2023-09-28 14:46:10 +00:00
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abstract: 'Background Home gardening is a strategy to improve nutrition and food
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security. More information is needed about optimizing gardens in
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different contexts.
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Objective The aim was to identify implementation barriers and
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facilitators for a home gardening intervention in rural Guatemala and
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inform future larger-scale interventions in the region.
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Design A mixed-methods implementation study using the RE-AIM (Reach,
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Effectiveness, Adoption, Implementation, Maintenance) framework was
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conducted from January 2019 to July 2020.
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Participants/setting Families (n = 70) in rural Guatemala participated
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in the intervention. Staff (n = 4), families (n = 6), and community
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stakeholders (n = 3) participated in interviews or focus groups.
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Intervention Participating households received seeds and seedlings for
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16 crops, garden construction materials, agronomist-delivered education
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and assistance, and a standard-of-care nutrition program.
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Main outcome measures Implementation data were collected from program
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records and observations, participant surveys, and interviews and focus
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groups. Crop count and nutritional functional diversity of home gardens
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were assessed.
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Statistical analyses performed Descriptive statistics were calculated
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for quantitative outcomes. Qualitative data were double-coded and
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organized into overarching themes.
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Results Reach: Ninety percent of eligible households participated. Child
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nutritional eligibility criteria was a barrier to reach. Effectiveness:
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Participants and stakeholders felt the intervention improved access to
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diverse foods. Cultivated crops increased an average of five species
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(95\% confidence interval {[}CI], 4-6) at 6 months, although not all
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were consumed. Adoption: The main community adoption barrier was water
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sourcing for garden irrigation.Implementation: Raised beds were the most
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common gardening method, with good adoption of agricultural best
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practices. Gray water filters and flexible implementation were important
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for participation. Maintenance: Crops failure rates were low. Seed
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availability was a sustainability challenge. Direct costs were 763 USD
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per household.
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Conclusions Interest and engagement with a home garden intervention in
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Guatemala were high. Gaps between garden production and consumption,
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access to water, and seed sourcing should be addressed in future work.'
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affiliation: 'Rohloff, P (Corresponding Author), 2da Ave 3-48 Zona 3, Tecpan, Chimaltenango,
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Guatemala.
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Alajajian, Stephen; Proano, Gabriela, V, Acad Nutr \& Dietet Fdn, Chicago, IL USA.
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Abril, Andrea Guzman; Rohloff, Peter, Wuqu Kawoq Alianza Maya Salud, Tecpan, Chimaltenango,
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Guatemala.
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Jimenez, Elizabeth Yakes, Acad Nutr \& Dietet, Nutr Res Network, Chicago, IL USA.
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Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Dept Pediat, Albuquerque,
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NM 87131 USA.
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Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Dept Internal Med, Albuquerque,
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NM 87131 USA.
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Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Coll Populat Hlth, Albuquerque,
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NM 87131 USA.'
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author: Alajajian, Stephen and Abril, Andrea Guzman and Proano V, Gabriela and Jimenez,
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Elizabeth Yakes and Rohloff, Peter
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author-email: peter@wuqukawoq.org
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author_list:
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- family: Alajajian
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given: Stephen
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- family: Abril
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given: Andrea Guzman
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- family: Proano V
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given: Gabriela
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- family: Jimenez
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given: Elizabeth Yakes
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- family: Rohloff
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given: Peter
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da: '2023-09-28'
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doi: 10.1016/j.jand.2022.03.005
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eissn: 2212-2680
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files: []
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issn: 2212-2672
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journal: JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
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keywords-plus: 'SENSITIVE AGRICULTURE; FUNCTIONAL DIVERSITY; NUTRITION; HEALTH; IMPACT;
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AGROBIODIVERSITY; OPPORTUNITIES; CHILDREN; PROGRAMS; WOMEN'
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '54'
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orcid-numbers: 'Rohloff, Peter/0000-0001-7274-8315
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Alajajian, Stephen/0000-0001-9203-8994
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Proano, Gabriela/0000-0002-0794-6427
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Yakes Jimenez, Elizabeth/0000-0003-0315-7022
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Guzman Abril, Andrea Paola/0000-0003-1277-3177'
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pages: 1363-1374
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papis_id: dd812e1cb2978f7311021457ecdf2e49
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ref: Alajajian2022mixedmethodsimplemen
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researcherid-numbers: 'Rohloff, Peter/P-8722-2017
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'
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times-cited: '0'
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title: Mixed-Methods Implementation Study of a Home Garden Intervention in Rural Guatemala
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Using the RE-AIM Framework
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000836605400016
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usage-count-last-180-days: '4'
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usage-count-since-2013: '7'
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volume: '122'
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web-of-science-categories: Nutrition \& Dietetics
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year: '2022'
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