Tailoring lifestyle interventions to low socio-economic populations: a qualitative study

Coupe, Nia; Cotterill, Sarah; Peters, Sarah

doi:10.1186/s12889-018-5877-8

Cited by 62 publications

(75 citation statements)

References 42 publications

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“…This population tends to drop out of research earlier, engage less with and have poorer adherence rates to weight loss interventions . The first stage of designing the intervention was a qualitative study, which aimed to identify the particular barriers to lifestyle behaviour change for this population, reported elsewhere . Following this, the findings were framed within the constructs of the COM‐B model and the intervention was designed following the principles of the Behaviour Change Wheel, described elsewhere .…”

Section: Methods Of Ppimentioning

confidence: 99%

“…Staff had practical knowledge about what would work within the service/population, and service users have valuable opinions on what they would like or use. Involving a larger group of service users (rather than a ‘Research Buddy’ approach for example) was deemed suitable given the diversity in knowledge and abilities identified in the first qualitative study, and a more participatory approach was not used given the time limitations. The researcher approached staff already involved in the research, and through the staff identified a suitable service user group to involve.…”

Section: Methodsmentioning

confidence: 99%

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Patient and public involvement in doctoral research: Impact, resources and recommendations

Coupe

Mathieson

2019

Health Expectations

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Background and aim: Patient and public involvement (PPI) has potential to enhance health-care research and is increasingly an expectation, particularly for many funding bodies. However, PPI can be tokenistic, which may limit this potential. Furthermore, few studies report PPI processes and impact, particularly in doctoral research studies, which are seldom reported in peer-reviewed papers. The aim of this paper was to explore the impact of PPI on two health-related doctoral research studies and identify how PPI could be used meaningfully at this level. Method:The PPI processes included (a) involvement of two 'Research Buddies' who informed the research design and ensured implementation of a booklet intervention was feasible for family carers, (b) data analysis workshops with 'Research Buddies' to identify emerging themes from practitioner interviews, (c) public and stakeholder involvement who informed data collection tool design, and the design of an intervention to help people with obesity who attend weight loss groups. Findings:The application of PPI enhanced both doctoral studies by assisting data analysis; problem solving and improving recruitment rates; improving the usability and appeal of data collection tools and interventions; and developing implementation strategies. Patient and public involvement was considered a rewarding experience for both researchers and PPI contributors.Conclusion: This paper demonstrates the value of PPI in doctoral research in relation to its impact on research processes, researchers and contributors. We also present recommendations on how PPI could be incorporated into future doctoral research, including resources required, planning PPI processes and involving PPI contributors in all stages of research. K E Y W O R D Sdoctoral research, end-of-life care, intervention design, obesity, patient and public involvement

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Section: Methods Of Ppimentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Patient and public involvement in doctoral research: Impact, resources and recommendations

Coupe

Mathieson

2019

Health Expectations

Self Cite

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“…22,23 When they do participate, vulnerable patients benefit less from health promotion interventions, compared to patients of higher socioeconomic status. 24 Previous studies have shown that tailoring care to specific groups can be effective in supporting health behavior change. 25,26 However, little is known about what challenges such interventions should address to ensure participation, retention, and benefit for vulnerable persons.…”

Section: Introductionmentioning

confidence: 99%

<p>A Qualitative Exploration of Facilitators and Barriers for Diabetes Self-Management Behaviors Among Persons with Type 2 Diabetes from a Socially Disadvantaged Area</p>

Christensen¹,

Drejer²,

Burns³

et al. 2020

PPA

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Background: Enhancing diabetes self-management (DSM) in patients with type 2 diabetes (T2D) can reduce the risk of complications, enhance healthier lifestyles, and improve quality of life. Furthermore, vulnerable groups struggle more with DSM. Aim: To explore barriers and facilitators related to DSM in vulnerable groups through the perspectives of patients with T2D and healthcare professionals (HCPs). Methods: Data were collected through three interactive workshops with Danish-speaking patients with T2D (n=6), Urdu-speaking patients with T2D (n=6), and HCPs (n=16) and analyzed using systematic text condensation. Results: The following barriers to DSM were found among members of vulnerable groups with T2D: 1) lack of access to DSM support, 2) interference and judgment from one's social environment, and 3) feeling powerless or helpless. The following factors facilitated DSM among vulnerable persons with T2D: 1) a person-centered approach, 2) peer support, and 3) practical and concrete knowledge about DSM. Several barriers and facilitators expressed by persons with T2D, particularly those who spoke Danish, were also expressed by HCPs. Conclusion: Vulnerable patients with T2D preferred individualized and practice-based education tailored to their needs. More attention should be paid to training HCPs to handle feelings of helplessness and lack of motivation among vulnerable groups, particularly among ethnic minority patients, and to tailor care to ethnic minorities.

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“…Making all services free at the point of use needs to be considered, alongside a proper economic evaluation to determine the cost effectiveness of such a strategy. These facilitators were also identi ed in a recent study addressing how lifestyle interventions could be tailored to improve access and ultimately outcomes for low socio-economic populations (33). The importance of consulting the target population to better understand their service needs and to ensure services developed are relevant and appropriate cannot be overlooked (26).…”

Section: Discussionmentioning

confidence: 99%

Healthy Weight Services in England before, during and after pregnancy: a mixed methods approach

Fair

Marvin-Dowle

Arden

et al. 2020

Preprint

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Background: Maternal overweight and obesity are associated with numerous adverse outcomes including higher rates of maternal and infant mortality and morbidity. Overweight and obesity before, during and after pregnancy are therefore a significant public health priority in England. This project explored and mapped healthy weight service availability at different stages of the childbearing cycle.Methods: A mixed methods approach included a questionnaire-based survey disseminated through Local Maternity Systems and semi-structured interviews or focus groups with providers and commissioners. Current maternal weight service provision was explored along with some of the barriers and facilitators for providing, delivering and accessing healthy weight services. Descriptive statistics were reported for quantitative data and content analysis was used for thematic reporting of qualitative data. Results: A total of 88 participants responded to the survey. All services were offered most frequently during pregnancy; with healthy eating and/or weight management services offered more often than physical activity services. Few services were targeted specifically at women with a raised body mass index. There was a high degree of inconsistency of service provision in different geographical areas. Several themes were identified from qualitative data including "equity and variation in service provision", "need for rigorous evaluation", "facilitators” to encourage better access or more effective service provision, including prioritisation, a change in focus and co-design of services, "barriers" encountered including financial and time obstacles, poor communication and insufficiently clear strategic national guidance and "the need for additional support”.Conclusions: There is a need to reduce geographical variation in services and the potential health inequalities that this may cause. Improving services for women with a raised body mass index as well as services which encourage physical activity require additional emphasis. There is a need for more robust evaluation of services to ensure they are fit for purpose. An urgent need for clear national guidance so that healthcare providers can more effectively assist mothers achieve a healthy weight gain was identified. Commissioners should consider implementing strategies to reduce the barriers of access identified such as childcare, transport, location and making services free at the point of use.

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Tailoring lifestyle interventions to low socio-economic populations: a qualitative study

Cited by 62 publications

References 42 publications

Patient and public involvement in doctoral research: Impact, resources and recommendations

Patient and public involvement in doctoral research: Impact, resources and recommendations

<p>A Qualitative Exploration of Facilitators and Barriers for Diabetes Self-Management Behaviors Among Persons with Type 2 Diabetes from a Socially Disadvantaged Area</p>

Healthy Weight Services in England before, during and after pregnancy: a mixed methods approach

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