Formative Research and Stakeholder Participation in Intervention Development

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Objective: To present a model for using formative research and stakeholder participation to develop a community-based dietary intervention targeting American Indians. Methods: Formative research included interviews, assessment of food- purchasing frequency and preparation methods, and dietary recalls. Stakeholders contributed to intervention development through formative research, a program planning workshop, group feedback, and implementation training. Results: Foods high in fat and sugar are commonly consumed. Barriers to healthy eating include low availability, perceived high cost, and poor flavor. Stakeholder participation contributed to the development of a culturally appropriate intervention. Conclusions: This approach resulted in project acceptance, stakeholder collaboration, and a culturally appropriate program.

Keywords: American Indians; community participation; food store intervention; formative research; obesity

Document Type: Research Article


Affiliations: 1: Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 2: Center for Human Nutrition, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 3: Department of Nutrition, University of Massachusetts, Amherst, MA

Publication date: January 1, 2005

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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