Source: NAVAJO NATION TRIBAL GOVERNMENT, THE submitted to
NAVAJO GARDENING, NUTRITION AND COMMUNITY WELLNESS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
0226007
Grant No.
2011-38424-30757
Project No.
ARZE-2011-02054
Proposal No.
2011-02054
Multistate No.
(N/A)
Program Code
ZY
Project Start Date
Sep 1, 2011
Project End Date
Feb 28, 2014
Grant Year
2011
Project Director
Bauer, M. C.
Recipient Organization
NAVAJO NATION TRIBAL GOVERNMENT, THE
1 CIRCLE DR
TSAILE,AZ 86556-9998
Performing Department
Science Division
Non Technical Summary
This feasibility study addresses the issues of nutrition, health and rural development that are of significant importance in the population of the Navajo Nation. Increases in risk factors for diabetes and cardiovascular disease are clearly related to nutritional and activity lifestyles that could be addressed with interventions based in agriculture and rural development activities. This research aims to develop a needs assessment instrument that can be used to ascertain Navajo families' interest, resources, activities, barriers and attitudes relating to gardening as a means of addressing nutrition and physical activity to improve health outcomes. The primary population to be impacted by this project consists of Navajo families living in two different areas of the Navajo Nation: Shiprock, NM and Tsaile, AZ. Shiprock is the largest community on the Navajo Reservation, and also has a tradition of farming based on irrigation from the San Juan River. There are also many families who do not have access to irrigated land. Tsaile is more centrally located within Navajo, and is much less densely populated. These areas are close to the largest campuses of Dine' College, whose Land Grant Office, faculty and students will be impacted as they conduct this household gardening study and develop ideas for new interventions and extension outreach materials and activities. The approach being applied here consists of a community needs assessment with some nutrition and physical activity measures. However, the kind of interventions that can be developed could be very unique, involving students from the community in the research, and other community professionals in the analysis and determination of interventions, and where transgenerational family groups take action together. The model of drawing from area college students and engaging them in research in their own communities is a definite contrast with how most research internships have worked for Native American students. Outcomes include: 1) development of extension programming that is informed by local data; 2) development of student research and internship opportunities; 3) improvements to the health and development of the Navajo population through the involvement of Navajo professionals in the development and use of the research; and 4) increased capacity among faculty of the Navajo tribal college and its Land Grant staff for developing and conducting community surveys and developing programs based on the findings.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
90360993020100%
Goals / Objectives
This project is a feasibility study to develop a community-based participatory research project to gather community assessment data to plan interventions to promote wellness through gardening and nutrition in the Navajo Nation. The project will reflect close collaboration and cooperation between Dine' College faculty, led by PI Mark Bauer, the Dine' College Land Grant Programs, and New Mexico State University, through Co-PI Kevin Lombard. All phases of the project will be guided by a local stakeholders group, to include representation from local youth programs, senior programs, tribal health and agriculture programs and IHS Health Promotions, among others, to ensure that project activities are closely attuned to the culture and people from whom we expect to gain insights that ultimately contribute to effective interventions to increase nutrition and wellness over time within the Navajo Nation. Students trained in research methods through the college's Summer Research Enhancement Program will participate in carrying out the research aims. Aim 1. To consolidate a community-based advisory group that will serve an essential role in planning and guiding all project activities. Aim 2. To develop and test a needs assessment instrument for Navajo communities to determine community-based priorities related to gardening, nutrition and wellness among youth, adults and elders. This work will include assessment of level of interest, barriers, priorities, recommended strategies, and methods to elicit community participation in interventions to utilize gardening initiatives to promote wellness. During the first year the advisory committee will be recruited and organized to assist with input to the staff in the development of the needs assessment instrument, students will receive research training, and 60 interviews will be completed. During the second year analysis of the completed interviews will be used to improve the survey and make recommendations for sampling. The feasibility project will result in a full research proposal to conduct the community assessment using the newly developed instrument.
Project Methods
During the first 6 months of the project the staff will work with the community advisory group to develop an interview protocol following the scope and content recommended. It will include questions in the following areas: 1) attitudes and interest in gardening and learning about nutrition; 2) past and current gardening and farming activities, and which family members are involved; 3) access to land, water, tools, skills for gardening at home or in the community; 4) knowledge of gardening, and its connection to nutrition, family economics; 5) nutritional assessment through food frequency questionnaires to see if gardening activity impacts noticeably on nutrition; and 6) demographic questions about distance from various resources, household size and resources, ages and gender of family members. Students recruited and trained through coursework of the Summer Research Enhancement Program will assist with pilot testing the interview protocols and sampling procedures. During the remainder of the first year the staff and students will conduct 30 interviews in the Shiprock, NM community and 30 interviews total from individuals in the Tsaile, Wheatfield, Lukachukai, AZ communities, and perform the data entry and data cleaning that will be required. During the second year, the full analysis of the pilot assessment instrument will be done, to determine its suitability to be used in Navajo communities to identify factors associated with more or less gardening, and for any nutrition differences that could result from that. The community advisory group will meet regularly (at least monthly) to assist with consideration of the findings and compiling recommendations in terms of questions, content, wording, and translation of the instrument. A full research proposal will be developed to use the newly developed assessment instrument with a larger sample based on the findings of the pilot testing of the assessment instrument and the recommendations of the community advisory committee.

