Tap Trust

There has been limited focus on home tap-water–based interventions as a strategy to reduce sugary drink intake among families with preschoolers. When families feel confident their tap water is safe and appealing, they are more likely to drink more water and fewer sugary drinks, supporting healthier weight, better dental health, and lower household costs.


Goal

To test whether a home-based Tap Trust intervention that includes tap water testing, tailored remediation and education, improves tap water security and increases water (vs. sugar-sweetened beverage) intake among low-income, predominantly Latinx preschoolers and their parents. 

Eligible Centers

  • Parent–child dyads (preschool-aged children) enrolled in childcare centers that participated in Healthy Drinks, Healthy Futures (HDHF)  

  • Families in Santa Clara County, California 

  • English- or Spanish-speaking 

  • Not planning to move during the 6-month study period 

Tap trust - Healthy Drinks, Healthy Futures Program

  • Home tap water testing (47 analytes) via an EPA-certified laboratory; easy mail-in kits with video instructions 

  • Personalized results shared via a secure web dashboard and written report 

  • Tailored remediation plan (e.g., NSF-certified filtered pitcher or sink-mounted filter) based on contaminants and/or aesthetic issues (taste, odor, appearance) 

  • Zoom/phone consults to review results and remediation options 

  • Education & counseling on choosing safe tap water over bottled water and SSBs (motivational interviewing) 

  • HDHF materials for home use, including reusable parent/child water bottles and a personalized child beverage report 

    *Tap Trust is a randomized controlled trial; some families start now while others receive the materials after the evaluation. 

Evaluation

To see if the program is effective, researchers will conduct:  

  • Surveys of participating parents/guardians  

  • Cost tracking to compare usual household water costs (bottled, filters, etc.) with Tap Trust implementation costs 

$100 for each participating parent/guardian for help with evaluation 

Estimated time (Over project year)

  • Parents/caregivers: 5 hours

Policy Implications

Findings can inform WIC, SNAP, and home-visiting program enhancements, guide school/childcare beverage policies, and support utilities and public health agencies in deploying low-cost, scalable strategies (home testing + targeted filtration + education) to increase trust in tap water and reduce SSB intake

Study Status

Recruiting 

View Full Protocol 

Funder

Stanford Woods Institute for the Environment — Realizing Environmental Innovation Program (REIP) 

Collaborators

Department of Civil and Environmental Engineering, Stanford University