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Formative research and stakeholder participation in intervention development.

Amy Vastine1, Joel Gittelsohn, Becky Ethelbah

  • 1Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. avastine@jhsph.edu

American Journal of Health Behavior
|December 18, 2004
PubMed
Summary

Developing a community dietary intervention for American Indians using formative research and stakeholder input led to a culturally appropriate and accepted program, addressing barriers like low availability and high cost of healthy foods.

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Area of Science:

  • Community-based participatory research
  • Public health nutrition
  • Indigenous health

Background:

  • Dietary patterns among American Indians often include high consumption of sugar and fat.
  • Barriers to healthy eating include limited access, high cost, and poor taste of nutritious foods.

Purpose of the Study:

  • To outline a model for developing community-based dietary interventions.
  • To emphasize the role of formative research and stakeholder engagement.
  • To target dietary improvements in American Indian communities.

Main Methods:

  • Formative research involved interviews, dietary recalls, and food purchasing assessments.
  • Stakeholders participated through workshops, feedback sessions, and training.
  • A community-based approach was central to intervention design.

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Main Results:

  • Commonly consumed foods are high in fat and sugar.
  • Key barriers identified were low availability, high cost, and poor flavor of healthy options.
  • Stakeholder input was crucial for creating a culturally relevant intervention.

Conclusions:

  • The model fostered project acceptance and strong stakeholder collaboration.
  • The developed intervention was culturally appropriate for the target community.
  • This participatory approach is effective for community health initiatives.