ArticleHealth education & behavior : the official publication of the Society for Public Health Education2019
Guardians of the Living Water: Using a Health Literacy Framework to Evaluate a Child as Change Agent Intervention.
Article in Health education & behavior : the official publication of the Society for Public Health Education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Environmental risks and health literacy: a systematic review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Pooled it
- Adolescents as Agents of Parental Healthy Lifestyle Behavior Change: COPE Healthy Lifestyles TEEN Program.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersTrial
- Teacher and Caregiver Perspectives on Water Is K'é: An Early Child Education Program to Promote Healthy Beverages among Navajo Children.International journal of environmental research and public health · 2023Article
- Public Libraries as Supportive Environments for Children's Development of Critical Health Literacy.International journal of environmental research and public health · 2022Article
- Community health literacy outcome measurement practices: A scoping review of recent interventions.Health science reports · 2022Article
- Environmental contaminants and child development: Developmentally-informed opportunities and recommendations for integrating and informing child environmental health science.New directions for child and adolescent development · 2022Article
- Our Relationship to Water and Experience of Water Insecurity among Apsáalooke (Crow Indian) People, Montana.International journal of environmental research and public health · 2021Article
- Expanding Environmental Health Literacy-A Focus on Water Quality and Tribal Lands.Journal of health communication · 2019Article
- Children as Agents of Change: Parent Perceptions of Child-driven Environmental Health Communication in the Crow Community.Journal of health disparities research and practice · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAmerican Indian communities in the United States experience considerable health inequities, including increased exposure to environmental contaminants. Consequently, community members of the Apsáalooke (Crow) Nation identified the lack of water-related environmental knowledge among children as an area of concern.
aimThe purpose of this study was to provide a feasibility evaluation of an increasingly sophisticated environmental health literacy program for children.
methodA community-academic partnership developed and piloted the Guardians of the Living Water program to increase environmental health literacy among children and their families on the Crow reservation. Nutbeam's framework for health literacy, a schema based on functional, interactive, and critical literacy, shaped the program evaluation. We used a within-subjects, quasi-experimental design without a control group. Interviews with children and parents were used to assess the feasibility of the program, while pre-/posttests assessed changes in knowledge, skills, and behavior.
resultsCompared with preintervention responses, those from postintervention indicated significant increases for selected knowledge and attitude components. Based on qualitative interviews with children and caregivers, the camp was a valuable experience and increased knowledge of water quality science and reinforced cultural knowledge. DISCUSSION: This success of our program stems from the trust initially built between partners and then expanded throughout the community. The program and the evaluation benefited from both the health literacy framework and from our integration of Apsáalooke values.
conclusionOur findings suggest that a community-based intervention designed to increase environmental health literacy among youth and their social networks is feasible and acceptable to this American Indian community.
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