Laefstael Jenses: An Investigation of Barriers and Facilitators for Healthy Lifestyles of Women in an Urban Pacific Island Context

2014 ◽  
Vol 11 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Katja Siefken ◽  
Grant Schofield ◽  
Nico Schulenkorf
Keyword(s):  
Intervention Program ◽  
Healthy Lifestyle ◽  
Health Intervention ◽  
Lifestyle Changes ◽  
Health Interventions ◽  
Noncommunicable Disease ◽  
Barriers And Facilitators ◽  
Healthy Lifestyles ◽  
Future Health ◽  
Rapid Urbanization

Background:The Pacific region has experienced rapid urbanization and lifestyle changes, which lead to high rates of noncommunicable disease (NCD) prevalence. There is no information on barriers and facilitators for healthy lifestyles in this region. In response, we present the first stage of a rigorous development of an urban Pacific health intervention program. This paper describes formative work conducted in Port Vila, Vanuatu. The objective of this paper was to understand cultural barriers and facilitators in Pacific women to lifestyle change and use the findings to inform future health interventions.Methods:Semistructured focus groups with 37 female civil servants divided into 6 groups were held verbally to understand barriers and facilitators for healthy lifestyles.Results:Several perceived barriers and facilitators were identified. Inter alia, barriers include financial limitations, time issues, family commitments, environmental aspects, and motivational hindrances that limit time and opportunities for healthy lifestyle behavior. Facilitators include more supportive environments, social support mechanisms, and the implementation of rigorous health policies.Conclusions:Formative work is essential in designing health intervention programs. Uncovered barriers and facilitators help inform the development of culturally relevant health interventions.

scholarly journals Barriers and Facilitators that Influence on Adopting Healthy Lifestyles in People with Cardiovascular Disease

2021 ◽  
Vol 39 (3) ◽  
Author(s):  
Jessica Natalia Saavedra Espinosa ◽  
Martha Yelitza Rodríguez Malagón ◽  
Sara Pamela Londoño Granados ◽  
Oscar Stiven Alméziga Clavijo ◽  
María Camila Garzón Herrera ◽  
...  
Keyword(s):  
Physical Activity ◽  
Stress Management ◽  
Healthy Lifestyle ◽  
Nursing Intervention ◽  
Structured Interview ◽  
Lifestyle Changes ◽  
Barriers And Facilitators ◽  
Healthy Lifestyles ◽  
Quantitative Phase ◽  
Qualitative Phase

Objective. To measure lifestyle changes and describe the barriers and facilitators perceived that influence on adopting healthy lifestyles in people with cardiovascular diseases. Methods. Mixed study of concurrent execution in the public health center of the municipality of Tausa, Colombia. The quantitative phase corresponded to a longitudinal analytical method in which the FANTASTICO instrument was applied to 28 patients in this program between 0 and 120 days after a brief nursing intervention (face-to-face meetings and telephone calls). The qualitative phase was carried out with a micro-ethnographic approach applying a semi-structured interview to 12 out of 28 participants, 120 days after the intervention. Results. During the quantitative phase, a statistically significant change (p < 0.05) was the improvement of the total score and in the domains of activity, type of personality and insight between day 0 and 120. During the qualitative phase, 13 categories arose regarding barriers and facilitators to adopt a healthy lifestyle: four facilitators and one barrier for physical activity, three facilitators and three barriers for feeding, and two facilitators for stress management. By integrating the results, it is possible to explain that, for the change in eating behaviors, physical activity and stress management, personal biological and psychological factors, interpersonal and situational influences coincide with the assumptions and propositions of the Health Promotion Model by Nola Pender. Conclusion. The participants’ lifestyles changed positively in three of the domains and the total of the instrument, which can be explained by simultaneous triangulation, by the facilitators and perceived barriers as influential on adopting behaviors to acquire a healthy lifestyle.

scholarly journals Development of a Lifestyle Intervention Program to Support Preconception, Pregnant and Postnatal Women Who are Overweight or Obese: A Qualitative Study

2021 ◽  
Author(s):  
Chee Wai Ku ◽  
Shu Hui Leow ◽  
Lay See Ong ◽  
Christina Erwin ◽  
Isabella Ong ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Goal Setting ◽  
Intervention Program ◽  
Maternal Obesity ◽  
Healthy Lifestyle ◽  
Target Population ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Obese Women ◽  
The Impact

Abstract Background: Poor lifestyle behaviors, including unhealthy diet and physical inactivity, contribute to the global obesity pandemic and result in long-term adverse health effects on mothers and their children. The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors. Since the success of a lifestyle intervention is heavily dependent on uptake and continued compliance, the intervention components should be acceptable, sustainable, and tailored to the concerns and needs of the target population. This study aims to identify enablers and barriers towards engagement with a lifestyle intervention for improving the metabolic health of prospective mothers and their offspring, among a sample of the target population.Methods: In-depth interviews were conducted with 15 overweight or obese women in the preconception, pregnancy or postpartum periods. Interviews were transcribed verbatim and thematic analysis was undertaken using NVivo. Factors influencing adoption of a novel lifestyle intervention were systematically charted using the integrated–Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, that comprises Recipient, Context, Innovation and Facilitation constructs.Results: Ten enablers and barriers were identified. Barrier factors within the Recipient construct include time constraints as participants juggled multiple roles, and poor baseline knowledge about healthy behaviors and the impact of maternal obesity on maternal and offspring health. Within Context, a family culture of communal meals, convenient access to unhealthy foods in the environment, as well as lack of relevant data sources, were barriers to dietary change. Recipient motivation to be healthy for themselves and their offspring is an enabler, along with family and social support within the Context construct. In the Innovation construct, a holistic delivery platform providing desired information delivered at appropriate times increases engagement. Lastly, in Facilitation, regular feedback, goal setting and nudges would ensure continued engagement and sustainability of lifestyle changes.Conclusions: The features of a successful lifestyle intervention targeting overweight and obese women include (i) a holistic life-course approach to provide education and guidance, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.

