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

NCT03986632 | Unknown DMC

• 1 other identifier: 2018-69001-27544
• Study Type: interventional
• Target: 500
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Childhood Obesity

Keywords

Healthy Eating; Alaska Native; Traditional Foods

Outcome Measures

Primary Outcomes (7)

• Change in age- and sex-specific BMI percentiles and z-scores

  twice annually for 3 years

• Change in child intake of vegetables and fruit

  24-hour recall in combination with a 2-day food record

  twice annually for 3 years

• Change in child intake of vegetables and fruit

  Skin carotenoid meter using reflection spectroscopy (veggie-meter)

  twice annually for 3 years

• Change in child intake of sugar sweetened beverages

  Hair biomarker of sugar using N and C stable isotope ratios

  twice annually for 3 years

• Change in child intake of sugar sweetened beverages

  24-hour recall in combination with a 2-day food record

  twice annually for 3 years

• Change in child screen time

  Screen time questionnaire

  twice annually for 3 years

• Change in child physical activity

  Physical activity questionnaire

  twice annually for 3 years

Secondary Outcomes (3)

• 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

Study Arms (2)

Tundra gifts program

EXPERIMENTAL

Behavioral: Tundra Gifts

Comparison

NO INTERVENTION

Interventions

Tundra Gifts BEHAVIORAL

Tundra Gifts is a home-focused intervention delivered by community health workers (CHW) that focuses on promoting healthy eating and an active lifestyle among 3-5 year olds through family and community partnerships. 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.

Tundra gifts program

Eligibility Criteria

• Age: 3 Years - 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• year old children enrolled in Head Start and their primary caregiver in Yup'ik Alaska Native communities

Sponsors & Collaborators

• University of Alaska Fairbanks: lead
• Pacific Institute for Research and Evaluation: collaborator
• University of Alaska Anchorage: collaborator
• State of Alaska Department of Health and Social Services: collaborator
• Grand Valley State University: collaborator
• Alaska Native Tribal Health Consortium: collaborator

MeSH Terms

Conditions

Pediatric Obesity

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Andrea Bersamin, PhD

CONTACT

(907)474-6129; abersamin@alaska.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: June 2, 2019
• First Posted: June 14, 2019
• Study Start: September 1, 2019
• Primary Completion: May 30, 2022
• Study Completion: May 30, 2022
• Last Updated: June 14, 2019

Record last verified: 2019-06