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.

Todd C Edwards, Cameron L Randall, Courtney M Hill, Scarlett Hopkins, Eliza Orr, Stephanie Cruz, Jeffrey Lee, Lloyd Mancl, Donald L Chi
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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.

初步开发了 "含糖水果饮料调查表",用于检查阿拉斯加原住民儿童在减少含糖水果饮料摄入量的干预措施中的信念、知识和行为。
目的:阿拉斯加原住民儿童可能会因为从含糖水果饮料中摄入添加糖而增加龋齿风险。本研究介绍了调查问卷的编制情况,以(a)评估阿拉斯加原住民照顾者对含糖水果饮料的信念、知识和行为,以及(b)描述社区干预措施中的行为变化:问卷开发分三个阶段进行,由阿拉斯加西南部的尤普伊克阿拉斯加原住民照顾者参与:(1) 初步选择和调整问卷项目;(2) 认知测试;(3) 数据收集。含糖水果饮料问卷(SFDQ)包含 31 个文化定制项目,涉及六个方面:信念/价值观、环境/技能、知识、动机、自我效能和行为:81%的照顾者给孩子喝含糖水果饮料。其动机包括:他们从小就喝这种饮料(52%)、很少有其他选择(46%)、让孩子开心(46%)、比汽水更健康(45%)、社区里的其他人也喝(42%)。平均而言,93% 的照顾者认为大量饮用含糖水果饮料会导致儿童龋齿,照顾者同意(5 分制,平均 4.1 分,5 分=非常同意)限制含糖水果饮料的饮用非常重要。在一个受访者子样本(n = 20)中,我们发现在 10-14 天的时间内,SFDQ 的某些项目具有低到中等程度的时间稳定性,这表明受访者存在矛盾和/或不确定性:利用社区参与式研究方法,我们编制了一份符合当地文化的探索性问卷,该问卷将用于描述在减少阿拉斯加原住民儿童含糖水果饮料摄入量的计划干预中,护理人员在知识、信念、态度、自我效能和行为方面的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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