title: Formative research and stakeholder participation in intervention development.
abstract: OBJECTIVE
  To present a model for using formative research and stakeholder participation to develop a community-based dietary intervention targeting American Indians.
  
  
  METHODS
  Formative research included interviews, assessment of food- purchasing frequency and preparation methods, and dietary recalls. Stakeholders contributed to intervention development through formative research, a program planning workshop, group feedback, and implementation training.
  
  
  RESULTS
  Foods high in fat and sugar are commonly consumed. Barriers to healthy eating include low availability, perceived high cost, and poor flavor. Stakeholder participation contributed to the development of a culturally appropriate intervention.
  
  
  CONCLUSIONS
  This approach resulted in project acceptance, stakeholder collaboration, and a culturally appropriate program.
authors.affiliation: Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. avastine@jhsph.edu
authors.forename: Amy
authors.initials: A
authors.lastname: Vastine
authors.forename: Joel
authors.initials: J
authors.lastname: Gittelsohn
authors.forename: Becky
authors.initials: B
authors.lastname: Ethelbah
authors.forename: Jean
authors.initials: J
authors.lastname: Anliker
authors.forename: Benjamin
authors.initials: B
authors.lastname: Caballero
mesh_terms: D001294:Attitude to Health; D003132:Commerce; D004033:Diet Fads; D005246:Feedback; D005518:Food Preferences; D058870:Food, Organic; D006293:Health Promotion; D006801:Humans; D009765:Obesity / Q000517:prevention & control / Q000628:therapy*; D016730:Program Development; D012107:Research Design; D013663:Teaching / Q000379:methods