The 1% or Less Campaign is an effective research-tested program for reducing saturated fat intake by encouraging individuals to switch to low-fat milk. All published studies have been conducted in small communities with mostly White populations. The 6-week intervention included a media campaign, public relations, and taste tests. Campaign effectiveness was measured using sales data and cross-sectional telephone surveys. Survey results showed a significant increase in low-fat milk consumption from 30.2% to 40.8% of milk drinkers (p < .001) with a reduced yet sustained increase at 3 months. This translates to approximately 65,000 people switching to low-fat milk during the campaign with a sustained effect of approximately 32,000 people three months postcampaign. Sales data show an increase of low-fat milk sales from 32.7% to 39.9%. Results are similar to smaller community initiatives, indicating the program is effective in promoting population behavior change but may need booster sessions for sustained effects.

Suicide is a significant health disparity among Alaska Native youth, which is linked to cultural disruptions brought about by colonialism and historical trauma. Many Indigenous suicide prevention efforts center on revitalizing and connecting youth to their culture to promote mental health and resilience. A common cultural approach to improve psychosocial outcomes is youth culture camps, but there has been little evaluation research to test this association. Here, we conduct a pilot evaluation of a 5-day culture camp developed in two remote regions of Alaska. The camps bring together Alaska Native youth from villages in these regions to take part in subsistence activities, develop new relationships, develop life skills, and learn traditional knowledge and values. This pilot evaluation of the culture camps uses a quantitative pre/post design to examine the outcomes of self-esteem, emotional states, belongingness, mattering to others, and coping skills among participants. Results indicate that culture camps can significantly increase positive mood, feelings of belongingness, and perceived coping of participants. Culture camps are a common suicide prevention effort in Indigenous circumpolar communities, and although limited in scope and design, this pilot evaluation offers some evidence to support culture camps as a health promotion intervention that can reduce suicide risk.

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Objective: To investigate the effect of item order on physical activity (PA) estimates using the International Physical Activity Questionnaire – short form (last 7 day) telephone interview (IPAQ-S7T). Method: The IPAQ-S7T was conducted for Time 1 (Hawai`i) and sample 1 (Belgium). Then item order was reversed for Times 2, 3 (Hawai`i), and sample 2 (Belgium). Results: In Hawai`i, vigorous activity levels were higher, walking levels lower for Time 1, compared to Times 2 and 3. Moderate activity was higher at Time 1 than Time 3. The Belgium study reported higher levels of vigorous activity for sample 1, compared to sample 2. Total volume of PA across time points was unchanged for the Hawai`i study, but decreased with reversed items in the Belgium study. Conclusion: Item ordering affects the levels and duration of reported PA using the IPAQ-S7T. This warrants further research on order efficacy and whether other PA measures are affected.

Chronic diseases account for 7 out of 10 deaths in the United States and 60% of the Nation’s health care expenses. Tobacco use, lack of physical activity and poor nutrition account for one third of US mortality. Behavioral surveillance systems such as the Behavioral Risk Factor Surveillance System (BRFSS) provide information on rates of behavior in the population and among different demographic categories. While these systems are essential for health promotion they do not assist the health educator in understanding psychosocial factors which may be related to the rates. A psychosocial surveillance system can aid in understanding the behavior change process and in the readiness of the population for behavior change. Results can assist states and localities in targeting health promotion messages and programs and can help in the allocation of often scarce health promotion funds. In 2000, the Hawaii Department of Health launched the Healthy Hawaii Initiative, a statewide program to reduce tobacco use, increase physical activity, and improve nutrition. As part of the evaluation, researchers at the University of Hawaii implemented a psychosocial surveillance system for the three target behaviors to assess changes in hypothesized mediators including stage of change, self efficacy, attitude and social norms. A random digit dial survey was conducted in the Spring and Fall of 2002 with 4,706 and 4,555 participants, respectively. Results show stability in the demographic characteristics and health behaviors of the sample but changes in the psychosocial variables. Several possible areas for interventions and messaging are demonstrated. A psychosocial surveillance system can be an important tool for health promotion and can lead to better understanding of health behaviors and attitudes.