Kay Melissa C, Bentley Margaret, Wasser Heather
Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina, USA.
Matern Child Nutr. 2025 Jan;21(1):e13741. doi: 10.1111/mcn.13741. Epub 2024 Oct 11.
Maternal diet is a key predictor of child diet, yet an in-depth inquiry into the barriers and facilitators for the adoption of healthy eating behaviours during the post-partum period is lacking, specifically for non-Hispanic Black mothers. This study used qualitative research methods to investigate healthy eating practices among a sample of non-Hispanic Black mothers participating in a family-based obesity prevention intervention. In-depth interviews were conducted with 22 mothers who participated in the Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers intervention trial. Interviews were audio-recorded and transcribed verbatim. A deductive and inductive process was used to develop a consensus codebook; once the data were coded, matrices were developed to explore the data and identify similarities and differences between respondents. Relevant themes were identified, and salient quotes were used to illustrate each theme. Mothers believed that time and taste were significant barriers to eating healthy. Social influence and social support had both positive and negative influences on mothers' ability to adopt healthy eating behaviours. Despite their children often being a facilitator to healthy eating, many mothers struggled with finding the time, energy and desire to focus on themselves when it came to healthy eating. Many mothers were intent on preparing healthy meals and snacks for their children but did not prepare them for themselves. Future interventions should focus on the importance of role-modelling healthy eating behaviours for their children and include behaviour change strategies that incorporate skill-building activities emphasizing time-saving methods for planning and preparing healthy meals and snacks for the whole family to eat.
母亲的饮食是儿童饮食的关键预测因素，但目前缺乏对产后采用健康饮食行为的障碍和促进因素的深入探究，尤其是针对非西班牙裔黑人母亲。本研究采用定性研究方法，调查了参与一项基于家庭的肥胖预防干预措施的非西班牙裔黑人母亲样本中的健康饮食习惯。对22名参与“母亲及他人：婴幼儿家庭肥胖预防”干预试验的母亲进行了深入访谈。访谈进行了录音并逐字转录。采用演绎和归纳过程制定了一个共识编码本；数据编码后，构建矩阵以探索数据并识别受访者之间的异同。确定了相关主题，并使用突出的引语来说明每个主题。母亲们认为时间和口味是健康饮食的重大障碍。社会影响和社会支持对母亲采用健康饮食行为的能力既有积极影响也有消极影响。尽管孩子往往是健康饮食的促进因素，但许多母亲在涉及健康饮食时，难以找到时间、精力和意愿来关注自己。许多母亲一心为孩子准备健康的饭菜和零食，但自己却不这样做。未来的干预措施应注重为孩子树立健康饮食行为榜样的重要性，并纳入行为改变策略，其中包括技能培养活动，强调采用节省时间的方法为全家计划和准备健康的饭菜及零食。
