. Author manuscript; available in PMC: 2014 Jun 16.

Published in final edited form as: J Community Health. 2010 Dec;35(6):667–675. doi: 10.1007/s10900-010-9270-5

Appendix table 1.

Sample community intervention plan targeting reduction of sugar-sweetened beverages and breastfeeding:

			Item: Sugar-sweetened- beverage
Approach	Action #	Action	Collaborators	Issues to be Addressed
Level of Intervention		What is to be done	People Involved	(Choose the one that fits your intervention)
Awareness	1	Provide American Indian specific media messages that highlight health risks associated with drinking sugar-sweetened-beverage. Encourage drinking water as a cultural value (media delivery through newspaper articles, public access TV, posters & brochures).	Site Coordinator	Sugar-sweetened beverages are consumed widely, especially with meals Kool-Aid and Sunny Delight type of beverages are not viewed as being sugar-sweetened beverages
			Project Director
			Local newspaper editor
Awareness	2	Draft video interview/script about the merits of drinking water and not pop to use for public service announcement.	Site Coordinator
Awareness	2		Project Director
Environment	3	Propose policy to Tribal Business Council that prohibits the use of tribal purchase orders or dollars to purchase sugar-sweetened-beverages for community events	Site Coordinator
			Health Director
			Tribal business council
Behavior Change	4	Replace sugar-sweetened beverages with water coolers or dispensers (or milk and 100% juice) at youth and community events.	Site Coordinator
Behavior Change	4		Cook
Behavior Change	5	Make sure water is provided as a selection in all soda vending machine sites throughout the community	Site Coordinator
Behavior Change	5		Facility managers
Health Education	6	Provide TOTS bibs to TOTS mothers and give information about withholding sugar-sweetened beverages from babies and encourage appropriate 100% juice, milk and water.	Site Coordinator
			Project Director
			WIC
Environment	7	Research strategies (policy, resolution, revenue replacement) to remove pop machines from community center and neighborhood facilities and replace them with water or non-sugar-sweetened beverages.	Site Coordinator
Environment	7		Health Director
Awareness	1	Provide American Indian specific media messages that promote breast-feeding. Encourage breastfeeding as a cultural value (media delivery through newspaper articles, public access TV, posters & brochures).	Site Coordinator	A. Good Initiation B. Poor continuation D. Working Moms or moms in school stop breastfeeding after first 2 months E. Teen mothers uncomfortable with breastfeeding---They need role models F. Economic barrier for purchasing breast pumps
Awareness	1		Local newspaper editor
Health Education	2	Construct and Distribute a laminated magnet that provides phone number of resources for assistance with breastfeeding continuation.	Site coordinator
Behavior Change	3	Display “Breastfeeding Accomplishment “ board of moms who have breastfed	Site Coordinator
Behavior Change	3		MCH clinics
Health Education	4	Distribute key chains that provide basic information on breastfeeding	Site Coordinator
Health Education	4		MCH clinics
Health Education	5	Work with administration to provide a breastfeeding room for moms who are visiting or working at the tribal health offices.	Site Coordinator
			Administration
			Public Health Nurse
Behavior Change	6	Connect expectant moms with other moms who have been successful at breastfeeding and moms who have breastfed and gone back to work (during third trimester).	Site Coordinator
Behavior Change	6		CHW