title: A pilot school-based healthy eating and physical activity intervention improves diet, food knowledge, and self-efficacy for native Canadian children.
abstract: The Sandy Lake school-based diabetes prevention program is a culturally appropriate intervention for Ojibway-Cree students in the 3rd, 4th, and 5th grades. This paper reports the results of the program in changing dietary intake behaviors and related psychosocial factors. Physical activity results are not included. The study was a pretest/post-test, single-sample design conducted during the 1998-1999 school year. A total of 122 students completed all 4 measurements (anthropometry, 24-h dietary recall, and 2 questionnaires), at baseline and follow-up. There were significant increases (P < 0.0001) in dietary intention, dietary preference, knowledge, and dietary self-efficacy, and in the curriculum knowledge scale between baseline and follow-up. Intervention exposure was significantly associated with being in the highest category for knowledge about foods that were low in dietary fat [Medium Exposure odds ratio (OR): 3.4; P < 0.05; High Exposure OR: 6.4; P < 0.05], being in the highest category for dietary self-efficacy (Medium Exposure OR: 3.7; P < 0.05; High Exposure OR: 3.9; P < 0.1), being in the highest category for knowledge about curriculum concepts (Medium Exposure OR: 3.4; P < 0.05; High Exposure OR: 9.4: P < 0.01), and for having met the age + 5 g dietary fiber intake/d (Medium Exposure OR: 2.9; P < 0.1; High Exposure OR: 11.0; P < 0.01). Exposure to the intervention was not associated with dietary intent or the percentage of energy from dietary fat. This program was associated with improved knowledge and the psychosocial factors related to healthy eating and dietary fiber intake of students in a remote First Nations community.
authors.affiliation: Department of Kinesiology, University of Maryland, Baltimore, MD, USA. bsaksvig@umd.edu
authors.forename: Brit I
authors.initials: BI
authors.lastname: Saksvig
authors.forename: Joel
authors.initials: J
authors.lastname: Gittelsohn
authors.forename: Stewart B
authors.initials: SB
authors.lastname: Harris
authors.forename: Anthony J G
authors.initials: AJ
authors.lastname: Hanley
authors.forename: Tom W
authors.initials: TW
authors.lastname: Valente
authors.forename: Bernard
authors.initials: B
authors.lastname: Zinman
mesh_terms: D000293:Adolescent; D002170:Canada; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control; D004043:Dietary Fiber; D004435:Eating; D004493:Education; D002149:Energy Intake; D005247:Feeding Behavior / Q000208:ethnology*; D005500:Follow-Up Studies; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007198:Indians, North American; D009043:Motor Activity; D010865:Pilot Projects; D015397:Program Evaluation; D011584:Psychology; D012574:Schools / Q000458:organization & administration; D020377:Self Efficacy