Formative research and stakeholder participation in intervention development

Objective: To present a model for using formative research and stakeholder participation to develop a community-based dietary intervention targeting American Indians. Methods: Formative research included interviews, assessment of food- purchasing frequency and preparation methods, and dietary recalls. Stakeholders contributed to intervention development through formative research, a program planning workshop, group feedback, and implementation training. Results: Foods high in fat and sugar are commonly consumed. Barriers to healthy eating include low availability, perceived high cost, and poor flavor. Stakeholder participation contributed to the development of a culturally appropriate intervention. Conclusions: This approach resulted in project acceptance, stakeholder collaboration, and a culturally appropriate program.