day

  Measured before and after the 15 week intervention

Study Arms (2)

Intervention group

EXPERIMENTAL

15 week healthy eating and gardening curriculum to be implemented in Osage Nation Early Childhood Programs; 15 week healthy eating parenting curriculum to be implemented online to parents of enrolled children

Behavioral: healthy eating and gardening

Control group

OTHER

Wait list control -- to receive intervention after serving as wait list group

Behavioral: healthy eating and gardening

Interventions

healthy eating and gardening BEHAVIORAL

15 week healthy eating and gardening intervention for children aged 3-5 years; 15 week online parenting intervention to promote healthy eating; Menu change in early childhood center to promote healthy eating

Control group; Intervention group

Eligibility Criteria

• Age: 3 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• American Indian Children aged 3-5 who attend one of the Osage Nation Early Childhood Programs
• Parents of American Indian children who are aged 18 years and older and whose children are enrolled in Osage Nation Early Childhood Programs

Sponsors & Collaborators

• Oklahoma State University Center for Health Sciences: lead
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

Oklahoma State Univeristy Center for Health Sciences

Tulsa, Oklahoma, 74106, United States

Location

Related Publications (3)

• Patel D, Sisson SB, Sleet K, Rickman R, Love C, Taniguchi T, Sisk M, Jernigan VBB. Changes in Meal and Menu Quality at Early Care and Education Programs after Training with Food Service Staff: the FRESH Study. Curr Dev Nutr. 2023 Feb 20;7(3):100040. doi: 10.1016/j.cdnut.2023.100040. eCollection 2023 Mar.

  PMID: 37181935 DERIVED

• Sleet K, Sisson SB, Dev DA, Love C, Williams MB, Hoffman LA, Jernigan VBB. The Impact of Responsive Feeding Practice Training on Teacher Feeding Behaviors in Tribal Early Care and Education: The Food Resource Equity and Sustainability for Health (FRESH) Study. Curr Dev Nutr. 2019 Sep 20;4(Suppl 1):23-32. doi: 10.1093/cdn/nzz105. eCollection 2020 Jan.

  PMID: 32258996 DERIVED

• Sisson SB, Sleet K, Rickman R, Love C, Bledsoe A, Williams M, Jernigan VBB. Impact of the 2017 Child and Adult Care Food Program Meal Pattern Requirement Change on Menu Quality in Tribal Early Care Environments: The Food Resource Equity and Sustainability for Health Study. Curr Dev Nutr. 2019 Aug 29;4(Suppl 1):12-22. doi: 10.1093/cdn/nzz094. eCollection 2020 Jan.

  PMID: 32258995 DERIVED

MeSH Terms

Interventions

Diet, Healthy; Gardening

Intervention Hierarchy (Ancestors)

Diet; Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Horticulture; Agriculture; Technology, Industry, and Agriculture

Study Officials

• Valarie BB Jernigan, DrPH

  Oklahoma State University Center for Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 14, 2017
• First Posted: August 16, 2017
• Study Start: August 22, 2017
• Primary Completion: June 30, 2018
• Study Completion: June 30, 2018
• Last Updated: March 19, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)