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Developing Content for the Food Environment Assessment Survey Tool (FEAST): A Systematic Mixed Methods Study with People with Disabilities

Author

Listed:
  • Rebecca E. Lee

    (Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA)

  • Alicia O’Neal

    (Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA
    Population Health, University of Kansas School of Medicine, Kansas City, KS 66160, USA)

  • Chelsea Cameron

    (Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd St., Phoenix, AZ 85004, USA)

  • Rosemary B. Hughes

    (Rural Institute for Inclusive Communities, University of Montana, Missoula, MT 59812, USA)

  • Daniel P. O’Connor

    (Department of Health and Human Performance, HEALTH Research Institute, University of Houston, Houston, TX 77204, USA)

  • Punam Ohri-Vachaspati

    (College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA)

  • Michael Todd

    (Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ 85004, USA)

  • Margaret A. Nosek

    (Center for Research on Women with Disabilities, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX 77030, USA)

Abstract

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.

Suggested Citation

  • Rebecca E. Lee & Alicia O’Neal & Chelsea Cameron & Rosemary B. Hughes & Daniel P. O’Connor & Punam Ohri-Vachaspati & Michael Todd & Margaret A. Nosek, 2020. "Developing Content for the Food Environment Assessment Survey Tool (FEAST): A Systematic Mixed Methods Study with People with Disabilities," IJERPH, MDPI, vol. 17(21), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7781-:d:434057
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    References listed on IDEAS

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    1. Lena Morgon Banks & Hannah Kuper & Sarah Polack, 2017. "Poverty and disability in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-19, December.
    2. Hilmers, A. & Hilmers, D.C. & Dave, J., 2012. "Neighborhood disparities in access to healthy foods and their effects on environmental justice," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1644-1654.
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    Cited by:

    1. Rosemary B. Hughes & Susan Robinson-Whelen & Carly Knudson, 2022. "Cancer Disparities Experienced by People with Disabilities," IJERPH, MDPI, vol. 19(15), pages 1-9, July.

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