Diet-related disparities among indigenous youth are driven, in part, by excess sugar-sweetened beverage consumption and limited access to drinking water. Water is K’é targets environmental change at early childhood education (ECE) sites and community-wide systems change to promote a Diné culture of health. ECE sites will select and implement site-based and community-level changes to address three aspects of water security: safety, access, and promotion. The aims of this project are to: 1) Implement Water is K’é and measure its impact on water and SSB consumption among children ages 2 to 5; 2) Measure the impact of Water is K’é on caregivers’ attitudes and behaviors; and 3) Establish a community Advisory Group to improve the intervention and develop PSE recommendations in collaboration with regional stakeholders. Six ECE sites in Northern Navajo Nation will implement Water is K’é with a target population of approximately 120 children and their caregivers. Among children, we will measure water and SSB consumption and body mass index. Among caregivers, we will measure perception of water safety, attitudes toward Diné water traditions, and how often they offer water to children.
Start Date: February 2020
ID #: 86828
Principal Investigator: Sonya Shin, MD, MPH
Organization: The Brigham and Women's Hospital, Inc.
Funding Round: HER Round 12
Child and Adult Care Food Program: Impacts of COVID-19 Differences in Reimbursement Rates on Family Childcare Home Providers, Children, and FamiliesThe Child and Adult Care Food Program (CACFP), the largest U.S. nutrition program for childcare, provides tiered reimbursements to family childcare homes (FCCHs) to serve healthy foods to a large proportion of children from households with low incomes. Due to COVID-19, all FCCHs on CACFP temporarily received the higher Tier I reimbursement rate. The aims More