State: Tribal Nation

Water is K’é: Pilot Results of a Community-based Intervention to Increase Healthy Beverage Consumption by Navajo Preschool Children

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Researchers developed a culturally-grounded intervention to promote healthy beverage consumption among Navajo children aged 2–5 years. This study, which took place from 2021–2023, evaluated prepost changes in beverage habits and caregiver knowledge and attitudes. This was a prospective cohort study with prepost evaluation. Children attending participating early child education sites and their primary caregivers were More

Building a National Research Agenda

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The Robert Wood Johnson Foundation’s (RWJF) commitment to child obesity ends in December 2025, marking the conclusion of a two-decade investment in Healthy Eating Research (HER). As part of our RWJF legacy, HER is developing a national research agenda for policy, systems, and environmental (PSE) interventions and strategies to promote food and nutrition security, optimal More

Testing online ordering and delivery of Special Supplemental Nutrition Program for Women, Infants, and Children foods to rural Indigenous communities

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The need for WIC food delivery solutions has been recognized as a national policy priority to ensure equitable access to WIC benefits. WIC food ordering and delivery has the potential to significantly WIC benefit redemption and health equity on the Navajo Nation, but infrastructure and other contextual factors must be considered in order to implement More

Water Is K’é: Learning from the Navajo Community to Promote Early Child Health

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Drinking water instead of sugary drinks is key to reducing health disparities. Since beverage habits are shaped by complex personal, community, and environmental factors, community input is critical to design any intervention promoting water. The research team worked with community partners to design a program to promote healthy beverage habits among young Navajo children. The More

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

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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 More

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

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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 More

Impacts of Increased Cash-Value Benefit on Inter Tribal Council of Arizona WIC Participants’ Program Utilization and Weight Outcomes

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Systematic evaluations based on objective measures and longitudinal data are needed to demonstrate long-term impacts of the WIC fruit and vegetable cash value benefit (CVB) increases instituted in March 2021, especially among populations disproportionately impacted by the COVID-19 pandemic and experiencing high rates of food insecurity and barriers to WIC participation. This study will assess More

Evaluation of U.S. Department of Agriculture Foods Programs for Households Using Nutrition Guidelines for the Charitable Food System

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U.S. Department of Agriculture (USDA) Foods programs for households are designed to provide nutritious foods at no cost to income-eligible individuals in the United States. Our aim was to evaluate the nutritional quality of the foods available from 3 USDA Foods programs for households (ie, The Emergency Food Assistance Program, Food Distribution Program on Indian More

Water is K’é: A Community-Based Intervention to Increase Healthy Beverage Consumption by Navajo Preschool Children

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This research brief gives an overview of the Water is K’é intervention, conducted among Navajo Nation families. The intervention was delivered by early care and education teachers to households with children ages 2-5, and covered the cultural importance of water, health benefits of water, and alternatives to sugary drinks. At baseline, more than 70% of children already More

A Scoping Review of the Use of Indigenous Food Sovereignty Principles for Intervention and Future Directions

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Indigenous food sovereignty (IFS) represents a community-led movement with potential to reduce health inequities, but no scoping review of the impact of taking an IFS approach on intervention research has been conducted. This review sought to: 1) describe intervention studies that employ IFS principles, and 2) describe the impact of studies using IFS principles on More