Barriers to Creating Healthier Home Food Environments: Process Evaluation Results from Two Home Food Environment Intervention Studies

Details

• Alternative Title:
  Fam Community Health
• Personal Author:
  Kegler, Michelle C. ; Raskind, Ilana G. ; Bundy, Łucja T. ; Owolabi, Shadé ; Veluswamy, JK ; Hernandez, Clarisa ; Hodge, Tarccara ; Haardörfer, Regine
• Description:
  Background and Objectives:
  
  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.
  
  Methods:
  
  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 eight healthy actions that serve as core elements of the intervention.
  
  Results:
  
  Difficulty of changing current habits was a barrier for five of the healthy actions. No time/convenience and limited family support each influenced two of the healthy actions, with interpersonal barriers also stemming from social situations and visitors, including grandchildren. Cost and economic challenges were barriers for three of the actions. Hunger, cravings and limited access to resources (e.g., transportation, fresh fruits and vegetables) were each noted as barriers for one healthy action.
  
  Conclusions:
  
  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 multi-level interventions.
  
  
• Subjects:
  Diet, Healthy Environment Female Fruit Humans Poverty Vegetables
• Keywords:
  Barriers Buprenorphine Intervention Methadone Mortality Naltrexone Nutrition Process Evaluation Qualitative Treatment
• Source:
  Fam Community Health. 45(4):247-256
• Pubmed ID:
  35536715
• Pubmed Central ID:
  PMC9391264
• Document Type:
  Journal Article
• Funding:
  R21 CA206508/CA/NCI NIH HHSUnited States/ ; U48 DP001909/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006377/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  45
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:385987b5b2392bb080e7b1e0b598079d7f60aeb051035d391228e6b0761517ebcac0a675a89cc4fac23e3e5cea849b14aaf79da5e7a02a4dbcdb42c8bc254ce6
• Download URL:
  https://stacks.cdc.gov/view/cdc/120525/cdc_120525_DS1.pdf
• File Type:
  [PDF - 94.68 KB ]