Progress 09/01/11 to 02/28/14

Outputs
Target Audience: One critical target audience for the project was a cross-section of community residents of four different areas of the Navajo Nation: two of the areas on the eastern side of the Navajo Nation (in northwest New Mexico) and two towards the central portion of the Navajo Nation (in northeastern Arizona). The communities differed in altitude, remoteness, access to water, employment and language use. On the Eastern side of the reservation there are extensive land areas traditionally farmed with some working irrigation systems, while on the more central part there is much smaller areas suitable for that purpose. The project gathered data from 120 Navajo residents altogether, 30 respondents from each of the four communities. During the analysis and dissemination of the target audience consisted of a variety of groups: FALCON participants in research from other tribal colleges and universities, Navajo Nation public health professionals through presentations at annual meetings, and local Navajo tribal college students, staff and faculty as well as community members in the towns around our campuses in New Mexico and Arizona. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Four undergraduate students participated in the project during the summer of 2012. They were provided with three weeks of instruction that earned them 4 credits for PUH 290 Public Health Research Methods. They spent the next 7 weeks enrolled in PUH 297 Public Health Research Methods Practicum ( 3 credits)in which they assisted in modifying the survey, piloting the survey, and then conducting the survey in the four communities with 30 respondents in each community. Two of the students presented project results an national conferences: Deina Barton at the FALCON 2012 Annual Conference in Albuquerque, NM, and Tristin Moone at the 2012 Annual Meeting of the American Public Health Association in San Francisco, CA and at the 2013 FALCON Annual Conference held in Washington, D.C. Felix Nez, Diné College's Extension Agent, participated in the project and assisted in the two FALCON meeting presentations, and thus enhanced his experience with research and analysis. How have the results been disseminated to communities of interest? 1. Navajo Gardening, Nutrition and Community Wellness, Mark C. Bauer, Kevin Lombard, Felix Nez, and William Bighorse. First Americans Land-grant Consortium (FALCON) 2012 Annual Conference, Albuquerque, New Mexico, October 28, 2012. 2. Navajo Gardening Project: Why Garden?, Deina Michel Barton. First Americans Land-grant Consortium (FALCON) 2012 Annual Conference, Albuquerque, New Mexico, October 28, 2012. 3. Assessment of Interests, Resources, Barriers and Attitudes Towards Gardening as a Wellness intervention Method in Four Navajo Nation Communities, Tristin Moone, Mark Bauer, and Kevin Lombard. 2012 Annual Meeting of the American Public Health Association, San Francisco, California, Student Poster Session, October 30, 2012. 4. Navajo Gardening Nutrition and Community Wellness, Mark C. Bauer, Kevin Lombard and Felix Nez. Navajo Food Sovereignty Summit, February, 2013, Diné College, Tsaile, AZ. 5. Navajo Nation Human Research Review Board held their fall Navajo Research Conference in Window Rock, Arizona, October 23-24, 2013 where the project results were presented to health and education professionals of the Navajo Nation. 6. Findings and Recommendations from the Navajo Gardening, Nutrition and Community Wellness Survey Project. 2013 FALCON annual Meeting in Washington, DC in November, 2013. At all of these presentations, very enthusiastic audiences of students, faculty and other professionals expressed a great deal of interest in the issue of gardening and how it can be encouraged to support improvements in nutrition. The key finding is that our data show that those who are gardening are consuming two more servings of fruits and vegetables than those who are not gardening. That makes it seem very worthwhile to pursue the other issues of resources and barriers that prevent more gardening. Presentations on the survey results were reported to the Shiprock Chapter, the Tsaile/Wheatfields Chapter and the Hogback Chapter of the Navajo Nation, where community members engaged in spirited discussions of the results and made their own recommendations for what could improve gardening opportunities in their areas in the future. Reporting was also done to the Navajo Nation Human Research Review Board, the IRB of record for all research involving human subjects on the Navajo Nation. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? The project conducted a needs assessment of gardening interests, activities, resources, barriers, priorities and associated nutrition and exercise measures conducted in four different Navajo communities, with two of the areas on the eastern side of the Navajo Nation (in northwest New Mexico) and two towards the central portion of the Navajo Nation (in northeastern Arizona). The communities differed in altitude, remoteness, access to water, employment and language use. The sampling procedure stratified by chapter (community) and by type of area within the community (compact housing area, farming area, scattered rural housing area), so that the total sample of 120 included 30 from each chapter and some respondents selected from each of the different types of area within the chapters. Selection of respondents was carried out with the intention of obtaining a sample that was representative of the total population of these chapters in terms of age, gender, employment status, language use (Navajo or English predominantly), and economic status as indicated by use of food assistance programs. This was largely successful, although Navajo speakers were somewhat undersampled, and retirees, students and lower economic levels were somewhat oversampled. Key findings were that among the 31% sampled who had a home garden, fruit and vegetable consumption (measured by twenty-four hour dietary recall) averaged 6 servings per day, compared to less than 4 servings per day among the 63% of the sample who did not garden (P=.003), suggesting that home gardens can make a significant and meaningful difference in this important nutritional measure. While only 31% of the sample were currently gardening, another 50% of the people in the sample had either thought about having a garden, or had actually made plans to have a garden (but did not actually end up gardening). Thus the interest in gardening, the active consideration of gardening as something reasonable to do, is fairly pervasive – only 19% did not consider it or think about it at all. Therefore a gardening intervention, to empower those 50% who were considering or planning gardens to actually succeed with a garden, has a fairly large potential target population. Because our data show a significant difference in fruit and vegetable consumptin attributable to gardens, the potential impact of such an intervention is substantial. An additional variable, type of residential area, was defined and added to most cases to enable comparisons between groups living in established housing areas, those in irrigated farm areas, and other scattered rural housing. This may allow for more meaningful analysis of the specific interests, barriers, and needs of subsets of the population that could lead to more successful interventions. Some of the student researchers from the previous summer were invited to participate in work sessions to generate community reports for dissemination and specific recommendations to provide to the Land Grant Office and the chapter leadership.

