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Development of a Traffic Light Food Labeling Resource to Support Patient-Centered Pregnancy Nutrition Counseling
Objective:
To engage nurse-midwives, registered nurses, and registered dietitians who work with pregnant women to adapt two established traffic light food labeling (TLFL) resources.
Design:
Qualitative descriptive study.
Setting:
Three obstetric (OB) clinics at an academic medical center in Massachusetts.
Participants:
Nurse-midwives (n = 4), registered nurses (n = 7), and registered dietitians (n = 2), N = 13.
Methods:
We conducted semi-structured interviews to collect demographic information and elicit participants' perspectives on content, design, feasibility, and acceptability adaptations to the TLFL resources. We computed descriptive statistics to analyze demographic data. We conducted deductive content analysis to categorize interview data into predetermined categories, identify subcategories, and ascertain applicable adaptations to the TLFL resources.
Results:
Participants were enthusiastic about a TLFL booklet that could provide OB clinicians and patients with important pregnancy nutrition information. Participants identified pregnancy-specific nutrition recommendations and strategies to improve the feasibility and acceptability of the booklet for OB clinic use, including critical topics for clinicians to cover, methods to individualize nutrition counseling, and the importance of including culturally diverse food examples.
Conclusion:
A TLFL booklet may be a useful resource to simplify complex pregnancy nutrition information and provide clinicians with an efficient method to engage in more frequent individualized nutrition conversations with patients before, during, and after pregnancy.
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