Initial development of the Sugar-Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.

Autor: Edwards TC; Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA., Randall CL; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA., Hill CM; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA.; Department of Epidemiology, University of Washington, Seattle, Washington, USA., Hopkins S; Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA.; Oregon Health & Science University, Portland, Oregon, USA., Orr E; Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, Alaska, USA., Cruz S; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA., Lee J; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA., Mancl L; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA., Chi DL; Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.; Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA.
Jazyk: angličtina
Zdroj: Journal of public health dentistry [J Public Health Dent] 2024 Dec; Vol. 84 (4), pp. 384-392. Date of Electronic Publication: 2024 Aug 26.
DOI: 10.1111/jphd.12639
Abstrakt: Objective: Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar-sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar-sweetened fruit drinks, and (b) describe behavior changes within a community-based intervention.
Methods: Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar-Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally-tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self-efficacy, and behaviors.
Results: Eighty-one percent of caregivers gave their children sugar-sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar-sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5-point scale, 5 = strongly agree) it is important to limit sugar-sweetened fruit drinks. Among a sub-sample of respondents (n = 20), we found low to moderate temporal stability in some SFDQ items over a 10-14 day period, indicating respondent ambivalence and/or uncertainty.
Conclusions: Using community-based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self-efficacy, and behavior within a planned intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.
(© 2024 The Author(s). Journal of Public Health Dentistry published by Wiley Periodicals LLC on behalf of American Association of Public Health Dentistry.)
Databáze: MEDLINE
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