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American Indian Healthy Eating

AIHE Lessons Learned

This innovative project integrated findings from qualitative, spatial, and policy data to develop planning and policy strategies to improve access to healthy eating within North Carolina American Indian communities.  Formally and informally tribal leaders, members, and stakeholders shared their insights and ideas on how to maximize united approaches to advance American Indian health.  The American Indian Healthy Eating Project has used peer-reviewed papers (see list below), a policy toolkit (see Tools for Healthy Tribes and its web-based resources), community newsletters, oral and poster presentations at university, state, national, and international conferences (see list below), and this website to disseminate lessons learned.  Look out for our growing list of project products!

Peer-Reviewed Papers

Fleischhacker S, Vu M, Ries A, McPhail A. Engaging tribal leaders in an American Indian Healthy Eating Project through modified Talking Circles. Family and Community Health.  Native American Supplement. 2011;34(3):1-9.

Fleischhacker S, Byrd RB, Ramachandran G, Vu M, Ries A, Bell R, Evenson KR.  Tools for Healthy Tribes: Improving access to healthy foods in Indian Country.  Am J Prev Med.  2012;43(3, Suppl 2):S123-9.

Fleischhacker SE, Rodriguez DA, Evenson KR, Henley A, Gizlice Z, Soto D, Ramachandran G. Evidence for validity of five secondary data sources for enumerating retail food outlets in seven American Indian communities in North Carolina.  Int J Behav Nutr Phys Act.  2012;9:137.  doi: 10.1186/1479-5868-9-137.

Fleischhacker SE, Byrd RR, Hertel AL, on behalf of the American Indian Healthy Eating Project and the Healthy Native North Carolinians Network.  Advancing Native health in North Carolina through tribally-led community changesNCMJ.  2014;75(6):409-411.

Fleischhacker S, Roberts E, Camplain R, Evenson K, Gittelsohn J. Promoting physical activity among Native American youth: A systematic review of the methodology and current evidence of physical activity interventions and community-wide initiatives. J Racial Ethnic Health Disparities. 

Fleischhacker S. Emerging opportunities for Registered Dietitian Nutritionists to help raise a healthier generation of Native American youth. J Acad Nutr Diet. 2016;116(2):219-225.

Selected Conference Workshops and Presentations

Fleischhacker S, as part of a panel of other Federal Let’s Move! in Indian Country partners.  Let’s Move! in Indian Country Second Webinar:  Federal resources and activities for preventing childhood obesity in Native youth and families. November 19, 2014 (HNNC highligted).

Fleischhacker S.  Fostering active living and healthy eating among American Indian and Alaska Native communities.  University of Wisconsin Department of Nutritional Sciences.  November 13, 2014.  Departmental Newsletter Feature and Q&A (AIHE and HNNC highlighted).

Fleischhacker S & Byrd R, on behalf of the American Indian Healthy Eating Project and the Healthy Native North Carolinians Network.  Maximizing Dissemination:  Lessons learned from the American Indian Healthy Eating Project and the Healthy Native North Carolinians Network.  The Notah Begay III Foundation Native Strong:  Healthy Kids, Healthy Futures Initiative Webinar Series.  October 8, 2014.   Webinar Handout.

Fleischhacker S.  Building and sustaining critical partnerships in/with tribal communities to address obesity prevention.  The Notah Begay III Foundation Native Strong Grantee Conference as part of Session #1: Reclaiming Native Health: Perspectives on Obesity and Diabetes Prevention for Native Youth (Panel Discussion).  Santa Ana Pueblo, New Mexico. May 13, 2014 (HNNC highlighted).

Fleischhacker S.  Fostering community changes that promote active living and healthy eating within American Indian and Alaska Native communities:  Promising Strategies and Research Opportunities.  US Department of Health and Human Services Human Research Services Administration Tribal Healthy Living Working Group Webinar.  June 27, 2013 (HNNC highlighted).

Fleischhacker S.  Fostering community changes that promote active living and healthy eating within American Indian and Alaska Native communities:  Promising Strategies and Research Opportunities.  Centers for Disease Control and Prevention Nutrition and Obesity Research and Evaluation Network Rural Food Access Working Group as part of Understanding and Improving Food Access among Tribal Communities Conference Call Focus.  June 18, 2013 (AIHE and HNNC highlighted).

Fleischhacker S.  Fostering community changes that promote active living and healthy eating within American Indian and Alaska Native communities:  Lessons learned and future directions.  Indian Health Services Nutrition Seminar (turned webinar due to sequester).  March 12, 2013 (AIHE highlighted).

Fleischhacker S, on behalf of the American Indian Healthy Eating Project and Healthy, Native North Carolinians.  Panelist for Preventing Obesity in Indian Country:  Effective Strategies and Developing Collaborations with Sovereign Nations.  Weight of the Nation 2012 Conference.  May 7-9, 2012.

Fleischhacker S, on behalf of the American Indian Healthy Eating Project.  The American Indian Healthy Eating Project–Partnerships, policies, and possibilities. Poster Presentation at the Weight of the Nation 2012 Conference.  May 7-9, 2012.

Fleischhacker S & Brayboy M, on behalf of the Healthy, Native North Carolinians Partners and Project Team.  Oral presentation during the Power of Collaborations session.  Association of American Indian Physicians’ Fostering Sustainable Strategies to Create Healthy, Active Native Communities.  San Diego, CA.  March 13, 2012.

