Design and Methods of a Participatory Healthy Eating Intervention for Indigenous Children: The FRESH Study

Valarie Blue Bird Jernigan, Tori Taniguchi, Alyson Haslam, Mary B. Williams, Tara L. Maudrie, Cassandra J. Nikolaus, Marianna S. Wetherill, Tvli Jacob, Charlotte V. Love, Susan Sisson

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objective: To increase vegetable and fruit intake, reduce body mass index (BMI), and improve parental blood pressure among American Indian families. Design: Randomized, wait-list controlled trial testing a multi-level (environmental, community, family, and individual) multi-component intervention with data collection at baseline and 6 months post-intervention. Setting: Tribally owned and operated Early Childhood Education (ECE) programs in the Osage Nation in Oklahoma. Participants: American Indian families (at least one adult and one child in a ECE program). A sample size of 168 per group will provide power to detect differences in fruit and vegetable intake. Intervention: The 6-month intervention consisted of a (1) ECE-based nutrition and gardening curriculum; (2) nutrition education and food sovereignty curriculum for adults; and (3) ECE program menu modifications. Main Outcome Measures: The primary outcome is increase in fruit and vegetable intake, assessed with a 24-h recall for adults and plate weight assessments for children. Secondary outcomes included objective measures of BMI among adults and children and blood pressure among adults.

Original languageEnglish
Article number790008
JournalFrontiers in Public Health
StatePublished - 22 Feb 2022


  • American Indian
  • community-based participatory research
  • early childhood intervention
  • gardening intervention
  • Indigenous food sovereignty
  • Indigenous knowledge
  • nutrition intervention
  • vegetable and fruit intake


Dive into the research topics of 'Design and Methods of a Participatory Healthy Eating Intervention for Indigenous Children: The FRESH Study'. Together they form a unique fingerprint.

Cite this