Start Date: November 2016

ID #: 74132

Principal Investigator: Allison Barlow, MA, MPH

Co-Principal Investigator: Raymond Reid, MD

Organization: John's Hopkins University

Funding Round: Round 10

See more related research


Reservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are to: 1) assess the impact of a home-visiting module, Family Spirit Nurture (FSN), on SSB introduction/frequency and optimal complementary and responsive feeding practices between 3 and 9 months post-partum, and 2) assess the impact of water insecurity on SSB consumption among infants between 3 and 6 months post-partum. The study will be a randomized 1:1 controlled trial with 136 mother-infant dyads. AI mothers and children ages 1-3 months living <50 miles from the Northern Navajo Medical Center in Shiprock, NM, on the Navajo Nation will be enrolled in the study. Mothers will be randomized to FSN or a control condition and complete evaluations at baseline (<3) and 4, 6, and 9 months post-partum. Outcome measures include maternal feeding and nutrition knowledge; introduction/frequency of infant SSB consumption; complementary and responsive feeding practices collected via self-assessment or structured interview; and BMI z-score, obtained through medical chart reviews.

Related Research

November 2020

Effect of a Home-Visiting Intervention to Reduce Early Childhood Obesity Among Native American Children

The objective of this study was to assess the impact of a brief home-visiting approach, Family Spirit Nurture (FSN), on sugar-sweetened beverage (SSB) consumption, responsive parenting and infant feeding practices, and optimal growth through 12 months post partum. This study was a 1:1 randomized clinical trial comparing FSN with an injury prevention education control condition More

April 2024

Height and Weight Measurement and Communication With Families in Head Start: Developing a Toolkit and Establishing Best Practices

Head start (HS) programs are required to collect children’s height and weight data. Programs also communicate these results to families. However, no standardized protocol exists to guide measurements or communicate results. The purpose of this article was to describe the development of a measurement toolkit and best practices for communication. HS programs contributed to the More

March 2024

Centering equity in FDA regulation: Front-of-package food label effects in Latino and limited English proficiency populations

This project aims to determine the front-of-package label design that is most effective at helping Latino consumers identify and choose healthier products. The project also aims to explore whether the benefits of front-of-package design differ by English proficiency. Participants will include 4,000 US adults of parental age (18-55 years old) who identify as Latino. Participants More