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• W4366992923 abstract "Objective To characterize food agency (one's capacity to procure and prepare food in particular contexts) among Diabetes Prevention Program (DPP) participants and gather perspectives about experiences with DPP. Design Photograph-elicitation in-depth interviews and survey measures. Setting Baltimore, Maryland (June–August 2021). Participants Black women (n = 13) who participated in DPP. Phenomenon of Interest Food agency and strategies used to procure and prepare food and the influence of DPP on daily food behaviors. Surveys measured food agency using the Cooking and Food Provisioning Action Scale and cooking behaviors. Analysis Thematic analysis of qualitative in-depth interviews and descriptive statistics for quantitative measures. Results As quantitative and qualitative data revealed, participants were frequent and confident cooks with high food agency. Participants viewed cooking as a key strategy for healthy eating and desired more hands-on cooking instruction within DPP to develop new healthy cooking skills. The primary barriers identified were related to lack of time or energy. Food procurement and preparation practices shifted over time, and DPP was a key influence on current behaviors. Conclusions and Implications Food agency is complex and manifests heterogeneously in daily life. A life course, contextual, and food agency-based approach could be considered for future diabetes prevention interventions." @default.
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• W4366992923 date "2023-04-01" @default.
• W4366992923 modified "2023-09-30" @default.
• W4366992923 title "Complex, Varied and Evolving Manifestations of Food Agency in Daily Life Among Diabetes Prevention Program Participants in Baltimore, Maryland" @default.
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• W4366992923 doi "https://doi.org/10.1016/j.jneb.2023.02.010" @default.
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