Advertisement
Research Original Research: Brief| Volume 117, ISSUE 2, P271-277, February 2017

Download started.

Ok

Registered Dietitian Nutritionists’ Perspectives on Integrating Food and Water System Issues into Professional Practice

Published:August 18, 2016DOI:https://doi.org/10.1016/j.jand.2016.06.380

      Abstract

      Background

      Sustainable agriculture encompasses economic, environmental, and social aspects of the food system. Members of the Academy of Nutrition and Dietetics (Academy) play an important role in promoting sustainable agriculture because they work in areas where they can influence the food purchasing decisions of foodservice operations and the public.

      Objective

      To investigate behavior of registered dietitian nutritionists (RDNs) toward incorporating sustainable agriculture principles into professional practice using the Theory of Planned Behavior.

      Design

      This cross-sectional study surveyed RDNs nationwide about their perspectives on incorporating sustainable agriculture issues into practice. The survey questions were based on a survey originally administered to Minnesota RDNs during 2002.

      Participants and setting

      The sample (N=626) was drawn from a randomly selected, national sample of Academy members.

      Statistical analyses performed

      Data were analyzed using descriptive statistics, independent t tests, Pearson correlations, and stepwise regression.

      Results

      The sample was mostly white, female, and the average age was 45.4±12.2 years. Almost half of Academy RDNs (47%) reported incorporating environmental issues into their practice. All four Theory of Planned Behavior variables (intention, attitude, perceived behavior control, and subjective norm) were predictive of behavior to include sustainable agriculture issues into practice. Barriers to incorporating this topic into practice included lack of knowledge, ability, time, and employer support.

      Conclusions

      This study found that most of the RDN respondents had heard of sustainable agriculture and nearly half reported including this topic in their professional practice. To integrate this topic into practice more consistently, RDNs need more knowledge, time, and employer support.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Harmon A.H.
        • Gerald B.L.
        Position of the American Dietetic Association. Food and nutrition professionals can implement practices to conserve natural resources and support ecological sustainability.
        J Am Diet Assoc. 2007; 107: 1033-1043
      1. Tagtow A, Harmon AH. Healthy land, healthy food & healthy eaters: Dietitians cultivating sustainable food systems. http://scholarworks.montana.edu/xmlui/bitstream/handle/1/3029/HillerHarmon_HLHFHE_2009.pdf?sequence=1&isAllowed=y. Accessed January 25, 2016.

        • Wilkins J.L.
        Civic dietetics: Opportunities for integrating civic agriculture concepts into dietetic practice.
        Agric Human Values. 2009; 26: 57-66
        • Wilkins J.L.
        • Lapp J.
        • Tagtow A.
        • Roberts S.
        Beyond eating right: The emergence of civic dietetics to foster health and sustainability through food system change.
        J Hunger Environ Nutr. 2010; 5: 2-12
      2. Hunger and Environmental Nutrition: A dietetic practice group of the Academy of Nutrition and Dietetics. Who we are. http://www.hendpg.org/. Accessed January 25, 2016.

      3. Journal of Hunger & Environmental Nutrition list of issues. http://www.tandfonline.com/loi/when20#.VqZgzoUrKxo. Accessed January 25, 2016.

      4. US Code, Title 7, Chapter 64—Agricultural research, extension and teaching, subchapter I: Findings, purposes, and definitions. https://www.gpo.gov/fdsys/pkg/USCODE-2011-title7/html/USCODE-2011-title7-chap64-subchapI-sec3103.htm. Published August 23, 2007. Accessed January 5, 2016.

        • Holben D.
        Position of The American Dietetic Association: Food insecurity in the United States.
        J Am Diet Assoc. 2010; 110: 1368-1377
        • Robinson R.
        • Smith C.
        Psychosocial and demographic variables associated with consumer intention to purchase sustainably produced foods as defined by the Midwest Food Alliance.
        J Nutr Educ Behav. 2002; 34: 316-325
        • Robinson R.
        • Smith C.
        • Murray H.
        • Ennis J.
        Promotion of sustainably produced foods: Customer response in Minnesota grocery stores.
        Am J Alternative Agric. 2002; 17: 96-104
        • Robinson R.
        • Smith C.
        Associations between self-reported health conscious consumerism, body-mass index, and attitudes about sustainably produced foods.
        Agric Human Values. 2003; 20: 177-187
        • Robinson R.
        • Smith C.
        Integrating issues of sustainably produced foods into nutrition practice: A survey of Minnesota Dietetic Association members.
        J Am Diet Assoc. 2003; 103: 608-611
        • Hawkins I.W.
        • Balsam A.L.
        • Goldman R.
        A survey of registered dietitians’ concern and actions regarding climate change in the United States.
        Front Nutr. 2015; 2: 1-8
        • Hawkins I.W.
        • Balsam A.L.
        • Graves D.
        A qualitative study of how registered dietitians made the connection between diet, climate change, and environmental degradation.
        J Hunger Environ Nutr. 2015; 10: 47-59
        • Ajzen I.
        The Theory of Planned Behavior.
        Organ Behav Human Decis Process. 1991; 50: 179-211
      5. REDCap Research Electronic Data 82 Capture version 5.6.1. Nashville, TN: Vanderbilt University; 2009.

        • Harris P.A.
        • Taylor R.
        • Thielke R.
        • Payne J.
        • Gonzalez N.
        • Conde J.G.
        Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support.
        J Biomed Inform. 2009; 42: 377-381
        • Bissonnette M.M.
        • Contento I.R.
        Adolescents' perspectives and food choice behaviors in terms of the environmental impacts of food production practices: Application of a psychosocial model.
        J Nutr Educ. 2001; 33: 72-82
        • Casagrande G.
        • LeJeune J.
        • Belury M.A.
        • Medeiros L.C.
        Registered dietitian's personal beliefs and characteristics predict their teaching or intention to teach fresh vegetable food safety.
        Appetite. 2011; 56: 469-475
        • Fila S.
        • Smith C.
        Applying the theory of planned behavior to healthy eating behaviors in urban Native American youth.
        Int J Behav Nutr Phys Act. 2006; 3: 11-20
        • Lautenschlager L.
        • Smith C.
        Understanding gardening and dietary habits among youth garden program participants using the Theory of Planned Behavior.
        Appetite. 2007; 49: 122-130
        • Cronbach L.J.
        Coefficient alpha and the internal structure of tests.
        Psychometrika. 1951; 16: 297-334
      6. Statistical Package for the Social for Windows version 21.0. Armonk, NY: IBM-SPSS Inc; 2012.

      7. Commission on Dietetic Registration. Registered dietitian demographics. https://www.cdrnet.org/certifications/registered-dietitians-demographics. Updated December 1, 2013. Accessed December 28, 2015.

        • Sulda H.
        • Coveney J.
        • Bentley M.
        An investigation of the ways in which public health nutrition policy and practices can address climate change.
        Public Health Nutr. 2010; 13: 304-313
        • Macdiarmid J.I.
        • Kyle J.
        • Horgan G.W.
        • et al.
        Sustainable diets for the future: Can we contribute to reducing greenhouse gas emissions by eating a healthy diet?.
        Am J Clin Nutr. 2012; 96: 632-639
        • Berners-Lee M.
        • Hoolohan C.
        • Cammack H.
        • Hewitt C.N.
        The relative greenhouse gas impacts of realistic dietary choices.
        Energy Policy. 2012; 43: 184-190
        • Tagtow A.
        • Robien K.
        • Bergquist E.
        • et al.
        Academy of Nutrition and Dietetics: Standards of professional performance for Registered Dietitian Nutritionists (competent, proficient, and expert) in sustainable, resilient, and healthy food and water systems.
        J Acad Nutr Diet. 2014; 114: 475-588

      Biography

      L. Heidelberger was a student at the time of the study, Department of Food Science and Nutrition, University of Minnesota, St Paul.

      Biography

      C. Smith is a professor, Department of Food Science and Nutrition, University of Minnesota, St Paul.

      Biography

      C. Earthman is a professor, Department of Food Science and Nutrition, University of Minnesota, St Paul.

      Biography

      R. Robinson-O’Brien is a project manager, Berman Center for Outcomes & Clinical Research, Minneapolis Medical Research Foundation, Minneapolis, MN.

      Biography

      K. Robien is an associate professor, Exercise and Nutrition Sciences, George Washington University, Washington, DC.

      Linked Article

      • Questioning the Definition of Sustainable Agriculture
        Journal of the Academy of Nutrition and DieteticsVol. 117Issue 11
        • Preview
          I wanted to respond, on behalf of the National Pork Board, to the Original Research: Brief published in the Journal of the Academy of Nutrition and Dietetics’ February 2017 issue titled, “Registered Dietitian Nutritionists’ Perspectives on Integrating Food and Water System Issues into Professional Practice,” by Heidelberger and colleagues.1 As a registered dietitian nutritionist (RDN) who supports America’s livestock farmers, I was concerned about some of the assertions about meat and agriculture throughout the research brief and discussion.
        • Full-Text
        • PDF