Evidence map›Paper›PMID 41740744›Full record

ArticleThe Journal of nutrition2026

Comparing Barriers and Facilitators to Interacting with Nature among Individuals with Different Dietary Behaviors: A Mixed Methods Study.

Dahlia Stott, DeAndra Forde, Rebecca Ippolito, Jonathan M Deutsch, Mara Z Vitolins, Michael Bruneau, Jennifer A Nasser, Brandy-Joe Milliron

Abstract readComparative Study
In one paragraph

Article in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dahlia StottDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA. Electronic address: dahlia.stott@pennmedicine.upenn.edu.
DeAndra FordeDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Rebecca IppolitoDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Jonathan M DeutschDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Mara Z VitolinsDepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salen, NC, USA.
Michael BruneauDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Jennifer A NasserDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Brandy-Joe MillironDepartment of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInteracting with nature is associated with positive health behaviors, including dietary choices. Understanding barriers and facilitators to interacting with nature within the context of dietary behaviors can guide development of effective interventions to promote healthy diets.

objectivesTo compare barriers and facilitators to interacting with nature among individuals with higher and lower diet quality and sustainable eating behaviors.

methodsIn this explanatory sequential mixed methods study, adults (n = 300) reported how often barriers kept them from interacting with nature. Diet quality (Healthy Eating Index-2020, range: 0‒100) and sustainable eating behavior (EAT-Lancet index, range: 0‒42) scores were determined from Diet History Questionnaire II data. A purposeful sample of participants (n = 30) was interviewed to compare barriers and facilitators; half the interviewees had higher diet scores (≥62.87, ≥24.00), and half had lower scores (<62.87, <24.00). Pearson's χ

resultsThe most frequently reported barriers to interacting with nature in the survey were hot weather (36.67%), lack of time (36.00%), and preference for indoor activities (27.67%). The mean (SD) Healthy Eating Index-2020 score was 62.87 (9.85), and the median (IQR) EAT-Lancet index score was 24.00 (5.00). Survey participants with higher diet scores less frequently reported barriers to interacting with nature. In the interviews, barriers and facilitators were identified: health, weather, time, distance, and social engagement. Interviewees with higher diet scores more frequently described nearby nature as a facilitator. Those with lower diet scores often described facilitators like socializing, having fun, and pursuing positive mental health, whereas poor weather was a deterrent.

conclusionsFindings suggest that individuals with better dietary behaviors experience fewer barriers to interacting with nature. Identifying modifiable barriers and facilitators can inform the design of interventions that integrate nature-based strategies to promote healthy and sustainable eating.

Indexed as

DietDiet, HealthyFeeding BehaviorHealth BehaviorAdultFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung Adultbarrierdietary behaviordiet qualityfacilitatorfactorsustainable diettime in nature

Identifiers

PMID41740744
PMCPMC13084594

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.