Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children
Abstract Objective Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar‐sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar‐swe...
Published in: | Journal of Public Health Dentistry |
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Online Access: | http://dx.doi.org/10.1111/jphd.12639 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jphd.12639 |
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crwiley:10.1111/jphd.12639 2024-09-15T18:41:05+00:00 Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children Edwards, Todd C. Randall, Cameron L. Hill, Courtney M. Hopkins, Scarlett Orr, Eliza Cruz, Stephanie Lee, Jeffrey Mancl, Lloyd Chi, Donald L. National Institute of Dental and Craniofacial Research National Institute of Dental and Craniofacial Research 2024 http://dx.doi.org/10.1111/jphd.12639 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jphd.12639 en eng Wiley http://creativecommons.org/licenses/by/4.0/ Journal of Public Health Dentistry ISSN 0022-4006 1752-7325 journal-article 2024 crwiley https://doi.org/10.1111/jphd.12639 2024-08-30T04:12:22Z Abstract Objective Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar‐sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar‐sweetened fruit drinks, and (b) describe behavior changes within a community‐based intervention. Methods Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar‐Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally‐tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self‐efficacy, and behaviors. Results Eighty‐one percent of caregivers gave their children sugar‐sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar‐sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5‐point scale, 5 = strongly agree) it is important to limit sugar‐sweetened fruit drinks. Among a sub‐sample of respondents ( n = 20), we found low to moderate temporal stability in some SFDQ items over a 10–14 day period, indicating respondent ambivalence and/or uncertainty. Conclusions Using community‐based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self‐efficacy, and behavior within a planned intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children. Article in Journal/Newspaper Yup'ik Alaska Wiley Online Library Journal of Public Health Dentistry |
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Wiley Online Library |
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Abstract Objective Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar‐sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar‐sweetened fruit drinks, and (b) describe behavior changes within a community‐based intervention. Methods Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar‐Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally‐tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self‐efficacy, and behaviors. Results Eighty‐one percent of caregivers gave their children sugar‐sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar‐sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5‐point scale, 5 = strongly agree) it is important to limit sugar‐sweetened fruit drinks. Among a sub‐sample of respondents ( n = 20), we found low to moderate temporal stability in some SFDQ items over a 10–14 day period, indicating respondent ambivalence and/or uncertainty. Conclusions Using community‐based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self‐efficacy, and behavior within a planned intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children. |
author2 |
National Institute of Dental and Craniofacial Research National Institute of Dental and Craniofacial Research |
format |
Article in Journal/Newspaper |
author |
Edwards, Todd C. Randall, Cameron L. Hill, Courtney M. Hopkins, Scarlett Orr, Eliza Cruz, Stephanie Lee, Jeffrey Mancl, Lloyd Chi, Donald L. |
spellingShingle |
Edwards, Todd C. Randall, Cameron L. Hill, Courtney M. Hopkins, Scarlett Orr, Eliza Cruz, Stephanie Lee, Jeffrey Mancl, Lloyd Chi, Donald L. Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
author_facet |
Edwards, Todd C. Randall, Cameron L. Hill, Courtney M. Hopkins, Scarlett Orr, Eliza Cruz, Stephanie Lee, Jeffrey Mancl, Lloyd Chi, Donald L. |
author_sort |
Edwards, Todd C. |
title |
Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
title_short |
Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
title_full |
Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
title_fullStr |
Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
title_full_unstemmed |
Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children |
title_sort |
initial development of the sugar‐sweetened fruit drink questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in alaska native children |
publisher |
Wiley |
publishDate |
2024 |
url |
http://dx.doi.org/10.1111/jphd.12639 https://onlinelibrary.wiley.com/doi/pdf/10.1111/jphd.12639 |
genre |
Yup'ik Alaska |
genre_facet |
Yup'ik Alaska |
op_source |
Journal of Public Health Dentistry ISSN 0022-4006 1752-7325 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1111/jphd.12639 |
container_title |
Journal of Public Health Dentistry |
_version_ |
1810485466359660544 |