Evidence map›Paper›PMID 27373861›Full record

ArticleJournal of nutrition education and behavior

Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework.

Amber Hromi-Fiedler, Donna Chapman, Sofia Segura-Pérez, Grace Damio, Pamela Clark, Josefa Martinez, Rafael Pérez-Escamilla

Open access · greenAbstract read
In one paragraph

Article in Journal of nutrition education and behavior. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Experiences of Food Insecurity During Pregnancy in High-Income Countries: A Meta-Synthesis of Qualitative Studies.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Pooled it
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  8. Using FIGO Nutrition Checklist counselling in pregnancy: A review to support healthcare professionals.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Review
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  13. Exploring the nutritional beliefs of pregnant women in Yazd city.Journal of preventive medicine and hygiene · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Amber Hromi-FiedlerDepartment of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT. Electronic address: amber.hromi-fiedler@yale.edu.
Donna ChapmanExercise Science and Sports Studies Department, Springfield College, Springfield, MA.
Sofia Segura-PérezHispanic Health Council, Hartford, CT.
Grace DamioHispanic Health Council, Hartford, CT.
Pamela ClarkWomen's Ambulatory Health Services, Hartford Hospital, Hartford, CT.
Josefa MartinezDepartment of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT.
Rafael Pérez-EscamillaDepartment of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT.
Yale University · USHartford Financial Services (United States)Hartford Hospital · USHispanic Health Council · USSpringfield College · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Promoting fruit and veggies among pregnant Latinas: Intervention developmentR21NR013970 · NINR · YALE UNIVERSITY · PI HROMI-FIEDLER, AMBER · 2012 to 2013
$445k
NCATS NIH HHS UL1 TR001863NINR NIH HHS R21 NR013970
6 · The paper itself

Abstract

objectiveIdentify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-eligible Latinas using the Health Action Process Approach framework.

designQualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake.

settingHartford, Connecticut.

participantsForty-five WIC-eligible Latinas completed the study. Included women were: ≥ 18 years old; in 2nd or 3rd trimester; having a singleton pregnancy; overweight or obese (ie, pregravid body mass index ≥ 25); not on a restricted diet; nonsmokers. PHENOMENON OF INTEREST: Prenatal factors that promote and hinder F&V intake. ANALYSIS: Transcripts were independently read and coded, and a consensus was reached about emerging themes.

resultsTen factors influenced prenatal F&V intake: social support, family structure, F&V access, F&V preferences, F&V knowledge, F&V health outcome expectations, self-efficacy, intentions, F&V action/coping planning strategies, and maternal health status. CONCLUSIONS AND IMPLICATIONS: Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs must consider strengthening support to achieve the desired outcome.

Indexed as

DietFruitHispanic or LatinoVegetablesAdultCohort StudiesFemaleFood AssistanceHealth EducationHealth Services AccessibilityHumansPregnancyPrenatal CareYoung AdultdietfruitsLatinapregnancyvegetables

Identifiers

PMID27373861
PMCPMC4934128
OpenAlexW2470428129

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.