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Randomized Controlled Trial
. 2022 Nov;25(11):3195-3203.
doi: 10.1017/S1368980022001744. Epub 2022 Aug 19.

How providing a low-cost water filter pitcher led Latino parents to reduce sugar-sweetened beverages and increase their water intake: explanatory qualitative results from the Water Up!@Home intervention trial

Claudia Santillán-Vázquez  1 , Lucero Hernández  2 , Amanda C Reese  2 , Rosalina Burgos-Gil  3 , Sean D Cleary  2 , Ivonne M Rivera  4 , Joel Gittelsohn  5 , Mark C Edberg  2 , Rafael Monge-Rojas  6 , Uriyoán Colón-Ramos  2
Affiliations
Randomized Controlled Trial

How providing a low-cost water filter pitcher led Latino parents to reduce sugar-sweetened beverages and increase their water intake: explanatory qualitative results from the Water Up!@Home intervention trial

Claudia Santillán-Vázquez et al. Public Health Nutr. 2022 Nov.

Abstract

Objective: This study sought to explain results of the Water Up!@Home randomised controlled trial where low-income parents were randomised to receive an educational intervention +a low-cost water filter pitcher or only the filter. Parents in both groups had reported statistically significant reductions in sugar-sweetened beverages (SSB) and increases in water intake post-intervention.

Design: Qualitative explanatory in-depth interviews analysed thematically and deductively.

Setting: Washington, DC metropolitan area, USA.

Participants: Low-income Latino parents of infants/toddlers who had participated in the Water Up! @Home randomised controlled trial.

Results: The filter-stimulated water consumption in both groups by (1) increasing parents' perception of water safety; (2) acting as a cue to action to drink water; (3) improving the flavour of water (which was linked to perceptions of safety) and (4) increasing the perception that this option was more economical than purchasing bottled water. Safe and palatable drinking water was more accessible and freely available in their homes; participants felt they did not need to ration their water consumption as before. Only intervention participants were able to describe a reduction in SSB intake and described strategies, skills and knowledge gained to reduce SSB intake. Among the comparison group, there was no thematic consensus about changes in SSB or any strategies or skills to reduce SSB intake.

Conclusions: A low-cost water filter facilitated water consumption, which actively (or passively for comparison group) displaced SSB consumption. The findings have implications for understanding and addressing the role of water security on SSB consumption.

Trial registration: ClinicalTrials.gov NCT05159622.

Keywords: Explanatory qualitative interviews; Infants and toddlers; Latino/Hispanic; Sugar-sweetened beverages; Tap water.

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References

    1. Hu FB (2013) Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev 14, 606–619. - PMC - PubMed
    1. Charvet A & Huffman FG (2019) Beverage intake and its effect on body weight status among WIC preschool-age children. J Obes 2019, 3032457. - PMC - PubMed
    1. He B, Long W, Li X et al. (2018) Sugar-sweetened beverages consumption positively associated with the risks of obesity and hypertriglyceridemia among children aged 7–18 years in South China. J Atheroscler Thromb 25, 81–89. - PMC - PubMed
    1. Niedfeldt HJ, Beckstead E, Chahalis E et al. (2021) Use of technology to access health information/services and subsequent association with WASH (water access, sanitation, and hygiene) knowledge and behaviors among women with children under 2 years of age in Indonesia: cross-sectional study. JMIR Public Health Surveill 7, e19349. - PMC - PubMed
    1. Roess AA, Jacquier EF, Catellier DJ et al. (2018) Food consumption patterns of infants and toddlers: findings from the feeding infants and toddlers study (FITS) 2016. J Nutr 148, 1525S–1535S. - PMC - PubMed

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