Assessing Acceptability: The Role of Understanding Participant, Neighborhood, and Community Contextual Factors in Designing a Community-Tailored Cooking Intervention.

Publication date: Feb 05, 2024

Cooking is an identified dietary strategy that is positively associated with optimal diet quality. Prior to initiating cooking interventions, evaluating the prospective acceptability of the intervention among community members living within low food access areas and understanding geospatial food shopping locations may aid in designing community-tailored interventions. A sequential mixed methods study was conducted to determine the prospective acceptability of a planned community-located cooking intervention among African American adults living in a low food access area and with at least one cardiovascular disease risk factor. A semi-structured guide was used to conduct five virtual focus groups. Qualitative data were analyzed using thematic analysis and validated through participant check-in interviews. Survey responses were analyzed based on descriptive data. Geospatial analysis of participant locations that were reported for food shopping was conducted to show food environment utilization. Focus groups with study participants (n = 20, all female, mean age 60. 3, SD 9. 3, mean cooking frequency per week 4. 0, food insecure n = 7) were conducted between March and April, 2021. Thematic analysis of the focus group transcripts identified five main themes as follows: (A) Barriers to Cooking (family and caregiving, transportation, COVID-19 pandemic, time availability, household composition); (B) Motivators for Cooking (family, caregiving, health, enjoyment, COVID-19 pandemic); (C) Strategies (food shopping, social support, social media, meal planning); (D) Neighborhood (gentrification, perceived safety, stigmatization, disparities in grocery stores); (E) and Acceptability of the Intervention (reasons to participate, barriers, recruitment, intervention delivery). Participant validation interviews confirmed the themes and subthemes as well as the illustrative quotes. Geospatial analysis showed a majority of locations were outside of the participants’ residential areas. Prospective acceptability of a community-tailored cooking intervention found that the planned intervention could be modified to address individual level factors, such as caregiving and health, community contextual factors, such as perceived safety, and the general health needs of the community.

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Concepts Keywords
April acceptability
Caregiving African American
Cooking community tailored
Shopping cooking intervention
Stigmatization food environment
mixed methods

Semantics

Type Source Name
disease IDO intervention
disease IDO quality
disease MESH cardiovascular disease
disease VO frequency
disease MESH COVID-19 pandemic
disease VO time
disease VO USA
disease MESH Obesity
disease IDO blood
drug DRUGBANK Coenzyme M
disease MESH death
disease MESH lifestyle factors
disease VO Gap
disease VO storage
disease VO effectiveness
disease MESH chronic conditions
disease IDO site
disease VO protocol
disease VO population
disease MESH heart disease
disease MESH morbidity
disease VO volume
disease IDO process
drug DRUGBANK Methionine
disease MESH overweight
disease MESH Hyperlipidemia
disease MESH Hypertension
disease MESH pre Hypertension
disease MESH Marital status
disease VO age
disease VO Thing
drug DRUGBANK Bean
disease VO Optaflu
disease VO report
disease VO vaccination
disease VO USDA
disease VO document
drug DRUGBANK Guanosine
drug DRUGBANK Gold
disease MESH weight loss
disease IDO history
disease IDO symptom
disease VO Canada

Original Article

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