1a.Objectives (from AD-416)
HEALTH is a multi-center study with two broad objectives: (1) to construct culturally appropriate surveys to assess Dietary Guideline adherence barriers and facilitators in children and adults of major U.S. racial/ethnic groups and (2) to examine barriers and facilitators of Dietary Guideline adherence and other factors as they relate to dietary behavior and body mass index (BMI) by administering the U.S. population located in 7 geographic locations served by USDA Human Nutrition Research sites.
1b.Approach (from AD-416)
Objective 1 will enlist focus groups (Nominal Group Technique) and structured cognitive interviews to elicit key factors that inhibit (barriers) and motivate (facilitators) Dietary Guideline adherence. This work will serve to develop a "Barriers and Facilitators" survey instrument, which will be applied to Objective 2 of the research. Objective 2 will be conducted by administering the survey to cross-sections of the U.S. population located in 7 geographic locations served by USDA Human Nutrition Research sites. Documents Trust with Baylor College of Medicine. Log 37829. Formerly 5306-51530-016-19R (8/09).
U.S. Dietary Guideline (DG) adherence in children and adults is poor. Although information does exist to describe reasons for poor adherence to specific aspects of healthy eating patterns (e.g., fruits and vegetables), there is a need to understand factors that influence DG adherence as a total package. The primary step in addressing this need is to develop survey instruments, which query in children and adults the most significant factors that influence DG adherence. As the western region site in this multi-site project, we participated in discussions which led to the development and completion of the barriers and facilitators survey instrument (BAFS) for children and adults. Our site received IRB and public school approval for conducting in our region the pilot study, which will test the validity of BAFS. We successfully began the pilot study and have conducted the survey in 10 families (child-parent dyads). Recruitment is ongoing with a targeted goal of 134 child-parent dyads.