Changing Family Food and Eating Practices: The Family Food Decision-Making System
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ORIGINAL ARTICLE
Changing Family Food and Eating Practices: The Family Food Decision-Making System Ardyth M. H. Gillespie, Ph.D. & Wendy L. Johnson-Askew, Ph.D., M.P.H., R.D.
Published online: 3 November 2009 # The Society of Behavioral Medicine 2009
Abstract Background Food decision-making processes interact with family and community environments to shape families’ thinking (i.e., their constructed reality) about food, eating, health, and well-being as discussed by Gillespie and Gillespie (J Fam Consum Sci 99(2):22–28 2007). Purpose To understand the processes and impetuses for changing family food and eating routines and policies and to develop a framework for the family food decisionmaking system (FFDS). Methods Interviews and observations with parents and change agents were used to generate grounded theory in the form of propositions which provided the basis for the FFDS framework. Results The propositions elucidate the processes of and influences on family food decision-making systems. The framework illustrates the family food decision-making system and processes of changing family food and eating routines and policies. Conclusion The FDMS framework begins to address the complexity of food decision-making to guide intervention planning and further research. Keywords Food decision-making . Family . Changing food practices . Behavior change
A. M. H. Gillespie (*) Cornell University, Ithaca, NY, USA e-mail: [email protected]
Introduction and Background Food decision-making processes, including acquisition, transformation, service, consumption, and disposal, interact with family and community environments to define food choices and shape families’ thinking (i.e., their constructed reality) about food, eating, health, and well-being [1]. Most people’s food and eating decisions are embedded in family food and eating subsystems and/or intimately connected to significant others. The purpose of this research, which draws from a series of studies, was to understand the processes and impetuses for changing family food and eating routines and policies. This paper describes the methodology used to generate grounded theory about the family food decision-making system (propositions) and the family food decision-making system (FDMS) framework. The framework is described, critical decision points are identified, and lever points within the framework that are potentially ripe for intervention are highlighted.
Methodology Interviews and observations with parents and change agents were used to generate grounded theory and develop the framework. The following presuppositions, influenced by the symbolic interaction tradition [2], guided the nature of research questions, methods employed, and interpretation and application of findings [3]. Presupposition I
W. L. Johnson-Askew Public Health Nutrition/Health Policy Advisor NIH/Division of Nutrition Research Coordination, 6707 Democracy Blvd. 2 Democracy Plaza, Room 635 Bethesda, MD 20892, USA
As members of society, people jointly construct a shared understanding of “reality” (soc
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