Growing Resilience in Wind River Indian Reservation



Status:Active, not recruiting
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:5 - 80
Updated:4/17/2018
Start Date:November 2015
End Date:October 2020

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Growing Resilience: an RCT on the Health Impact of Gardens With Wind River Indian Reservation

The Growing Resilience research leverages reservation-based assets of land, family, culture,
and front-line tribal health organizations to develop and evaluate home food gardens as a
family-based health promotion intervention to reduce disparities suffered by Native Americans
in nearly every measure of health. Home gardening interventions show great promise for
enabling families to improve their health, and this study aims to fulfill that promise with
university and Wind River Indian Reservation partners. The investigators will develop an
empowering, scalable, and sustainable family-based health promotion intervention with, by,
and for Native American families and conduct the first RCT to assess the health impacts of
home gardens.

The intervention is comprised of designing and providing two years of support for home
gardens. Families randomized to intervention will receive the following supports and
services:

1. Blue Mountain Associates will host a gardening workshop to include crop planning,
receipt of customized guides to the crops the family selects (these are currently in
development and will be ready by 2015), and hands-on basic skills training (mid-April).
CHRs and interested local healthcare providers will also participate in workshops to
help them prepare for supporting gardeners.

2. BMA's garden manager and assistant(s) will visit each family to help the family install
a garden and will provide the family with all needed supplies (late April to early May).
Based on garden harvest measures collected in the Food Dignity project and the large
gardens preferred by families in the pilot, the minimum garden size will be 80 sq. ft.
with at least 30 sq. ft. devoted to crops other than corn and potatoes. The manager will
design at least part of each garden in a way that allows the least physically able
family members to participate in gardening.

3. BMA will host a Facebook support and networking group for gardeners, with ARI, BMA, and
UW gardening experts providing advice as needed.

4. BMA's staff will visit each gardening family at least twice more during the growing
season and will be available throughout the season for phone consultations and Facebook
advice. For all years, the BMA garden manager will track actual intervention support
provided to each family (e.g., timing and number of visits, training and supplies
provided).

The University of Wyoming research team will collect health measures before and at the end of
each gardening season with gardening and control families for two years, after which the
control families also receive the gardening intervention. The investigators anticipate
enrolling about 100 families into the study with 400 (half adults, half children) people
participating in the health measures.

Inclusion Criteria:

- self-identify as having one or more household members who are enrolled in a tribe

- express interest in having a food garden

- express willingness to wait to create a food garden for two years if randomized to
control

- live within the boundaries of Wind River Indian Reservation, including the City of
Riverton.

- if the household has two or more adults, that at least two adults in the household
express willingness to participate in the semi-annual data gathering for two years.

Exclusion Criteria:

- had a home food garden plot in the previous year that is over 30 square feet in area.
We found this trial at
1
site
Laramie, Wyoming 82071
Phone: 307-766-2143
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Laramie, WY
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