Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study

Objective: The aim of this study was to examine caregiver perceptions of summertime neighborhood-level environmental barriers and facilitators to healthy eating and active living in their elementary-age racial minority children. Methods: Caregivers with students in the prekindergarten–fifth grade we...

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Autores principales:	Laura C. Hopkins, Amy R. Sharn, Daniel Remley, Heather Schier, Regan Olak, Dorsena Drakeford, Cara Pannell, Carolyn Gunther
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	summer food environment physical activity environment qualitative Medicine R
Acceso en línea:	https://doaj.org/article/d5085ed461544663ae815c909f251ee1
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spelling	oai:doaj.org-article:d5085ed461544663ae815c909f251ee12021-11-11T16:31:00ZCaregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study10.3390/ijerph1821113961660-46011661-7827https://doaj.org/article/d5085ed461544663ae815c909f251ee12021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11396https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Objective: The aim of this study was to examine caregiver perceptions of summertime neighborhood-level environmental barriers and facilitators to healthy eating and active living in their elementary-age racial minority children. Methods: Caregivers with students in the prekindergarten–fifth grade were recruited from two schools located in low-income urban neighborhoods of Columbus, OH, with a predominantly Black population. Participants engaged in the research portion of the Healthy Eating Active Living: Mapping Attribute using Participatory Photographic Surveys (HEALth MAPPS<sup>TM</sup>) protocol, which included (1) orientation; (2) photographing and geotagging facilitators and barriers to HEALth on daily routes; (3) in-depth interview (IDI) discussing images and routes taken; (4) focus groups (FG). IDIs and FGs were transcribed verbatim. Analyses were guided by grounded theory and interpretive phenomenology and were coded by researchers (<i>n</i> = 3), who used comparative analysis to develop a codebook and determine major themes. Results: A total of 10 caregivers enrolled and 9 completed the IDIs. Five caregivers participated in focus groups. A majority (77.8%, <i>n</i> = 7) of caregivers identified as Black, female (88.9%, <i>n</i> = 8), and low income (55.6%, <i>n</i> = 5). IDI and FG themes included (1) walkway infrastructure crucial for healthy eating and active living; (2) scarce accessibility to healthy, affordable foods; (3) multiple abandoned properties; (4) unsafe activity near common neighborhood routes. Conclusions: Caregivers perceived multiple neighborhood-level barriers to healthy eating and activity during the summer months when school is closed. Findings from this study provide initial insights into environmental determinants of unhealthy summer weight gain in a sample of predominantly racial minority school-age children from low-income households.Laura C. HopkinsAmy R. SharnDaniel RemleyHeather SchierRegan OlakDorsena DrakefordCara PannellCarolyn GuntherMDPI AGarticlesummerfood environmentphysical activity environmentqualitativeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11396, p 11396 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	summer food environment physical activity environment qualitative Medicine R
spellingShingle	summer food environment physical activity environment qualitative Medicine R Laura C. Hopkins Amy R. Sharn Daniel Remley Heather Schier Regan Olak Dorsena Drakeford Cara Pannell Carolyn Gunther Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
description	Objective: The aim of this study was to examine caregiver perceptions of summertime neighborhood-level environmental barriers and facilitators to healthy eating and active living in their elementary-age racial minority children. Methods: Caregivers with students in the prekindergarten–fifth grade were recruited from two schools located in low-income urban neighborhoods of Columbus, OH, with a predominantly Black population. Participants engaged in the research portion of the Healthy Eating Active Living: Mapping Attribute using Participatory Photographic Surveys (HEALth MAPPS<sup>TM</sup>) protocol, which included (1) orientation; (2) photographing and geotagging facilitators and barriers to HEALth on daily routes; (3) in-depth interview (IDI) discussing images and routes taken; (4) focus groups (FG). IDIs and FGs were transcribed verbatim. Analyses were guided by grounded theory and interpretive phenomenology and were coded by researchers (<i>n</i> = 3), who used comparative analysis to develop a codebook and determine major themes. Results: A total of 10 caregivers enrolled and 9 completed the IDIs. Five caregivers participated in focus groups. A majority (77.8%, <i>n</i> = 7) of caregivers identified as Black, female (88.9%, <i>n</i> = 8), and low income (55.6%, <i>n</i> = 5). IDI and FG themes included (1) walkway infrastructure crucial for healthy eating and active living; (2) scarce accessibility to healthy, affordable foods; (3) multiple abandoned properties; (4) unsafe activity near common neighborhood routes. Conclusions: Caregivers perceived multiple neighborhood-level barriers to healthy eating and activity during the summer months when school is closed. Findings from this study provide initial insights into environmental determinants of unhealthy summer weight gain in a sample of predominantly racial minority school-age children from low-income households.
format	article
author	Laura C. Hopkins Amy R. Sharn Daniel Remley Heather Schier Regan Olak Dorsena Drakeford Cara Pannell Carolyn Gunther
author_facet	Laura C. Hopkins Amy R. Sharn Daniel Remley Heather Schier Regan Olak Dorsena Drakeford Cara Pannell Carolyn Gunther
author_sort	Laura C. Hopkins
title	Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
title_short	Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
title_full	Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
title_fullStr	Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
title_full_unstemmed	Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study
title_sort	caregiver perceptions of environmental facilitators and barriers to healthy eating and active living during the summer: results from the project sweat sub-study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d5085ed461544663ae815c909f251ee1
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Caregiver Perceptions of Environmental Facilitators and Barriers to Healthy Eating and Active Living during the Summer: Results from the Project SWEAT Sub-Study

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