Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework.
J Nutr Educ Behav
; 48(7): 468-477.e1, 2016.
Article
en En
| MEDLINE
| ID: mdl-27373861
ABSTRACT
OBJECTIVE:
Identify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-eligible Latinas using the Health Action Process Approach framework.DESIGN:
Qualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake.SETTING:
Hartford, Connecticut.PARTICIPANTS:
Forty-five WIC-eligible Latinas completed the study. Included women were ≥ 18 years old; in 2nd or 3rd trimester; having a singleton pregnancy; overweight or obese (ie, pregravid body mass index ≥ 25); not on a restricted diet; nonsmokers. PHENOMENON OF INTEREST Prenatal factors that promote and hinder F&V intake.ANALYSIS:
Transcripts were independently read and coded, and a consensus was reached about emerging themes.RESULTS:
Ten factors influenced prenatal F&V intake social support, family structure, F&V access, F&V preferences, F&V knowledge, F&V health outcome expectations, self-efficacy, intentions, F&V action/coping planning strategies, and maternal health status. CONCLUSIONS AND IMPLICATIONS Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs must consider strengthening support to achieve the desired outcome.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Prenatal
/
Verduras
/
Hispánicos o Latinos
/
Educación en Salud
/
Dieta
/
Frutas
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Nutr Educ Behav
Asunto de la revista:
CIENCIAS DA NUTRICAO
/
CIENCIAS DO COMPORTAMENTO
/
EDUCACAO
Año:
2016
Tipo del documento:
Article