Formative research and stakeholder participation in intervention development.
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.
Vastine
Amy
A
Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. avastine@jhsph.edu
Gittelsohn
Joel
J
Ethelbah
Becky
B
Anliker
Jean
J
Caballero
Benjamin
B
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