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Teacher and Caregiver Perspectives on Water Is K’é: An Early Child Education Program to Promote Healthy Beverages among Navajo Children

Author

Listed:
  • Carmella B. Kahn

    (College of Population Health, University of New Mexico, Albuquerque, NM 87131, USA)

  • Brianna John

    (Division of Global Health Equity, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Community Outreach and Patient Empowerment Program, Gallup, NM 87301, USA)

  • Sonya S. Shin

    (Division of Global Health Equity, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Community Outreach and Patient Empowerment Program, Gallup, NM 87301, USA)

  • Rachel Whitman

    (Division of Global Health Equity, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Community Outreach and Patient Empowerment Program, Gallup, NM 87301, USA)

  • Asia Soleil Yazzie

    (Community Outreach and Patient Empowerment Program, Gallup, NM 87301, USA)

  • Renee Goldtooth-Halwood

    (Notah Begay III Foundation, Albuquerque, NM 87004, USA)

  • Ken Hecht

    (Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, CA 94607, USA)

  • Christina Hecht

    (Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, CA 94607, USA)

  • Laura Vollmer

    (Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, CA 94607, USA
    Cooperative Extension, Division of Agriculture and Natural Resources, University of California, Davis, CA 95618, USA)

  • Malyssa Egge

    (Community Member, Bluff, UT 87512, USA)

  • Nora Nelson

    (DigDeep, Los Angeles, CA 90021, USA)

  • Kerlissa Bitah

    (T’iis Nazbas Community School, Teec Nos Pos, AZ 86514, USA)

  • Carmen George

    (Division of Global Health Equity, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Community Outreach and Patient Empowerment Program, Gallup, NM 87301, USA)

Abstract

The Water is K’é program was developed to increase water consumption and decrease consumption of sugar-sweetened beverages for young children and caregivers. The pilot program was successfully delivered by three Family and Child Education (FACE) programs on the Navajo Nation using a culturally centered curriculum between 2020 to 2022. The purpose of this research was to understand teacher and caregiver perspectives of program feasibility, acceptability, impact, and other factors influencing beverage behaviors due to the pilot program. Nine caregivers and teachers were interviewed between June 2022 and December 2022, and a study team of four, including three who self-identified as Navajo, analyzed the data using inductive thematic analysis and consensus building to agree on codes. Five themes emerged, including feasibility, acceptability, impact, suggestions for future use of the program, and external factors that influenced water consumption. The analysis showed stakeholders’ strong approval for continuing the program based on impact and acceptability, and identified factors that promote the program and barriers that can be addressed to make the program sustainable. Overall, the Water is K’é program and staff overcame many challenges during the COVID-19 pandemic to support healthy behavior change that had a rippled influence among children, caregivers, teachers, and many others.

Suggested Citation

  • Carmella B. Kahn & Brianna John & Sonya S. Shin & Rachel Whitman & Asia Soleil Yazzie & Renee Goldtooth-Halwood & Ken Hecht & Christina Hecht & Laura Vollmer & Malyssa Egge & Nora Nelson & Kerlissa Bi, 2023. "Teacher and Caregiver Perspectives on Water Is K’é: An Early Child Education Program to Promote Healthy Beverages among Navajo Children," IJERPH, MDPI, vol. 20(17), pages 1-18, August.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:17:p:6696-:d:1230436
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    References listed on IDEAS

    as
    1. R. Brian Woodbury & Scott Ketchum & Vanessa Y. Hiratsuka & Paul Spicer, 2019. "Health-Related Participatory Research in American Indian and Alaska Native Communities: A Scoping Review," IJERPH, MDPI, vol. 16(16), pages 1-26, August.
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