Qualitative research study on addressing barriers to healthy diet among low-income individuals at an urban, safety-net hospital.
Qualitative research study on addressing barriers to healthy diet among low-income individuals at an urban, safety-net hospital.
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DOI：
10.1136/bmjnph-2020-000064
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发表时间：
2020-12
影响因子：
--
通讯作者：
Girard AW
中科院分区：
文献类型：
--
作者：
Cahill E;Schmidt SR;Henry TL;Kumar G;Berney S;Bussey-Jones J;Girard AW
一些美国家庭面临粮食不安全问题，由于缺乏金钱和其他资源，获得充足食物的机会受到限制。因此，我们在一家大型城市安全网医院内实施了为期 6 个月的免费水果和蔬菜处方计划。研究完成 6 个月后，32 名参与者完成了关于食物相关行为的基线和干预后定性评估。演绎代码是根据访谈中讨论的关键主题制定的；通过分析阅读成绩单来识别归纳代码。脚本在 MAXQDA V.12（版本 12.3.2）中进行编码。定性访谈中收集的信息强调了影响饮食习惯的许多因素，包括在人们做出的食物选择中发挥作用的环境和个人影响。参与者总体上对他们的计划参与表达了非常积极的看法。针对个人行为改变、增强营养知识和技能并减少获取新鲜农产品的社会经济障碍的多方面干预措施可能会增强参与者对健康饮食的了解和自我效能。然而，社会经济因素仍然是长期维持健康饮食的持续障碍。为了促进行为改变的可持续性，可能需要持续努力解决健康的社会决定因素。
Some American households experience food insecurity, where access to adequate food is limited by lack of money and other resources. As such, we implemented a free 6-month Fruit and Vegetable Prescription Program within a large urban safety-net hospital. 32 participants completed a baseline and postintervention qualitative evaluation about food-related behaviour 6 months after study completion. Deductive codes were developed based on the key topics addressed in the interviews; inductive codes were identified from analytically reading the transcripts. Transcripts were coded in MAXQDA V.12 (Release 12.3.2). The information collected in the qualitative interviews highlights the many factors that affect dietary habits, including the environmental and individual influences that play a role in food choices people make. Participants expressed very positive sentiments overall about their programme participation. A multifaceted intervention that targets individual behaviour change, enhances nutritional knowledge and skills, and reduces socioeconomic barriers to accessing fresh produce may enhance participant knowledge and self-efficacy around healthy eating. However, socioeconomic factors remain as continual barriers to sustaining healthy eating over the long term. Ongoing efforts that address social determinants of health may be necessary to promote sustainability of behaviour change.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1186/1747-5341-8-16
发表时间：
2013-10-29
期刊：
Philosophy, ethics, and humanities in medicine : PEHM
影响因子：
--
作者：
Azétsop J;Joy TR
通讯作者：
Joy TR
影响因子：
5.5
作者：
Mook K;Laraia BA;Oddo VM;Jones-Smith JC
通讯作者：
Jones-Smith JC
影响因子：
4.2
作者：
Ratcliffe, Caroline;McKernan, Signe-mary;Zhang, Sisi
通讯作者：
Zhang, Sisi