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Completed

NCT Number: NCT02672748

Growing Resilience in 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.

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Key information

Age range

5 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Wyoming

Laramie, Wyoming, 82071, United States

About this study

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:

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

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Garden

Other

Two years of financial and technical home gardening support for new gardeners

Primary outcomes

  1. Adult BMI change

    Time frame: Change from baseline at 2 years

    With four data points, every 6 months. Researcher-measured height (stadiometer) and Tanita body composition scale.

Secondary outcomes

  1. Mental Health change

    Time frame: Change from baseline at 2 years

    measured by SF12 survey

  2. Physical Health change

    Time frame: Change from baseline at 2 years

    measured by SF12 survey

  3. Food security change

    Time frame: Change from baseline at 2 years

    measured by sub-set of USDA survey

  4. Self-efficacy in gardening change

    Time frame: Change from baseline at 2 years

    by survey

  5. Pain change

    Time frame: Change from baseline at 2 years

    by survey

  6. Blood pressure change

    Time frame: Change from baseline at 2 years

    researcher-measured with bp monitor

  7. hand strength change

    Time frame: Change from baseline at 2 years

    researcher-measured with dynamometer

  8. waist circumference change

    Time frame: Change from baseline at 2 years

    researcher-measured with spring-loaded tape measure

  9. beta-carotene change

    Time frame: Change from baseline at 2 years

    whole blood draw and assay

  10. Hb A1C change

    Time frame: Change from baseline at 2 years

    whole blood draw and assay

  11. cholesterol change

    Time frame: Change from baseline at 2 years

    whole blood draw and assay

  12. triglycerides change

    Time frame: Change from baseline at 2 years

    whole blood draw and assay

  13. vitamin D change

    Time frame: Change from baseline at 2 years

    whole blood draw and assay

  14. child BMI z-score change

    Time frame: Change from baseline at 2 years

Sponsors and collaborators

Lead sponsor

University of Wyoming

Other

Collaborators

  • Action Resources International
  • Blue Mountain Associates, Incorporated
  • Eastern Shoshone Tribal Health
  • National Heart, Lung, and Blood Institute (NHLBI)
  • National Institute of General Medical Sciences (NIGMS)
  • National Institutes of Health (NIH)
  • Wind River Development Fund (WRDF)

Registry information

Official study title

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

Acronym: GR

Important dates

Study start
2015
Primary completion
2021
Study completion
2023
First posted
Feb 3, 2016
Registry last updated
Jul 20, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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