Fleischhacker S, on behalf of the Healthy, Native North Carolinians Partners and Project Team.  Maximizing community-driven ideas & a multidisciplinary evidence-base to launch Healthy, Native North Carolinians.  Healthy Eating Research, a national program of Robert Wood Johnson Foundation, Annual Grantee Meeting.  Austin, TX.  February 15, 2012.

Fleischhacker S, Rodriguez D, Evenson KR, Henley A, Ries A, Vu MB, Soto D, & Ramachandran, G.  A mixed method approach to understanding the food environment of seven American Indian tribes in North Carolina. American Public Health Association.  Washington, DC.  November 1, 2011.

Fleischhacker S. Tools for Healthy Tribes:  Advancing American Indian health through tribally-led environmental and policy strategies. Indian Health Services/Tribal/Urban(ITU) Biennial Professional Nutrition Seminar.  San Diego, CA.  June 16, 2011.

Fleischhacker S, Locklear TV, Locklear E, Ries A. Building an American Indian Healthy Eating Initiative in North Carolina. Community-Based Participatory Research Seminar Series at the University of North Carolina-Chapel Hill.  March 3, 2011.

Fleischhacker S. Investigating environmental and policy strategies to improve children and adolescents’ access to healthy, affordable foods. University of Florida Department of Health Outcomes and Policy.  February 8, 2011.

Fleischhacker S. Integrating public health, planning, and policy to reduce diet-related chronic diseases. Arizona State University College of Nursing and Health Innovation.  December 6, 2010 & George Mason University College of Health and Human Services.  January 13, 2011.

Fleischhacker S. Carrots or candy in corner stores?:  Legal facilitators and barriers to stocking healthier options. US Health and Human Services Centers for Disease Prevention and Control Division of Nutrition, Physical Activity, and Obesity Seminar Series.  September 22, 2010.

Fleischhacker S. Public health, policy, and planning—Pathway and possibilities. University of Colorado Denver School of Medicine Department of Pediatrics Nutrition Section and School of Public Health.  February 26, 2010.

Fleischhacker S. The intersection between the built environment, public health, and law. The Department of Nutritional Sciences at The Pennsylvania State University.  March 16, 2009.

Bird K, Byrd R, Fleischhacker S, Locklear TV, along with tribal liaisons:  Sandra Bonner, Julia Phipps, Eric Locklear, Devonna Mountain-Mosser, Tony Hayes, Al Richardson, and Tabatha Brewer. United approaches to advance American Indian health. The 36th Annual United Tribes of North Carolina Unity Conference.  Raleigh, NC.  March 11, 2011.

Fleischhacker S & McPhail A. Improving access to healthy eating within North Carolina American Indian communities. The 35th Annual United Tribes of North Carolina Unity Conference.  Raleigh, NC.  March 11, 2010.

Fleischhacker S, on behalf of the American Indian Healthy Eating Project. Maximizing environmental and policy strategies to improve access to healthy, affordable foods within American Indian communities in North Carolina. National Congress of American Indian Policy Research Center’s 6th Annual Tribal Leader/Scholar Forum.  Milwaukee, WI.  June 14, 2011.

Fleischhacker S, Ramachandran G, Brandon L, Vu M, Ries A, Evenson K, & Bell R. Developing tribal level policy options for improving access to healthy eating within seven North Carolina American Indian Tribes. Prevention Research Center Annual Conference.  Atlanta, GA.  April 13, 2011.  Brandon also presented this work during a poster presentation at the UNC Undergraduate Research Symposium.  April 11, 2011.

Fleischhacker S & Rodriguez D, on behalf of the American Indian Healthy Eating Project. Developing planning and policy strategies to improve access to healthy eating within North Carolina Tribal Communities. Robert Wood Johnson Foundation Healthy Eating Research program Annual Grantee Meeting.  Austin, TX.  February 3, 2011 (Breakout Session).

Fleischhacker S & Rodriguez D, on behalf of the American Indian Healthy Eating Project. Building an American Indian Healthy Eating Initiative in North Carolina. Robert Wood Johnson Foundation Healthy Eating Research program Fifth Annual Grantee Meeting.  Austin, TX.  February 2011.  Brandon also presented this work during a poster presentation at the UNC Minor Student Caucus 32nd Annual Health Conference. February 25, 2011.

Fleischhacker S, Richardson G, Brayboy M, Cummings R, Ries A, Rodriguez D, McPhail A, Evenson K, Vu M, Ammerman A, Lightfoot A. Building a community-academia partnership to improve access to healthy eating within North Carolina American Indian communities. Partnering to Improve Health:  The Science of Community Engagement.  Arlington, VA, May, 2010.

Fleischhacker S, Rodriguez D, Ries A, Evenson K, Ammerman A. Developing planning and policy strategies to improve access to healthy eating within North Carolina tribal communities. Robert Wood Johnson Foundation Healthy Eating Research program, Fourth Annual Grantee Meeting.  Tempe, AZ.  December 2009.

Project Features

Sheila and Randi

Pictured above are Sheila Fleischhacker and Randi Byrd during the American Indian Center’s Native Foods Celebration on September 20, 2010