Publications


    Progress 09/01/13 to 02/28/14

    Outputs
    Target Audience: The target audience for this dissemination year of the project consisted of a variety of groups: FALCON participants in research from other tribal colleges and universities, other public health professionals through presentations at annual meetings, and local Navajo tribal college students, staff and faculty as well as community members in the towns around our campuses in New Mexico and Arizona. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? The survey results, with additional analysis, were presented at the FALCON 2013 Annual Conference held in Washington, D.C. in November, 2013. The presentation was made by the PI, accompanied by the College's Extension Agent who worked on the project, and by one of the original students who conducted the research, Tristin Moone, of Columbia University. How have the results been disseminated to communities of interest? The results of the gardening surveys in four Navajo chapters were presented back to those chapters. The Navajo Nation Human Research Review Board held their fall Navajo Research Conference in Window Rock, Arizona, October 23-24, 2013 where the project results were presented to health and education professionals of the Navajo Nation. Finally, the research was presented, along with resulting recommendations, at the FALCON meetings in Washington, DC in November, 2013. Thus the project hascompleted the process of returning results to the local community and to the research community.. Our significant research finding that Navajo community members who report gardening are consuming on average two additional servings of fruits and vegetables than non-gardeners is an important validation of our promotion of gardening, and will assist in future funding of these efforts. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

    Impacts
    What was accomplished under these goals? This additional six month no-cost extension period was used for project dissemination to communities. Presentations on the survey results were reported to the Shiprock Chapter, the Tsaile/Wheatfields Chapter and the Hogback Chapter of the Navajo Nation, where community members engaged in spirited discussions of the results and made their own recommendations for what could improve gardening opportunities in their areas in the future. Reporting was also done to the Navajo Nation Human Research Review Board, the IRB of record for all research involving human subjects on the Navajo Nation.

