Caregiver-reported barriers to engagement in a paediatric fresh fruit and vegetable prescription programme.

IF 2.4 Q3 NUTRITION & DIETETICS
Journal of Nutritional Science Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI:10.1017/jns.2024.33
Amy Saxe-Custack, Sarah Egan, Bridget Farmer, Kimberly Pulka, Anna Sampson
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Abstract

Paediatric fruit and vegetable prescription programmes hold promise in improving food security and dietary patterns among youth. However, programme success is largely dependent upon caregiver and family engagement. The current study sought to gain a better understanding of environmental barriers to engagement in a paediatric fruit and vegetable prescription programme in one low-income, urban community (Flint, Michigan, USA). Following the implementation of a paediatric fruit and vegetable prescription programme, researchers conducted thirty-two semi-structured interviews with caregivers. Researchers explored caregivers' understanding of the fruit and vegetable prescription programme, barriers to programme engagement, and recommendations for improvement. Telephone interviews were transcribed for textual analysis. Researchers used thematic analysis to examine qualitative data, determine patterns across transcripts, and develop emerging themes. Researchers concluded interviews when data saturation was reached. The majority of participants were female (94%), African American (66%), and residents of Flint (72%). Five recurrent themes emerged: (1) nutrition security; (2) prescription distribution; (3) prescription redemption; (4) educational supports; and (5) programme modifications. Although caregivers indicated that the prescription programme addressed household food insecurity, environmental barriers to engagement were apparent. Caregivers provided suggestions, such as partnering with large grocery stores and developing digital prescriptions, to address programme engagement challenges. Fundamental to the success of fruit and vegetable prescription programmes is the understanding of barriers to engagement from the perspective of participants. This study explores challenges with one paediatric fruit and vegetable prescription programme and provides actionable solutions, from the viewpoint of caregivers, to address these challenges.

护理人员报告的参与儿科新鲜水果和蔬菜处方计划的障碍。
儿科水果和蔬菜处方计划有望改善青少年的食品安全和饮食模式。然而,计划的成功在很大程度上取决于照顾者和家庭的参与。本研究旨在更好地了解在一个低收入城市社区(美国密歇根州弗林特市)实施儿科果蔬处方计划的环境障碍。在实施儿科果蔬处方计划后,研究人员对照顾者进行了 32 次半结构式访谈。研究人员探讨了护理人员对果蔬处方计划的理解、参与计划的障碍以及改进建议。对电话访谈进行了文字转录分析。研究人员使用主题分析法检查定性数据,确定记录誊本中的模式,并发展新出现的主题。当数据达到饱和时,研究人员结束访谈。大部分参与者为女性(94%)、非裔美国人(66%)和弗林特居民(72%)。出现了五个重复出现的主题:(1) 营养安全;(2) 处方分发;(3) 处方兑换;(4) 教育支持;(5) 计划修改。虽然照顾者表示处方计划解决了家庭粮食不安全问题,但参与的环境障碍也很明显。护理人员提出了一些建议,如与大型杂货店合作、开发数字处方等,以应对计划参与方面的挑战。从参与者的角度了解参与的障碍是果蔬处方计划取得成功的基础。本研究探讨了一项儿科果蔬处方计划所面临的挑战,并从护理人员的角度出发,提供了应对这些挑战的可行解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Nutritional Science
Journal of Nutritional Science NUTRITION & DIETETICS-
CiteScore
3.00
自引率
0.00%
发文量
91
审稿时长
7 weeks
期刊介绍: Journal of Nutritional Science is an international, peer-reviewed, online only, open access journal that welcomes high-quality research articles in all aspects of nutrition. The underlying aim of all work should be, as far as possible, to develop nutritional concepts. JNS encompasses the full spectrum of nutritional science including public health nutrition, epidemiology, dietary surveys, nutritional requirements, metabolic studies, body composition, energetics, appetite, obesity, ageing, endocrinology, immunology, neuroscience, microbiology, genetics, molecular and cellular biology and nutrigenomics. JNS welcomes Primary Research Papers, Brief Reports, Review Articles, Systematic Reviews, Workshop Reports, Letters to the Editor and Obituaries.
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