Goals, Barriers, and Facilitators of Caregivers Who Participated in an In-Home Intervention to Improve Food Parenting Practices and Child Diet Quality

Overview

Journal J Nutr Educ Behav

Publisher Elsevier

Date 2024 May 1

PMID 38691079

Authors

Andrea Ramirez

Katelyn Fox

Yarisbel Melo Herrera

Kim M Gans

Patricia Markham Risica

Karen McCurdy

Ernestine Jennings

Alison Tovar

Affiliations

Soon will be listed here.

Abstract

Objective: To explore the goals, barriers, and facilitators set by caregivers of preschool-aged children to improve food parenting practices and household food environments.

Design: Secondary qualitative analysis of collaborative goal sheets completed during in-home and telephone visits as part of a home-based pilot intervention.

Participants: Thirty-three Hispanic/Latinx caregivers, predominantly of low income.

Phenomenon Of Interest: Patterns in goal content and anticipated barriers and facilitators.

Analysis: Thematic analysis of goal sheets with a mixed inductive-deductive approach.

Results: Almost half of the goals were to support a healthy environment (40.7%) by increasing the availability of healthy foods through food shopping and meal planning. Other goals were to increase structure (33.7%) by establishing food-related routines and decreasing distractions. Goals related to autonomy support (25.4%) included involving their children (eg, cooking together). Caregivers' perceived barriers encompass individual (eg, stress, lack of time), interpersonal (eg, other family members' eating behaviors), and environmental-level (eg, food availability) factors. Caregivers only identified facilitators at the individual and interpersonal levels (eg, motivation).

Conclusions And Implications: Understanding goals, barriers, and facilitators can be used to tailor key messages to improve food parenting practices and children's diets. Future interventions can target broader environmental barriers while increasing awareness of individual, interpersonal, and environmental-level facilitators.

References

Lindsay A, Sussner K, Greaney M, Peterson K . Influence of social context on eating, physical activity, and sedentary behaviors of Latina mothers and their preschool-age children. Health Educ Behav. 2008; 36(1):81-96. PMC: 3089594. DOI: 10.1177/1090198107308375. View

Tovar A, Fox K, Gans K, Risica P, Papandonatos G, Ramirez A . Results from the Strong Families Start at Home/Familias Fuertes Comienzan en Casa: feasibility randomised control trial to improve the diet quality of low-income, predominantly Hispanic/Latinx children. Public Health Nutr. 2023; 26(4):890-904. PMC: 10131154. DOI: 10.1017/S1368980023000174. View

Birch L, Fisher J . Development of eating behaviors among children and adolescents. Pediatrics. 2002; 101(3 Pt 2):539-49. View

Boles R, Yun L, Hambidge S, Davidson A . Influencing the Home Food and Activity Environment of Families of Preschool Children Receiving Home-Based Treatment for Obesity. Clin Pediatr (Phila). 2015; 54(14):1387-90. PMC: 4534366. DOI: 10.1177/0009922815570614. View

Larson N, Story M, Nelson M . Neighborhood environments: disparities in access to healthy foods in the U.S. Am J Prev Med. 2008; 36(1):74-81. DOI: 10.1016/j.amepre.2008.09.025. View

Ritchie L, Welk G, Styne D, Gerstein D, Crawford P . Family environment and pediatric overweight: what is a parent to do?. J Am Diet Assoc. 2005; 105(5 Suppl 1):S70-9. DOI: 10.1016/j.jada.2005.02.017. View

Braga-Pontes C, Simoes-Dias S, Lages M, Guarino M, Graca P . Nutrition education strategies to promote vegetable consumption in preschool children: the Veggies4myHeart project. Public Health Nutr. 2021; 25(4):1061-1070. PMC: 9991745. DOI: 10.1017/S1368980021004456. View

Ducrot P, Mejean C, Aroumougame V, Ibanez G, Alles B, Kesse-Guyot E . Meal planning is associated with food variety, diet quality and body weight status in a large sample of French adults. Int J Behav Nutr Phys Act. 2017; 14(1):12. PMC: 5288891. DOI: 10.1186/s12966-017-0461-7. View

Ventura A, Worobey J . Early influences on the development of food preferences. Curr Biol. 2013; 23(9):R401-8. DOI: 10.1016/j.cub.2013.02.037. View

10.

Lacko A, Maselko J, Popkin B, Ng S . Socio-economic and racial/ethnic disparities in the nutritional quality of packaged food purchases in the USA, 2008-2018. Public Health Nutr. 2021; 24(17):5730-5742. PMC: 8313635. DOI: 10.1017/S1368980021000367. View

11.

Bandura A . Human agency in social cognitive theory. Am Psychol. 1989; 44(9):1175-84. DOI: 10.1037/0003-066x.44.9.1175. View

12.

Shilts M, Horowitz M, Townsend M . Goal setting as a strategy for dietary and physical activity behavior change: a review of the literature. Am J Health Promot. 2004; 19(2):81-93. DOI: 10.4278/0890-1171-19.2.81. View

13.

Marriott B, Hunt K, Malek A, Newman J . Trends in Intake of Energy and Total Sugar from Sugar-Sweetened Beverages in the United States among Children and Adults, NHANES 2003-2016. Nutrients. 2019; 11(9). PMC: 6770750. DOI: 10.3390/nu11092004. View

14.

Vaughn A, Ward D, Fisher J, Faith M, Hughes S, Kremers S . Fundamental constructs in food parenting practices: a content map to guide future research. Nutr Rev. 2016; 74(2):98-117. PMC: 4892304. DOI: 10.1093/nutrit/nuv061. View

15.

Beck A, Iturralde E, Haya-Fisher J, Kim S, Keeton V, Fernandez A . Barriers and facilitators to healthy eating among low-income Latino adolescents. Appetite. 2019; 138:215-222. PMC: 6628719. DOI: 10.1016/j.appet.2019.04.004. View

16.

Nekitsing C, Hetherington M, Blundell-Birtill P . Developing Healthy Food Preferences in Preschool Children Through Taste Exposure, Sensory Learning, and Nutrition Education. Curr Obes Rep. 2018; 7(1):60-67. PMC: 5829121. DOI: 10.1007/s13679-018-0297-8. View

17.

Tang L, Broad J, Lewis R, Ma D, Haines J . Transitioning a home-based, motivational interviewing intervention among families to remote delivery during the COVID-19 pandemic: Key lessons learned. Patient Educ Couns. 2021; 104(9):2286-2291. PMC: 7906506. DOI: 10.1016/j.pec.2021.02.043. View

18.

Hodder R, OBrien K, Tzelepis F, Wyse R, Wolfenden L . Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database Syst Rev. 2020; 5:CD008552. PMC: 7273132. DOI: 10.1002/14651858.CD008552.pub7. View

19.

Fox K, Gans K, McCurdy K, Risica P, Jennings E, Gorin A . Rationale, design and study protocol of the 'Strong Families Start at Home' feasibility trial to improve the diet quality of low-income, ethnically diverse children by helping parents improve their feeding and food preparation practices. Contemp Clin Trials Commun. 2020; 19:100583. PMC: 7327278. DOI: 10.1016/j.conctc.2020.100583. View

20.

Haire-Joshu D, Elliott M, Caito N, Hessler K, Nanney M, Hale N . High 5 for Kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children. Prev Med. 2008; 47(1):77-82. PMC: 3607447. DOI: 10.1016/j.ypmed.2008.03.016. View