{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T20:07:10Z","timestamp":1760386030830,"version":"3.30.1"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R56DE025813","U01DE027629","R01DE026741\u201002S1"],"award-info":[{"award-number":["R56DE025813","U01DE027629","R01DE026741\u201002S1"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar\u2010sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar\u2010sweetened fruit drinks, and (b) describe behavior changes within a community\u2010based intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar\u2010Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally\u2010tailored items across six areas: beliefs\/values, environment\/skills, knowledge, motivation, self\u2010efficacy, and behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010one percent of caregivers gave their children sugar\u2010sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar\u2010sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5\u2010point scale, 5\u2009=\u2009strongly agree) it is important to limit sugar\u2010sweetened fruit drinks. Among a sub\u2010sample of respondents (<jats:italic>n<\/jats:italic>\u2009=\u200920), we found low to moderate temporal stability in some SFDQ items over a 10\u201314\u2009day period, indicating respondent ambivalence and\/or uncertainty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Using community\u2010based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self\u2010efficacy, and behavior within a planned intervention to reduce sugar\u2010sweetened fruit drink intake in Alaska Native children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12639","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T02:49:07Z","timestamp":1724726947000},"page":"384-392","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Initial development of the Sugar\u2010Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar\u2010sweetened fruit drink intake in Alaska Native children"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9990-9318","authenticated-orcid":false,"given":"Todd C.","family":"Edwards","sequence":"first","affiliation":[{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-7450","authenticated-orcid":false,"given":"Cameron L.","family":"Randall","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney M.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scarlett","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Center for Alaska Native Health Research University of Alaska Fairbanks  Fairbanks Alaska USA"},{"name":"Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliza","family":"Orr","sequence":"additional","affiliation":[{"name":"Center for Alaska Native Health Research University of Alaska Fairbanks  Fairbanks Alaska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3678-7629","authenticated-orcid":false,"given":"Stephanie","family":"Cruz","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lloyd","family":"Mancl","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2289-7747","authenticated-orcid":false,"given":"Donald L.","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health University of Washington  Seattle Washington USA"},{"name":"Department of Oral Health Sciences University of Washington  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,26]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"PhippsKR RicksTL MorkNP LozonTL.The Oral Health of American Indian and Alaska Native Children Aged 1\u20105\u2009Years: Results of the 2018\u201019 Indian Health Service Oral Health Survey. 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