Guardians of the Living Water: Using a Health Literacy Framework to Evaluate a Child as Change Agent Intervention.

Background: American Indian communities in the United States experience considerable health inequities, including increased exposure to environmental contaminants. Consequently, community members of the Apsáalooke (Crow) Nation identified the lack of water-related environmental knowledge among children as an area of concern.

Aim: The purpose of this study was to provide a feasibility evaluation of an increasingly sophisticated environmental health literacy program for children.