ArticlePublic health nutrition2015
Barriers and facilitators to following the Dietary Guidelines for Americans reported by rural, Northern Plains American-Indian children.
Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- U.S. consumer acceptance of whole grains, local grains, and alternative grain networks: a scoping review.Frontiers in nutrition · 2026Pooled it
- A higher global diet quality score is associated with lower risk of obesity among male university students in Lebanon: a pilot study.Frontiers in nutrition · 2024Article
- Identification of Barriers to Adherence to a Weight Loss Diet in Women Using the Nominal Group Technique.Nutrients · 2020Article
- The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review.International journal of environmental research and public health · 2020Article
- Main Factors Influencing Whole Grain Consumption in Children and Adults-A Narrative Review.Nutrients · 2020Review
- Perspective: Food-Based Dietary Guidelines in Europe-Scientific Concepts, Current Status, and Perspectives.Advances in nutrition (Bethesda, Md.) · 2018Review
- Consumer accounts of favourable dietary behaviour change and comparison with official dietary guidelines.Public health nutrition · 2018Article
- Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies.Journal of diabetes research · 2018Review
- Attitudes, social norms and perceived behavioral control factors influencing participation in a cooking skills program in rural Central Appalachia.Global health promotion · 2017Article
- Rural and Remote Food Environments and Obesity.Current obesity reports · 2015Review
- Barriers and facilitators to being physically active on a rural U.S. Northern Plains American Indian reservation.International journal of environmental research and public health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Dietary Guidelines for Americans (DGA) promote healthy dietary choices for all Americans aged 2 years and older; however, the majority of Americans do not meet recommendations. The goal of the present study was to identify both barriers and facilitators to adherence to DGA recommendations for consumption of five recommended food groups: grains (specifically whole grains), vegetables, fruits, meat/beans and milk (specifically reduced-fat/non-fat), among American-Indian children.
designNominal group technique sessions were conducted to identify and prioritize children's perceived barriers and facilitators to following the DGA, as presented in the 'MyPyramid' consumer education icon. After response generation to a single question about each food group (e.g. 'What sorts of things make it harder (or easier) for kids to follow the MyPyramid recommendation for vegetables?'), children individually ranked their top five most salient responses. Ranked responses are presented verbatim.
settingA rural Northern Plains American-Indian reservation, USA. SUBJECTS: Sixty-one self-selected fifth-grade children.
resultsCore barriers for all food groups studied included personal preference (i.e. 'don't like') and environmental (i.e. 'cost too much'; 'store is too far to get them'; 'grandma don't have'). Core facilitators included suggestions, i.e. 'make a garden and plant vegetables'; 'tell your friends to eat healthy'.
conclusionsBarriers and facilitators are dissimilar for individual food groups, suggesting that dietary interventions should target reduction of barriers and promotion of facilitators specific to individual food groups recommended by the DGA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.