Health Promotion Curricula for Obesity Prevention in American Indian Youth

Overseen By Velia L Nuno, PhD

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Northern Arizona University

Disqualifiers: Not in 3rd or 4th grade, allergies, physical limitations

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

120 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Health promotion curricula for obesity prevention in American Indian youth?

The Healthy Children, Strong Families program, which is a culturally tailored health promotion curriculum, has been well-received by American Indian families and promotes healthy eating and physical activity, suggesting it could be effective in preventing obesity among American Indian youth. ^{1 2 3 4 5}

Is the health promotion curriculum for obesity prevention in American Indian youth safe?

The health promotion curriculum, part of the Pathways program, has been implemented in American Indian communities and schools with a focus on promoting physical activity and healthy eating. While the studies do not specifically mention safety concerns, the program has been developed and tested in collaboration with American Indian communities, suggesting it is culturally appropriate and likely safe for use in these settings. ^{6 7 8 9 10}

How is the health promotion curricula treatment for obesity prevention in American Indian youth different from other treatments?

The health promotion curricula treatment is unique because it is culturally tailored for American Indian families, focusing on healthy eating and physical activity through a home-based mentoring model. It respects cultural values and involves community mentors, making it different from standard treatments that may not consider cultural and community-specific factors. ^{1 2 11 12 13}

What is the purpose of this trial?

The goal of this study is to learn if a culturally relevant health promotion curricula prevents obesity among 4th graders in rural tribal schools. The main questions it aims to answer are: 1) Does the health promotion curricula intervention increase diet and physical activity behaviors in 4th grade students? Researchers will compare to 3rd grade classes who will not receive the intervention. All participants will have their skin carotenoids assessed using Veggie Meter, complete 24-hour diet recall via telephone, height and weight measured, answer two surveys about perceptions of their school environment practices and diet patterns at school.

Eligibility Criteria

This trial is for 4th graders in rural tribal schools to see if a health program can prevent obesity. They'll be compared with 3rd graders who won't get the program. Kids will have their skin carotenoids measured, recall what they ate, and have their height and weight checked.

Inclusion Criteria

I can attend the 3-day summer camp.

I can go to the initial health check-up.

Has parental consent

Exclusion Criteria

Youth who have not completed an application with any known allergies or limitations to physical activity will not be included

I am not in the 3rd or 4th grade.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Implementation of health promotion curricula among 4th graders, including culturally tailored health education focused on nutrition and physical activity

9 months

Ongoing school-based activities

Follow-up

Participants are monitored for changes in physical activity, diet, and BMI using various measures such as accelerometers, dietary recalls, and Veggie Meter

4 weeks

Treatment Details

Interventions

• Health promotion curricula

Trial Overview Researchers are testing a culturally tailored health promotion curriculum designed to improve diet and physical activity among American Indian youth. The study aims to determine if this intervention effectively prevents obesity in comparison to no intervention.

Participant Groups

Group I: Intervention group Experimental Treatment 1 Intervention

Health promotion curricula

Group II: Control group Active Control 1 Intervention

No intervention, usual day to day activities

Who Is Running the Clinical Trial?

Northern Arizona University

Lead Sponsor

Trials

36

Recruited

6,300+

University of Arizona

Collaborator

Trials

545

Recruited

161,000+

National Cancer Institute (NCI)

Collaborator

Trials

14,080

Recruited

41,180,000+

Findings from Research

The Healthy Children, Strong Families intervention was developed collaboratively with three Wisconsin tribes to promote healthy eating and physical activity among American Indian preschool children and their caregivers, ensuring cultural relevance.

The program's educational curriculum is based on social cognitive and family systems theories, and it has been well-received, indicating its potential for adaptation and use in other American Indian communities for obesity prevention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Development of a culturally appropriate, home-based nutrition and physical activity curriculum for Wisconsin American Indian families. LaRowe, TL., Wubben, DP., Cronin, KA., et al.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

Development of a culturally appropriate, home-based nutrition and physical activity curriculum for Wisconsin American Indian families. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Factors associated with overweight among urban American Indian adolescents: findings from Project EAT. [2008]

3. United States pubmed.ncbi.nlm.nih.gov

American Indian parents' assessment of and concern about their kindergarten child's weight status, South Dakota, 2005-2006. [2021]

4. England pubmed.ncbi.nlm.nih.gov

&#161;M&#237;ranos! a Comprehensive Preschool Obesity Prevention Program in Low-Income Latino Children: One-year Results of a Clustered Randomized Controlled Trial. [2023]

5. United States pubmed.ncbi.nlm.nih.gov

Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

Design and statistical analysis for the Pathways study. [2022]

7. England pubmed.ncbi.nlm.nih.gov

Process evaluation of a store-based environmental obesity intervention on two American Indian Reservations. [2016]

8. United States pubmed.ncbi.nlm.nih.gov

Pathways: a culturally appropriate obesity-prevention program for American Indian schoolchildren. [2022]

9. England pubmed.ncbi.nlm.nih.gov

Evaluation of the dissemination of SNaX, a middle school-based obesity prevention intervention, within a large US school district. [2021]

10. United States pubmed.ncbi.nlm.nih.gov

Understanding "agency" in the translation of a health promotion program. [2021]

11. Netherlands pubmed.ncbi.nlm.nih.gov

Accuracy of Weight Perception Among American Indian Tribal College Students. [2018]

12. United States pubmed.ncbi.nlm.nih.gov

Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents. [2007]

13. Switzerland pubmed.ncbi.nlm.nih.gov

Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives. [2019]