    Publications


      Progress 09/01/12 to 08/31/13

      Outputs
      Target Audience: The target audience for this dissemination year of the project consisted of a variety of groups: FALCON participants in research from other tribal colleges and universities, other public health professionals through presentations at annual meetings, and local Navajo tribal college students, staff and faculty as well as community members in the towns around our campuses in New Mexico and Arizona. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Students were encouraged to develop and present research results based on their activities with the project in the previous funded period. See below for student presentations (2 & 3). How have the results been disseminated to communities of interest? There have been four presentations. Items 2 and 3 below are student presentations. Navajo Gardening, Nutrition and Community Wellness, Mark C. Bauer, Kevin Lombard, Felix Nez, and William Bighorse. First Americans Land-grant Consortium (FALCON) 2012 Annual Conference, Albuquerque, New Mexico, October 28, 2012. Navajo Gardening Project: Why Garden?, Deina Michel Barton. First Americans Land-grant Consortium (FALCON) 2012 Annual Conference, Albuquerque, New Mexico, October 28, 2012. Assessment of Interests, Resources, Barriers and Attitudes Towards Gardening as a Wellness intervention Method in Four Navajo Nation Communities, Tristin Moone, Mark Bauer, and Kevin Lombard. 2012 Annual Meeting of the American Public Health Association, San Francisco, California, Student Poster Session, October 30, 2012. Navajo Gardening Nutrition and Community Wellness, Mark C. Bauer, Kevin Lombard and Felix Nez. Navajo Food Sovereignty Summit, February, 2013, Diné College, Tsaile, AZ. At all of these presentations, very enthusiastic audiences of students, faculty and other professionals expressed a great deal of interest in the issue of gardening and how it can be encouraged to support improvements in nutrition. The key finding is that our data show that those who are gardening are consuming two more servings of fruits and vegetables than those who are not gardening. That makes it seem very worthwhile to pursue the other issues of resources and barriers that prevent more gardening. What do you plan to do during the next reporting period to accomplish the goals? Specific Aim 3. To develop recommendations for intervention strategies based on the findings of the needs assessment. The community advisory group will meet regularly (at least monthly) to assist with consideration of the findings and compiling recommendations in terms of interventions, content for further extension education and outreach programming, and further research that could be suggested as a result of the findings. A six-month extension is now requested to use a remaining small amount of funding to present final results at the FALCON meeting in November, 2013 and to finalize and disseminate the results and recommendations to local communities.

      Impacts
      What was accomplished under these goals? Originally a one year grant from USDA, a no cost extension was granted in August 2012 to extend the end date of the project’s funding to August 2013. During the one year extension additional analysis was done. An additional variable, type of residential area, was defined and added to most cases to enable comparisons between groups living in established housing areas, those in irrigated farm areas, and other scattered rural housing. This may allow for more meaningful analysis of the specific interests, barriers, and needs of subsets of the population that could lead to more successful interventions. Some of the student researchers from the previous summer were invited to participate in work sessions to generate community reports for dissemination and specific recommendations to provide to the Land Grant Office and the chapter leadership.

      Publications


        Progress 09/01/11 to 08/31/12

        Outputs
        Target Audience: The target audience for the project this year was a cross-section of community residents of four different areas of the Navajo Nation: two of the areas on the eastern side of the Navajo Nation (in northwest New Mexico) and two towards the central portion of the Navajo Nation (in northeastern Arizona). The communities differed in altitude, remoteness, access to water, employment and language use. We continued until we had 30 respondents from each of the four communities. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Four undergraduate students participated in the project during the summer of 2012. They were provided with three weeks of instruction that earned them 4 credits for PUH 290 Public Health Research Methods. They spent the next 7 weeks enrolled in PUH 297 Public Health Research Methods Practicum ( 3 credits)in which they assisted in modifying the survey, piloting the survey, and then conducting the survey in the four communities with 30 respondents in each community. How have the results been disseminated to communities of interest? The students conducted data analysis activities the final week of the summer, and presented their results to the college community. Other reporting wil be done in year 2. What do you plan to do during the next reporting period to accomplish the goals? Further data analysis and preparation of reports, recomendations and other dissemination will take place in a second, extension, period.

        Impacts
        What was accomplished under these goals? The project conducted a needs assessment of gardening interests, activities, resources, barriers, priorities and associated nutrition and exercise measures conducted in four different Navajo communities, with two of the areas on the eastern side of the Navajo Nation (in northwest New Mexico) and two towards the central portion of the Navajo Nation (in northeastern Arizona). The communities differed in altitude, remoteness, access to water, employment and language use. The sampling procedure stratified by chapter (community) and by type of area within the community (compact housing area, farming area, scattered rural housing area), so that the total sample of 120 included 30 from each chapter and some respondents selected from each of the different types of area within the chapters. Selection of respondents was carried out with the intention of obtaining a sample that was representative of the total population of these chapters in terms of age, gender, employment status, language use (Navajo or English predominantly), and economic status as indicated by use of food assistance programs. This was largely successful, although Navajo speakers were somewhat undersampled, and retirees, students and lower economic levels were somewhat oversampled. Key findings were that among the 31% sampled who had a home garden, fruit and vegetable consumption (measured by twenty-four hour dietary recall) averaged 6 servings per day, compared to less than 4 servings per day among the 63% of the sample who did not garden (P=.003), suggesting that home gardens can make a significant and meaningful difference in this important nutritional measure. While only 31% of the sample were currently gardening, another 50% of the people in the sample had either thought about having a garden, or had actually made plans to have a garden (but did not actually end up gardening). Thus the interest in gardening, the active consideration of gardening as something reasonable to do, is fairly pervasive – only 19% did not consider it or think about it at all. Therefore a gardening intervention, to empower those 50% who were considering or planning gardens to actually succeed with a garden, has a fairly large potential target population. Because our data show a significant difference in fruit and vegetable consumption attributable to gardens, the potential impact of such an intervention is substantial.

        Publications