Date of Award

Spring 5-12-2023

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Janis Schiefelbein

Second Advisor

Jennifer Harris

Third Advisor

Gregory Belcher

Abstract

The leading cause of death worldwide is cardiovascular disease. Diet is the most influential, modifiable factor related to the development and progression of cardiovascular disease. The American Heart Association developed a diet that delivers guidelines for diet. Therefore, identifying the most significant factors that hinder the effectiveness of the diet was necessary. These hindrances can be categorized as physical, psychosocial, and socioeconomic barriers. Demographic differences also impact diet.

A survey was developed to identify and account for the most common dietary barriers. The Barriers to Healthy Eating scale addressed different circumstances which impact diet. By using this scale, providers can understand the individualized barriers for each patient. After meeting the inclusion criteria, 152 research participants completed the scale. Once the surveys were completed, a factor analysis was conducted to identify trends in barriers which allows for more effective education and interventions related to diet. This study emphasized the understanding that everyone must deal with unique life circumstances, and they directly impact their diet. With improvements to the quality of diet for patients, cardiovascular deterioration can be reduced.

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