title: Qualitative investigation of factors contributing to effective nutrition education for Navajo families.
abstract: OBJECTIVE
  Obesity rates in American Indian and Alaskan Native children are a major health threat, yet effective ways to address this remain elusive. Building on an earlier dietary assessment of Navajo Head Start families which indicated a gap in parental nutrition awareness despite a strong program emphasis, the aim of this project was to identify culturally relevant nutrition education strategies for Navajo parents and educators of young children.
  
  
  METHODS
  Eight focus group interviews were conducted with 41 parents and early childhood education paraprofessionals to identify contributors to both healthful and unhealthy food ways of Navajo preschoolers.
  
  
  RESULTS
  were presented in two community venues to verify the themes and discuss implications. Results Barriers to healthful eating included availability/cost, parenting/control, preferences/habits, time pressures, and knowledge/education. Enablers to healthful eating included the categories of schools/education, and support/modeling. Reactions to these findings during community forums suggested (1) the need for stronger parenting and parental control over the food environment; (2) community-level action to address these barriers; and (3) the need for knowledge and culturally relevant educational strategies for caregivers and children.
  
  
  CONCLUSIONS
  Implications for interventions include building upon existing community resources to enhance culturally relevant and respectful parental, family, and community support for affordable and acceptable food experiences and choices for young children and their families.
authors.affiliation: Department of Food Science and Human Nutrition, Colorado State University, 234 Gifford Building, Fort Collins, CO 80523, USA. lcsabo@cahs.colostate.edu
authors.forename: Leslie
authors.initials: L
authors.lastname: Cunningham-Sabo
authors.forename: Mark
authors.initials: M
authors.lastname: Bauer
authors.forename: Shirley
authors.initials: S
authors.lastname: Pareo
authors.forename: Shirleen
authors.initials: S
authors.lastname: Phillips-Benally
authors.forename: Julia
authors.initials: J
authors.lastname: Roanhorse
authors.forename: Linda
authors.initials: L
authors.lastname: Garcia
mesh_terms: D001130:Arizona; D002648:Child; D002669:Child Welfare / Q000706:statistics & numerical data; D002675:Child, Preschool; D054626:Consumer Health Information / Q000706:statistics & numerical data*; D004522:Educational Status; D005247:Feeding Behavior; D005260:Female; D017144:Focus Groups; D006801:Humans; D007198:Indians, North American / Q000193:education / Q000706:statistics & numerical data*; D008297:Male; D017145:Models, Educational; D009516:New Mexico; D009752:Nutritional Status; D036301:Qualitative Research