A Qualitative Assessment of a Worksite Nutrition Education Intervention

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Debera Thomas, DNS Julia C. Gardner, MPH Alison E. Adams, PhD Nanette V. Lopez, PhD Jay T. Sutliffe, PhD, RD


To assess the experience of participants who had previously completed a Community Chronic Disease Prevention intervention involving a micronutrient-dense plant-rich dietary intervention. Qualitative interviews were conducted individually or in groups of 2-3.  There was a total of twelve participants who had completed a Community Chronic Disease Prevention intervention of 9- or 12-week duration. Questions were designed to be open-ended to maximize the diversity of responses and to allow exploration of a full range of participant views. Interviews were conducted at locations convenient to participants. Employees of a university or regional hospital who had completed a Community Chronic Disease Prevention dietary intervention 1.5-2 years previously. Audio-tape interviews were recorded, transcribed verbatim, and analyzed for common themes and thematic patterns. Participants reported their experiences and adherence to the dietary guidelines post-intervention. Common themes were identified, including a sense of well-being and increased mindfulness. Intervention features that facilitated adherence included regular contact, the educational component, and cooking demonstrations and tastings. Barriers to adhering to the intervention included life-long habits, as well as cultural and family issues. Identification of the experiences of individuals who have participated in a Community Chronic Disease Prevention will provide a basis for incorporating social, emotional, and psychological support into future studies.

Keywords: plant-based, vegan, diet intervention, workplace, nutrient-dense, worksite wellness

Article Details

How to Cite
THOMAS, Debera et al. A Qualitative Assessment of a Worksite Nutrition Education Intervention. Medical Research Archives, [S.l.], v. 11, n. 2, feb. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3565>. Date accessed: 02 mar. 2024. doi: https://doi.org/10.18103/mra.v11i2.3565.
Research Articles


1. Thomas D, Porter B. Metabolic disorders. In Dunphy L, Winland-Brown J, Porter B, Thomas D. Primary Care: The Art and Science of Advanced Practice Nursing—An Interprofessional Approach. 5th ed. Philadelphia, PA: F.A. Davis; 2019:929-953.

2. Childhood overweight and obesity. World Health Organization. https://www.who.int/dietphysicalactivity/childhood/en/. Accessed on August 9, 2019.

3. Nyberg ST, Batty DG, Pentti J, et al. Obesity and loss of disease-free years owing to major non-communicable diseases: A multicohort study. Lancet. 2018; 3: PE490-E497.

4. Bloom DE, Cafiero ET, Jane-Llopis E, et al. The global economic burden of noncommnicable diseases. PGDA Working Papers 8712. 2012. Program on the Global Demography of Aging. https://ideas.repec.org/p/gdm/wpaper/8712.html. Accessed June 12, 2019.

5. Marketdata Enterprises. The U.S. Weight Loss & Diet Control Market (10th Edition) Lynbrook. 2009.

6. Bacon L, Aphramor L. Weight science: evaluating the evidence for a paradigm shift. Nutrition Journal. 2011. 10, 9. doi: 10.1186/1475-2891-10-9

7. Greaney ML, Puleo E, Sprunck-Harrild K, Haines J, Houghton SC, Emmons KM. Social support for changing multiple behaviors: Factors associated with seeking support and the impact of offered support. Health Educ Behav. 2018;45: 198–206.

8. Fuhrman J, Singer M. Improved cardiovascular parameter with a nutrient-dense, plant-rich diet-style: A patient survey with illustrative cases. Am J Lifestyle Med. 2017; 11:264–273. https://doi.org/10.1177/1559827615611024

9. Le LT, Sabaté J. Beyond meatless, the health effects of vegan diets: findings from the Adventist cohorts. Nutrients. 2014; 6: 2131–2147. doi: 10.3390/nu6062131

10. Pettersen BJ, Anousheh R, Fan J, Fraser GE. Vegetarian diets and blood pressure among white subjects: results from the Adventist Health Study-2 (AHS-2). Public Health Nutr. 2012; 15: 1909–1916.

11. Barnard RJ. Effects of life-style modification on serum lipids. Arch Intern Med. 1991; 151:1389-1394.

12. Esselstyn CB, Ellis SG, Medendorp SV, Crowe TD. A strategy to arrest and reverse coronary artery disease: a 5-year longitudinal study of a single physician’s practice. J Fam Pract. 1995; 41: 560-568.

