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    A Participatory Process to Engage Appalachian Youth in Reducing Sugar-Sweetened Beverage Consumption

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    Author
    Lane, H.G.
    Porter, K.J.
    Hecht, E.
    Date
    2019
    Journal
    Health Promotion Practice
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/1524839918762123
    Abstract
    Children and adolescents consume excessive amounts of sugar-sweetened beverages (SSBs), which are associated with adverse health outcomes. We describe a yearlong participatory research study to reduce SSBs in Central Appalachia, where excessive consumption is particularly prevalent. This study was conducted in partnership with a community advisory board in Southwest Virginia. Nine "youth ambassadors," aged 10 to 13 years helped to systematically adapt SIPsmartER, an effective theory-based program for Appalachian adults, to be age and culturally appropriate and meet desired theoretical objectives. They then assisted with delivering the curriculum during a school-based feasibility study and led an advocacy event in their community. Satisfaction surveys and feedback sessions indicate that ambassadors found the program acceptable and important for other students. Validated surveys and focus groups suggested that theoretical objectives were met. Findings from these mixed methods sources informed curricular changes to further enhance acceptability and refine theoretical objectives. Participation in follow-up advocacy activities was tracked and described. Following the yearlong study, ambassadors reported having advocacy skills and motivation to continue reducing SSB intake in their community. Results, challenges, and lessons learned are presented to inform larger efforts to enhance acceptability of programs and inspire youth to take action to reduce health disparities in Appalachian communities. Copyright 2018 Society for Public Health Education.
    Keyword
    behavior change theory
    child/adolescent health
    community-based participatory research
    health disparities
    health literacy
    nutrition
    obesity
    rural health
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044569729&doi=10.1177%2f1524839918762123&partnerID=40&md5=748934358ca50f95fd24af9d3d1d95d6; http://hdl.handle.net/10713/10538
    ae974a485f413a2113503eed53cd6c53
    10.1177/1524839918762123
    Scopus Count
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    UMB Open Access Articles 2019

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