Barriers to Creating Healthier Home Food Environments
Process Evaluation Results From 2 Home Food Environment Intervention Studies
Bibliographic Data
| ID | 13855577 |
|---|---|
| Authors | Michelle C Kegler (0000-0003-4898-5454, The Centers, corresponding author), Ilana G Raskind (0000-0003-2489-630X, Development Agency of Serbia), Lucja Bundy (Emory University), Łucja T Bundy, Shadé Owolabi (National Heart Lung and Blood Institute), J K Veluswamy (National Heart Lung and Blood Institute), Clarisa Hernandez (Emory University), Tarccara Hodge (Emory University), Regine Haardörfer (Development Agency of Serbia) |
| Year | 2022 |
| Volume | 45 |
| Issue | 4 |
| Pages | 247-256 |
| Publication date | 2022-04-28 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Family & Community Health (JOURNAL) |
| Journal identifiers | ISSN: 0160-6379 • E-ISSN: 1550-5057 |
| Publisher | Lippincott Williams & Wilkins (PUBLISHER • US) |
| DOI | 10.1097/fch.0000000000000335 |
| PMID | 35536715 |
| OpenAlex | W4280507897 |
| Language | EN |
| Citations received | 1 |
| References cited | 45 |
Few studies have identified barriers to creating a home environment more supportive of healthy eating. We examined barriers faced by participants in a randomized controlled trial and an adaptation study of the Healthy Homes/Healthy Families intervention, which uses health coaches to support low-income families in creating healthier home food environments. Coaches maintained logs of participant interactions as part of a process evaluation. We thematically analyzed logs from interactions with participants, mostly lower-income African American women (n = 114), to identify barriers for each of 8 healthy actions that serve as core elements of the intervention. Difficulty of changing current habits was a barrier for 5 of the healthy actions. No time/convenience and limited family support each influenced 2 of the healthy actions, with interpersonal barriers also stemming from social situations and visitors, including grandchildren. Cost and economic challenges were barriers for 3 of the actions. Hunger, cravings, and limited access to resources (eg, transportation, fresh fruits and vegetables) were each noted as barriers for 1 healthy action. Overall, these findings provide insight for how to better support families who are trying to improve their home food environments and highlight the need for multilevel interventions
Environmental health · Healthy food · Interpersonal communication · Intervention (counseling · Psychological intervention · Social support · Eating Disorders and Behaviors · Medicine · Nursing · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Social Psychology · Gerontology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |