{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:19:42Z","timestamp":1791371982738,"version":"4.3.1"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980023002264_as1\"><jats:title>Objective:<\/jats:title><jats:p>Food security interventions with people living with HIV (PLHIV) are needed to improve HIV outcomes. This process evaluation of a pilot intervention involving urban gardening and peer nutritional counselling with PLHIV assesses feasibility, acceptability and implementation challenges to inform scale-up.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023002264_as2\"><jats:title>Design:<\/jats:title><jats:p>Mixed methods were used, including quantitative data on intervention participation and feasibility and acceptability among participants (<jats:italic>n<\/jats:italic> 45) and qualitative data from a purposive sample of participants (<jats:italic>n<\/jats:italic> 21). Audio-recorded interviews were transcribed and coded using a codebook developed iteratively.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023002264_as3\"><jats:title>Setting:<\/jats:title><jats:p>An HIV clinic in the northwest-central part of the Dominican Republic.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023002264_as4\"><jats:title>Results:<\/jats:title><jats:p>The intervention was feasible for most participants: 84 % attended a garden workshop and 71 % established an urban garden; 91 % received all three core nutritional counselling sessions; and 73 % attended the cooking workshop. The intervention was also highly acceptable: nearly, all participants (93\u201396 %) rated the gardening as \u2018helpful\u2019 or \u2018very helpful\u2019 for taking HIV medications, their mental\/emotional well-being and staying healthy; similarly, high percentages (89\u201397 %) rated the nutrition counselling \u2018helpful\u2019 or \u2018very helpful\u2019 for following a healthy diet, reducing unhealthy foods and increasing fruit\/vegetable intake. Garden barriers included lack of space and animals\/pests. Transportation barriers impeded nutritional counselling. Harvested veggies were consumed by participants\u2019 households, shared with neighbours and family, and sold in the community. Many emphasised that comradery with other PLHIV helped them cope with HIV-related marginalisation.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980023002264_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>An urban gardens and peer nutritional counselling intervention with PLHIV was feasible and acceptable; however, addressing issues of transportation, pests and space is necessary for equitable participation and benefit.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980023002264","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T08:47:00Z","timestamp":1698742020000},"page":"3134-3146","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Exploring feasibility and acceptability of an integrated urban gardens and peer nutritional counselling intervention for people with HIV in the Dominican Republic"],"prefix":"10.1017","volume":"26","author":[{"given":"Alane","family":"Celeste-Villalvir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarilis","family":"Then-Paulino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Armenta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gipsy","family":"Jimenez-Paulino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kartika","family":"Palar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1300-6957","authenticated-orcid":false,"given":"Deshira D","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7742-6024","authenticated-orcid":false,"given":"Kathryn P","family":"Derose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"S1368980023002264_ref21","doi-asserted-by":"publisher","DOI":"10.3945\/jn.109.110569"},{"key":"S1368980023002264_ref31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0010923"},{"key":"S1368980023002264_ref13","unstructured":"13. 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