Group Randomized Trial of Healthy Eating and Gardening Intervention in Navajo Elementary Schools (Yéego!)

Beresford, Shirley A.A.; Ornelas, India J.; Bauer, Mark C.; Garrity, Geraldine; Bishop, Sonia; Francis, Brandon; Rillamas‐Sun, Eileen; Garcia, Linda; Vecenti, Filiberto; Lombard, Kevin

doi:10.1016/j.focus.2022.100033

Cited by 3 publications

(1 citation statement)

References 43 publications

(92 reference statements)

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“…To address these barriers and ultimately reduce risk of obesity and diabetes, a school-based intervention to promote healthy eating and gardening among Navajo children and their families was developed [ 6 ]. Concurrently, the team created a tool to assess intervention efficacy in a subsequent study [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Development of an Assessment Tool to Measure Healthy Eating in Navajo Children and Their Families

Beresford¹,

Rillamas‐Sun²,

Rudd³

et al. 2023

Current Developments in Nutrition

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Section: Introductionmentioning

confidence: 99%

Development of an Assessment Tool to Measure Healthy Eating in Navajo Children and Their Families

Beresford¹,

Rillamas‐Sun²,

Rudd³

et al. 2023

Current Developments in Nutrition

Self Cite

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Impact of a school-based intervention and the COVID-19 pandemic on healthy eating in Navajo families: Results from the Yéego! Healthy eating and gardening intervention trial

Beresford,

Ornelas,

Garrity

et al. 2024

Preventive Medicine Reports

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Process evaluation of the Yéego! Program to increase healthy eating and gardening among American Indian elementary school children

Wilcox,

Bishop,

Francis

et al. 2024

BMC Public Health

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Background American Indian children are at increased risk for obesity and diabetes. School-based health promotion interventions are one approach to promoting healthy behaviors to reduce this risk, yet few studies have described their implementation and fidelity. We conducted a qualitative process evaluation of the Yéego! Healthy Eating and Gardening Program, a school-based intervention to promote healthy eating among Navajo elementary school children. The intervention included a yearlong integrated curriculum, as well as the construction and maintenance of a school-based garden. Methods Our process evaluation included fidelity checklists completed by program staff and qualitative interviews with program staff and classroom teachers after the intervention was implemented. We used content analysis to identify themes. Results We identified several themes related to evidence of delivery adherence, program satisfaction, and lessons learned about delivery. Intervention staff followed similar procedures to prepare for and deliver lessons, but timing, teaching styles, and school-level factors also impacted overall implementation fidelity. Teachers and students had positive perceptions of the program, especially lessons that were highly visual, experiential, and connected to Navajo culture and the surrounding community. Teachers and program staff identified ways to enhance the usability of the curriculum by narrowing the scope, relating content to student experiences, and aligning content with school curriculum standards. Conclusions The program was implemented with moderately high fidelity across contexts. We identified areas where modifications could improve engagement, acceptability, efficacy, and sustainability of the program. Our results have implications for the evaluation and dissemination of school-based health interventions to promote healthy eating among children, especially in American Indian communities.

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Group Randomized Trial of Healthy Eating and Gardening Intervention in Navajo Elementary Schools (Yéego!)

Cited by 3 publications

References 43 publications

Development of an Assessment Tool to Measure Healthy Eating in Navajo Children and Their Families

Development of an Assessment Tool to Measure Healthy Eating in Navajo Children and Their Families

Impact of a school-based intervention and the COVID-19 pandemic on healthy eating in Navajo families: Results from the Yéego! Healthy eating and gardening intervention trial

Process evaluation of the Yéego! Program to increase healthy eating and gardening among American Indian elementary school children

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