Table 3.

Overview of transplant-related, personal and environmental barriers and facilitators of fruit and vegetable consumption in RTR.

Theme	Barrier	Facilitator
Transplant-related factors
Transition in diet	Holding on to restricted diet	Freedom of choice in fruit/vegetables
	Struggle with new routine
	Insecurity/fear
	Focus on dietary restrictions *
Medication	Cravings/insatiable hunger prednisolone *
	Food interaction medication
Physical health	Fatigue/lack of energy *	Recovery uremic symptoms *
		Dietary measures diabetes
Priorities/Goals after Tx	Burden of disease management *	Protecting the transplant *
	Social participation activities *
	Enjoying life *
	Not main priority nephrologist *
Generic factors
Personal
Food literacy	Limited food literacy *	Adequate food literacy *
	Overestimation of vegetable consumption	Ability to practice dietary measures *
	Difficulties with practicing diet *
Attitudes/Motivations	Negative attitude/Lack of motivation:	Positive attitude/Motivation:
	No perceived health benefit	Perceived health benefit
	Too much effort/lack of time	Pleasure/fun in cooking *
	Recommended amount too much	Enjoying healthy food *
		Improvement well-being *
Other	Lack of routine/poor pre-existent habits	Routine/pre-existent habits
	Food/taste preference	Food/taste preference
	Limited financial resources *	Self-efficacy *
Environmental
Social environment	Lack of social support *	Social support *
	Partner is food gatekeeper *	Partner is food gatekeeper *

* These barriers and facilitators were also mentioned in the context of other dietary measures. Abbreviations: RTR, renal transplant recipients; Tx, transplantation.