TY - JOUR
T1 - Developing content for the food environment assessment survey tool (FEAST)
T2 - A systematic mixed methods study with people with disabilities
AU - Lee, Rebecca E.
AU - O’Neal, Alicia
AU - Cameron, Chelsea
AU - Hughes, Rosemary B.
AU - O’Connor, Daniel P.
AU - Ohri-Vachaspati, Punam
AU - Todd, Michael
AU - Nosek, Margaret A.
N1 - Publisher Copyright:
© 2020 by the authors.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Almost 1 in every 8 adults in the U.S. have a physical disability that impairs mobility. This participatory project aimed to identify and describe environmental and personal barriers to healthy eating among people with mobility impairments using a rigorous, structured mixed methodology. Community-dwelling adults with a self-reported mobility impairment (N = 20, M = 40.4 years old, 60% female) participated in nominal group technique focus groups. The Ecologic Model of Obesity grounded stimulus questions asked about barriers to obtaining and preparing healthy food. Participants emphasized common barriers across everyday settings-focusing, for example, on the ability to reach shelved food inside the home, navigating to and inside stores and restaurants, and using delivery services. Home environments often did not afford suitable spaces for food preparation and storage. Participants reported inadequate transportation and numerous additional barriers in many settings to be able to eat healthfully. Participants reported lack of accessible transportation and architectural barriers inside stores, restaurants, and their own homes, highlighting the need for efforts aimed at improving accessibility and usability. Findings support the use of the Ecologic Model of Obesity to guide research and suggest the need for improvement in assessment practices and policies that enhance access to healthy food.
AB - Almost 1 in every 8 adults in the U.S. have a physical disability that impairs mobility. This participatory project aimed to identify and describe environmental and personal barriers to healthy eating among people with mobility impairments using a rigorous, structured mixed methodology. Community-dwelling adults with a self-reported mobility impairment (N = 20, M = 40.4 years old, 60% female) participated in nominal group technique focus groups. The Ecologic Model of Obesity grounded stimulus questions asked about barriers to obtaining and preparing healthy food. Participants emphasized common barriers across everyday settings-focusing, for example, on the ability to reach shelved food inside the home, navigating to and inside stores and restaurants, and using delivery services. Home environments often did not afford suitable spaces for food preparation and storage. Participants reported inadequate transportation and numerous additional barriers in many settings to be able to eat healthfully. Participants reported lack of accessible transportation and architectural barriers inside stores, restaurants, and their own homes, highlighting the need for efforts aimed at improving accessibility and usability. Findings support the use of the Ecologic Model of Obesity to guide research and suggest the need for improvement in assessment practices and policies that enhance access to healthy food.
KW - Access
KW - Disability
KW - Ecologic model of obesity
KW - Healthy eating
KW - Mobility impairment
UR - http://www.scopus.com/inward/record.url?scp=85094595504&partnerID=8YFLogxK
U2 - 10.3390/ijerph17217781
DO - 10.3390/ijerph17217781
M3 - Article
C2 - 33114296
AN - SCOPUS:85094595504
SN - 1661-7827
VL - 17
SP - 1
EP - 14
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 21
M1 - 7781
ER -