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Cited by 14Food Security and Health in Diverse PopulationsIndigenous Health, Education, and RightsNutrition, Health and Food Behavior

Development and Implementation of a Hybrid Online and In-Person Food Sovereignty and Nutrition Education Curriculum for Native American Parents: The FRESH Study

Open access
Haslam, Alyson, Love, Charlotte, Taniguchi, Tori, Williams, Mary B., Wetherill, Marianna S., Sisson, Susan, Weedn, Ashley E., Jacob, Tvli +1 more·2023·Health Education & Behavior
DOI 10.1177/10901981211067168PMC PMC9981305
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Abstract

The Food Resource Equity and Sustainability for Health (“FRESH”) study is an Indigenous-led intervention to increase vegetable and fruit intake among Native American children. As part of this study, we developed a hybrid (online and in-person) food sovereignty and nutrition education curriculum for the parents of these children. This 16-week curriculum was developed to promote household- and community-level healthy eating and food sovereignty practices to parents of preschool-aged children residing in Osage Nation, Oklahoma. A total of 81 parent/caregivers participated in the curriculum component of the FRESH study, with a median age of 34 years (range: 23–54 years). Most study participants were female (88.9%) and less than half (45.7%) had an annual household income of more than US$50,000. Most were married or had a significant other (76.5%) and worked full-time (65.4%). The median total number of children in the home <18 years of age was three (range: 1–8). Participation among the 94 parents was 56% during the first week and was 12% in the final week. Having some college or technical training (vs. having a college degree) and having an annual household income of US$20,000–US$50,000 (vs. more than US$50,000) were associated with fewer sessions attended ( p = 0.004 and 0.02, respectively) Being married (vs. not) was associated with higher attendance ( p < .0001). Participation in a hybrid food sovereignty and nutrition education curriculum for parents was generally low, but income, education, and marital status were associated with curriculum participation. Our research adds to the literature by describing the development and implementation of this curriculum and recommendations for future research incorporating Indigenous approaches to health.

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  • Some Native Serving Organizations, including Sacred Path Indigenous Wellness Center, have begun to offer hybrid programming to their clients and have found it to be a successful way to engage families in different aspects of their services.

    “Some Native Serving Organizations, including Sacred Path Indigenous Wellness Center, have begun to offer hybrid programming to their clients and have found it to be a successful way to engage families in different aspects of their services (Haslam et al., 2023; Kaufman et al., 2016).”

    From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Haslam et al., 2023

    The Methods describe a hybrid online and in-person curriculum for Native American parents. The paper does not identify Sacred Path Indigenous Wellness Center or establish that organizations successfully used hybrid programming to engage families across their services. Its Discussion instead describes overall participation as modest and engagement as lower than expected, although in-person attendance was higher than online attendance. (LLM, conf=0.87)

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Research works printed but not linked: 2

  1. Institute of First Nations Development. (2014). Food Sovereignty Assessment Tool (2nd ed.).
  2. Los Angeles County Department of Public Health. (2015). Healthy parenting workshops. http://www.choosehealthla.com/wp-content/uploads/2016/09/PDF-6-Healthy-Parenting-Workshops-2nd-Edition-English-Toolkit.pdf

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Authors
Haslam, A., Love, C., Taniguchi, T., Williams, M. B., Wetherill, M. S., Sisson, S., Weedn, A. E., Jacob, T., & Blue Bird Jernigan, V.
Affiliations
  • University of California, San Francisco (US)
  • Oklahoma State University (US)
  • University of Oklahoma - Tulsa (US)
  • Oklahoma State University, Tulsa, OK, USA
Corresponding author
Haslam, Alyson
ORCID
Venue
Health Education & Behavior
Publisher
SAGE Publications
Published
2022-01-07
Volume
50
Issue
3
Pages
430-440
ISSN
  • 1090-1981 (ISSN-L)
  • 1552-6127
DOI
10.1177/10901981211067168
PMC
PMC9981305
OpenAlex
W4205230228
Cited by
14
References
40
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3
FWCI
2.87
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Health Education & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute on Minority Health and Health Disparities (R01MD011266)
Topics
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
food sovereignty, nutrition education, parent education, fruit and vegetable intake, preschool children, Native American children, Osage, healthy eating, curriculum implementation, barriers to participation, household income, marital status, educational attainment
MeSH terms
Adult, Child, Child, Preschool, Curriculum, Female, Health Education, Humans, Male, Middle Aged, Parents, Vegetables, American Indian or Alaska Native, Young Adult

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