{"doi":"10.1111/jphd.12639","title":"Initial development of the Sugar‐Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar‐sweetened fruit drink intake in Alaska Native children","abstract":"OBJECTIVE: Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar-sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar-sweetened fruit drinks, and (b) describe behavior changes within a community-based intervention. METHODS: 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-Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally-tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self-efficacy, and behaviors. RESULTS: Eighty-one percent of caregivers gave their children sugar-sweetened 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-sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5-point scale, 5 = strongly agree) it is important to limit sugar-sweetened fruit drinks. Among a sub-sample of respondents (n = 20), we found low to moderate temporal stability in some SFDQ items over a 10-14 day period, indicating respondent ambivalence and/or uncertainty. CONCLUSIONS: Using community-based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self-efficacy, and behavior within a planned intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.","journal":"Journal of Public Health Dentistry","year":2024,"id":479037,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9444,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":658707,"name":"Cameron L. Randall","orcid":"0000-0002-5061-7450","position":1,"is_corresponding":false},{"id":658708,"name":"Courtney M. Hill","orcid":"0000-0002-6487-5258","position":2,"is_corresponding":false},{"id":523447,"name":"Scarlett E. Hopkins","orcid":"0000-0001-5641-7751","position":3,"is_corresponding":false},{"id":1318337,"name":"Eliza Orr","orcid":null,"position":4,"is_corresponding":false},{"id":1317998,"name":"Stephanie Cruz","orcid":"0000-0003-3678-7629","position":5,"is_corresponding":false},{"id":423591,"name":"Jeffrey Lee","orcid":"0000-0001-6906-2638","position":6,"is_corresponding":false},{"id":966123,"name":"Lloyd Mancl","orcid":"0000-0001-8566-8883","position":7,"is_corresponding":false},{"id":1236697,"name":"L. Donald","orcid":"0000-0003-2289-7747","position":8,"is_corresponding":false},{"id":369218,"name":"Todd C. Edwards","orcid":"0000-0001-9990-9318","position":0,"is_corresponding":true}],"reference_count":26,"raw_metadata":null,"created_at":"2026-07-19T02:06:50.355747Z","pmid":"39187463","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}