13. Ornish D, Scherwitz LW, Billings JH, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA. 1998; 280: 2001-2007.

14. Sutliffe JT, Scheid JC, Gorman M, et al. Worksite nutrition: Is a nutrient-dense diet the answer for a healthier workforce? Am J Lifestyle Med. 2018. doi: 10.1177/1559827618766485

15. Sutliffe JT, Scheid JC, Gorman M, et al. Implementation of a worksite based 9-week micronutrient dense nutrition intervention on measures of well-being in a cohort of employees. J Food Nutr. 2018; 4:1-5.

16. Jacobs DR Jr, Gross MD, Tapsell LC. Food synergy: an operational concept for understanding nutrition. Am J Clin Nutr. 2009; 89: 1543S–1548S. doi: 10.3945/ajcn.2009.26736B

17. Tapsell LC, Neale EP, Satija A, Hu FB. Foods, Nutrients, and Dietary Patterns: Interconnections and Implications for Dietary Guidelines. Adv Nutr. 2016; 7: 445–454. doi: 10.3945/an.115.011718

18. Sutliffe JT, Fuhrman JH, Carnot MJ, Beetham RM, Peddy MS. Nutrient-dense, Plant-rich dietary intervention effective at reducing cardiovascular disease risk factors for worksites: A pilot study. Altern Ther Health Med. 2016; 22. https://www.ncbi.nlm.nih.gov/pubmed/27622958

19. Moore WJ, McGrievy ME, Turner-McGrievy GM. Dietary adherence and acceptability of five different diets, including vegan and vegetarian diets, for weight loss: The New DIET study. Eat Behav. 2015; 19:33-38.

20. Weston, Z. (2020). New Scorecard Shows Why Plant-Based Protein Will Win in Foodservice. Retrieved from https://www.gfi.org/blog-plant-based-will-win-Foodservice

21. Fortune Business Insights. Dairy Alternatives Market Size Worth $25.12 billion by 2026; Rising Adoption of Vegan Diet to Propel Growth. 2020. [(accessed on 20 August 2021)]. Available online: https://www.globenewswire.com/news-release/2020/02/19/1986821/0/en/Dairy-Alternatives-Market-Size-Worth-25-12-Billion-by-2026-Rising-Adoption-of-Vegan-Diet-to-Propel-Growth-says-Fortune-Business-Insights.html

22. Soret S., Mejia A., Batech M., Jaceldo-Siegl K., Harwatt H., Sabaté J. Climate change mitigation and health effects of varied dietary patterns in real-life settings throughout North America. Am. J. Clin. Nutr. 2014; 100:490S–495S. doi: 10.3945/ajcn.113.071589

23. Masset G, Soler LG, Vieux F, Darmon N. Identifying sustainable foods: the relationship between environmental impact, nutritional quality, and prices of foods representative of the French diet. J Acad Nutr Diet. 2014 Jun; 114(6):862-869. doi: 10.1016/j.jand.2014.02.002. Epub 2014 Apr 4. PMID: 24703928.

24. Sabaté J., Soret S. Sustainability of plant-based diets: Back to the future. Am. J. Clin. Nutr. 2014; 100:476S–482S. doi: 10.3945/ajcn.113.071522

25. Marlow H.J., Hayes W.K., Soret S., Carter R.L., Schwab E.R., Sabate J. Diet and the environment: Does what you eat matter? Am. J. Clin. Nutr. 2009; 89:1699S–1703S. doi: 10.3945/ajcn.2009.26736Z.

26. Craig WJ, Mangels AR, Fresán U, Marsh K, Miles FL, Saunders AV, Haddad EH, Heskey CE, Johnston P, Larson-Meyer E, Orlich M. The Safe and Effective Use of Plant-Based Diets with Guidelines for Health Professionals. Nutrients. 2021 Nov 19;13(11):4144. doi: 10.3390/nu13114144.
PMID: 34836399; PMCID: PMC8623061.

27. Kamiński M., Skonieczna-Żydecka K., Nowak J.K., Stachowska E. Global and local diet popularity rankings, their secular trends, and seasonal variation in Google Trends data. Nutrition. 2020;79–80:110759. doi: 10.1016/j.nut.2020.110759

28. Plant Based Food Association 2020 Retail Data Sales Announcement. 2021. [(accessed on 18 August 2021)]. Available online: https://www.plantbasedfoods.org/2020-retail-sales-data-announcement/