Understanding fruit and vegetable intake of Native American children: A mixed methods study

Abstract

Native American children experience greater rates of obesity and risk for chronic diseases in comparison to their counterparts in other ethnic groups. Contributing to this risk may be inadequate consumption of fruits and vegetables. The objective of this study was to investigate the fruit and vegetable consumption of Native American children between the ages of 2 and 5 by using an exploratory sequential mixed methods research design. This study first collected qualitative data from caregivers of Native American children (n = 45) and stakeholders in Native American communities (n = 10) to gain perspectives of fruit and vegetable consumption. Data was then utilized to develop a fruit and vegetable survey which was administered with a fruit and vegetable food frequency questionnaire. These quantitative assessments were administered to caregivers of Native American children (n = 92) to gain an understanding of predictors of fruit and vegetable intake among this population. This study was guided by the Information-Motivation-Behavioral Skills (IMB) model of health behavior. Findings from the mixed methods analysis demonstrate that, while the IMB model may be a useful tool to utilize in explaining the complex relationship between factors that impact fruit and vegetable consumption among Native American children, a revised model may be appropriate to use in future intervention development.

Trust and Food Quality in the Valorisation of Geographical Indication Initiatives

“…The strategy followed during the research (Figure 1) were designed on the basis of the proposals of De Leeuw [62], Dillman et al [63], and Creswell and Clark [64], and enriched with the adaptation in an exploratory sequential design of the flow diagram suggested by Sinley and Albrecht [65].…”

Health Care Provider’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

“…With the connection of HCPs and ECE centers in the community, the opportunity for a strong collaborative partnership is enhanced within tribal infrastructure HCPs and ECEs in AI communities have opportunity to provide complementary messages about healthy behaviors to parents. Parents serve as the primary health influence by role modeling, food preparation, and facilitating physical activity (Cruz et al, 2016;Sinley & Albrecht, 2016). However, parents sometimes fail to make healthy choices for their young children either out of convenience or unawareness (Hughes, Sherman, & Whitaker, 2010).…”

Early Care and Education Teacher’s Role in Obesity Prevention and Healthy Development of Young American Indian Children

“…Parents and HCPs are also integral to the adoption of early childhood healthy behaviors. Parents are behavioral role models and are gatekeepers for the home (Cruz et al, 2016; Sinley & Albrecht, 2016). HCPs are the main source of health information and education for many families (Nelson, Vos, Walsh, O’Brien, & Welsh, 2015); specifically, nurses are already positioned as community health liaisons at the ECE and clinic setting (Turley, Vanek, Johnston, & Archibald, 2018).…”