Abstract
The majority of the US population does not meet recommendations for consumption of milk, whole grains, fruit, and vegetables. The goal of our study was to understand barriers and facilitators to adherence to the Dietary Guidelines for Americans for four nutrient-rich food groups in fifth-grade children and unrelated adult caregivers across six sites in a multistate study. A total of 281 unrelated adult caregivers (32% African American, 33% European American, and 35% Hispanic American) and 321 children (33% African American, 33% European American, and 34% Hispanic American) participated in 97 Nominal Group Technique sessions. Nominal Group Technique is a qualitative method of data collection that enables a group to generate and prioritize a large number of issues within a structure that gives everyone an equal voice. The core barriers specific to unrelated adult caregivers were lack of meal preparation skills or recipes (whole grains, fruit, vegetables); difficulty in changing eating habits (whole grains, fruit, vegetables), cost (milk, whole grains, fruit, vegetables), lack of knowledge of recommendation/portion/health benefits (milk, vegetables), and taste (milk, whole grains, vegetables). Specific to children, the core barriers were competing foods (ie, soda, junk foods, sugary foods [whole grains, milk, fruit, vegetables]), health concerns (ie, milk allergy/upset stomach [milk]), taste/flavor/smell (milk, whole grains, fruit, vegetables), forget to eat them (vegetables, fruit), and hard to consume or figure out the recommended amount (milk, fruit). For both unrelated adult caregivers and children, reported facilitators closely coincided with the barriers, highlighting modifiable conditions that could help individuals to meet the Dietary Guidelines for Americans.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1317-1331 |
| Number of pages | 15 |
| Journal | Journal of the Academy of Nutrition and Dietetics |
| Volume | 113 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 2013 |
| Externally published | Yes |
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Keywords
- Barriers
- Caregivers
- Children
- Dietary guidelines
- Facilitators
ASJC Scopus subject areas
- Food Science
- Nutrition and Dietetics
Cite this
Barriers and Facilitators for Consumer Adherence to the Dietary Guidelines for Americans : The HEALTH Study. / Nicklas, Theresa A.; Jahns, Lisa; Bogle, Margaret L.; Chester, Deirdra N.; Giovanni, Maria; Klurfeld, David M.; Laugero, Kevin; Liu, Yan; Lopez, Sandra; Tucker, Katherine L.
In: Journal of the Academy of Nutrition and Dietetics, Vol. 113, No. 10, 10.2013, p. 1317-1331.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Barriers and Facilitators for Consumer Adherence to the Dietary Guidelines for Americans
T2 - The HEALTH Study
AU - Nicklas, Theresa A.
AU - Jahns, Lisa
AU - Bogle, Margaret L.
AU - Chester, Deirdra N.
AU - Giovanni, Maria
AU - Klurfeld, David M.
AU - Laugero, Kevin
AU - Liu, Yan
AU - Lopez, Sandra
AU - Tucker, Katherine L.
PY - 2013/10
Y1 - 2013/10
N2 - The majority of the US population does not meet recommendations for consumption of milk, whole grains, fruit, and vegetables. The goal of our study was to understand barriers and facilitators to adherence to the Dietary Guidelines for Americans for four nutrient-rich food groups in fifth-grade children and unrelated adult caregivers across six sites in a multistate study. A total of 281 unrelated adult caregivers (32% African American, 33% European American, and 35% Hispanic American) and 321 children (33% African American, 33% European American, and 34% Hispanic American) participated in 97 Nominal Group Technique sessions. Nominal Group Technique is a qualitative method of data collection that enables a group to generate and prioritize a large number of issues within a structure that gives everyone an equal voice. The core barriers specific to unrelated adult caregivers were lack of meal preparation skills or recipes (whole grains, fruit, vegetables); difficulty in changing eating habits (whole grains, fruit, vegetables), cost (milk, whole grains, fruit, vegetables), lack of knowledge of recommendation/portion/health benefits (milk, vegetables), and taste (milk, whole grains, vegetables). Specific to children, the core barriers were competing foods (ie, soda, junk foods, sugary foods [whole grains, milk, fruit, vegetables]), health concerns (ie, milk allergy/upset stomach [milk]), taste/flavor/smell (milk, whole grains, fruit, vegetables), forget to eat them (vegetables, fruit), and hard to consume or figure out the recommended amount (milk, fruit). For both unrelated adult caregivers and children, reported facilitators closely coincided with the barriers, highlighting modifiable conditions that could help individuals to meet the Dietary Guidelines for Americans.
AB - The majority of the US population does not meet recommendations for consumption of milk, whole grains, fruit, and vegetables. The goal of our study was to understand barriers and facilitators to adherence to the Dietary Guidelines for Americans for four nutrient-rich food groups in fifth-grade children and unrelated adult caregivers across six sites in a multistate study. A total of 281 unrelated adult caregivers (32% African American, 33% European American, and 35% Hispanic American) and 321 children (33% African American, 33% European American, and 34% Hispanic American) participated in 97 Nominal Group Technique sessions. Nominal Group Technique is a qualitative method of data collection that enables a group to generate and prioritize a large number of issues within a structure that gives everyone an equal voice. The core barriers specific to unrelated adult caregivers were lack of meal preparation skills or recipes (whole grains, fruit, vegetables); difficulty in changing eating habits (whole grains, fruit, vegetables), cost (milk, whole grains, fruit, vegetables), lack of knowledge of recommendation/portion/health benefits (milk, vegetables), and taste (milk, whole grains, vegetables). Specific to children, the core barriers were competing foods (ie, soda, junk foods, sugary foods [whole grains, milk, fruit, vegetables]), health concerns (ie, milk allergy/upset stomach [milk]), taste/flavor/smell (milk, whole grains, fruit, vegetables), forget to eat them (vegetables, fruit), and hard to consume or figure out the recommended amount (milk, fruit). For both unrelated adult caregivers and children, reported facilitators closely coincided with the barriers, highlighting modifiable conditions that could help individuals to meet the Dietary Guidelines for Americans.
KW - Barriers
KW - Caregivers
KW - Children
KW - Dietary guidelines
KW - Facilitators
UR - http://www.scopus.com/inward/record.url?scp=84884417511&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884417511&partnerID=8YFLogxK
U2 - 10.1016/j.jand.2013.05.004
DO - 10.1016/j.jand.2013.05.004
M3 - Article
C2 - 23871110
AN - SCOPUS:84884417511
VL - 113
SP - 1317
EP - 1331
JO - Journal of the Academy of Nutrition and Dietetics
JF - Journal of the Academy of Nutrition and Dietetics
SN - 2212-2672
IS - 10
ER -