PMID- 23871110
OWN - NLM
STAT- MEDLINE
DCOM- 20131114
LR  - 20220408
IS  - 2212-2672 (Print)
IS  - 2212-2672 (Linking)
VI  - 113
IP  - 10
DP  - 2013 Oct
TI  - Barriers and facilitators for consumer adherence to the dietary guidelines for 
      Americans: the HEALTH study.
PG  - 1317-31
LID - S2212-2672(13)00527-3 [pii]
LID - 10.1016/j.jand.2013.05.004 [doi]
AB  - The majority of the US population does not meet recommendations for consumption 
      of milk, whole grains, fruit, and vegetables. The goal of our study was to 
      understand barriers and facilitators to adherence to the Dietary Guidelines for 
      Americans for four nutrient-rich food groups in fifth-grade children and 
      unrelated adult caregivers across six sites in a multistate study. A total of 281 
      unrelated adult caregivers (32% African American, 33% European American, and 35% 
      Hispanic American) and 321 children (33% African American, 33% European American, 
      and 34% Hispanic American) participated in 97 Nominal Group Technique sessions. 
      Nominal Group Technique is a qualitative method of data collection that enables a 
      group to generate and prioritize a large number of issues within a structure that 
      gives everyone an equal voice. The core barriers specific to unrelated adult 
      caregivers were lack of meal preparation skills or recipes (whole grains, fruit, 
      vegetables); difficulty in changing eating habits (whole grains, fruit, 
      vegetables), cost (milk, whole grains, fruit, vegetables), lack of knowledge of 
      recommendation/portion/health benefits (milk, vegetables), and taste (milk, whole 
      grains, vegetables). Specific to children, the core barriers were competing foods 
      (ie, soda, junk foods, sugary foods [whole grains, milk, fruit, vegetables]), 
      health concerns (ie, milk allergy/upset stomach [milk]), taste/flavor/smell 
      (milk, whole grains, fruit, vegetables), forget to eat them (vegetables, fruit), 
      and hard to consume or figure out the recommended amount (milk, fruit). For both 
      unrelated adult caregivers and children, reported facilitators closely coincided 
      with the barriers, highlighting modifiable conditions that could help individuals 
      to meet the Dietary Guidelines for Americans.
CI  - Copyright (c) 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. 
      All rights reserved.
FAU - Nicklas, Theresa A
AU  - Nicklas TA
FAU - Jahns, Lisa
AU  - Jahns L
FAU - Bogle, Margaret L
AU  - Bogle ML
FAU - Chester, Deirdra N
AU  - Chester DN
FAU - Giovanni, Maria
AU  - Giovanni M
FAU - Klurfeld, David M
AU  - Klurfeld DM
FAU - Laugero, Kevin
AU  - Laugero K
FAU - Liu, Yan
AU  - Liu Y
FAU - Lopez, Sandra
AU  - Lopez S
FAU - Tucker, Katherine L
AU  - Tucker KL
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20130717
PL  - United States
TA  - J Acad Nutr Diet
JT  - Journal of the Academy of Nutrition and Dietetics
JID - 101573920
SB  - IM
MH  - Adult
MH  - Beverages
MH  - Child
MH  - Dairy Products
MH  - Diet/*standards
MH  - Diet Surveys
MH  - Edible Grain
MH  - Ethnicity
MH  - *Feeding Behavior
MH  - Female
MH  - Fruit
MH  - *Guidelines as Topic
MH  - Health Behavior
MH  - *Health Promotion
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Middle Aged
MH  - Nutritional Physiological Phenomena
MH  - *Patient Compliance
MH  - Surveys and Questionnaires
MH  - Vegetables
OTO - NOTNLM
OT  - Barriers
OT  - Caregivers
OT  - Children
OT  - Dietary guidelines
OT  - Facilitators
EDAT- 2013/07/23 06:00
MHDA- 2013/11/15 06:00
CRDT- 2013/07/23 06:00
PHST- 2012/08/22 00:00 [received]
PHST- 2013/05/02 00:00 [accepted]
PHST- 2013/07/23 06:00 [entrez]
PHST- 2013/07/23 06:00 [pubmed]
PHST- 2013/11/15 06:00 [medline]
AID - S2212-2672(13)00527-3 [pii]
AID - 10.1016/j.jand.2013.05.004 [doi]
PST - ppublish
SO  - J Acad Nutr Diet. 2013 Oct;113(10):1317-31. doi: 10.1016/j.jand.2013.05.004. Epub 
      2013 Jul 17.