scholarly journals Evaluation of a brief pilot nutrition and exercise intervention for the prevention of weight gain in general practice patients

2006 ◽  
Vol 9 (8) ◽  
pp. 1055-1061 ◽  
Author(s):  
Alison O Booth ◽  
Caryl A Nowson ◽  
Nancy Huang ◽  
Catherine Lombard ◽  
Kate L Singleton
Keyword(s):  
General Practice ◽  
Weight Gain ◽  
Exercise Intervention ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Future Health ◽  
General Practices ◽  
Nutrition Messages ◽  
Health Promotion Interventions ◽  
Birth Type

AbstractObjectiveTo pilot-test a brief written prescription recommending lifestyle changes delivered by general practitioners (GPs) to their patients.DesignThe Active Nutrition Script (ANS) included five nutrition messages and personalised exercise advice for a healthy lifestyle and/or the prevention of weight gain. GPs were asked to administer 10 scripts over 4 weeks to 10 adult patients with a body mass index (BMI) of between 23 and 30 kg m− 2. Information recorded on the script consisted of patients' weight, height, waist circumference, gender and date of birth, type and frequency of physical activity prescribed, and the selected nutrition messages. GPs also recorded reasons for administering the script. Interviews recorded GPs views on using the script.SettingGeneral practices located across greater Melbourne.Subjects and resultsNineteen GPs (63% female) provided a median of nine scripts over 4 weeks. Scripts were administered to 145 patients (mean age: 54 ± 13.2 years, mean BMI: 31.7 ± 6.3 kg m− 2; 57% female), 52% of whom were classified as obese (BMI >30 kg m− 2). GPs cited ‘weight reduction’ as a reason for writing the script for 78% of patients. All interviewed GPs (90%,n = 17) indicated that the messages were clear and simple to deliver.ConclusionsGPs found the ANS provided clear nutrition messages that were simple to deliver. However, GPs administered the script to obese patients for weight loss rather than to prevent weight gain among the target group. This has important implications for future health promotion interventions designed for general practice.

scholarly journals Barriers and Facilitators in Adopting Healthy Lifestyles in West Ethiopia: A Qualitative Research Study

2021 ◽  
Vol 2 (1) ◽  
pp. 18-28
Author(s):  
Alemu Adeba ◽  
Dessalegn Tamiru ◽  
Tefera Belachew
Keyword(s):  
Social Capital ◽  
Healthy Lifestyle ◽  
Group Discussion ◽  
Peer Pressure ◽  
Negative Influence ◽  
Barriers And Facilitators ◽  
Urban Residents ◽  
Healthy Lifestyles ◽  
Health Extension Workers ◽  
Community Healthcare

Risks of NCDs are prevented by adopting healthy lifestyles, but it remains a matter of concern and the knowledge regarding the effect of social factors on health almost not researched in West Ethiopia. The objective of the study is to explore barriers and facilitators in adopting healthy lifestyles among urban residents of West Ethiopia. A qualitative study design was used with three diversified focus group discussion (FGD) guidance to obtain adoption and perception of 27 participants’ on healthy lifestyles. The collected audio-record and session note data’s; were transcribed, verbatim and qualitatively analyzed through a thematic approach. The following themes were identified based on social capital perception frames (bonding, bridging, and linking). Barriers theme:  negative influence from family, peer pressure and perceive towards unhealthy lifestyles &obesity, and accepted socialization by the community (bonding); inadequate awareness on NCD screening and management and insufficient support from health care workers (bridging); and hospital & community healthcare professionals related barriers, inequity in the allocation of public resources (linking). Facilitators theme: motivation to participate in physical activity (bonding); cooperative relationships with health extension workers (bridging); and fear of morbidity and mortality; access of media to an aware, healthy lifestyle (linking); were identified themes to healthy lifestyles adoption. This study revealed that urban residents of west Ethiopia adopted unhealthy lifestyles. Bonding, bridging and linking social capital would be work as barriers and facilitators to adopting healthy lifestyles. Therefore, integrating quoted findings into the chronic care system need attention.

Nudging in Public Health Lifestyle Interventions: A Systematic Literature Review and Metasynthesis

2020 ◽  
Vol 47 (5) ◽  
pp. 749-764 ◽  
Author(s):  
Loni Ledderer ◽  
Marianne Kjær ◽  
Emilie Kirstine Madsen ◽  
Jacob Busch ◽  
Antoinette Fage-Butler
Keyword(s):  
Public Health ◽  
Financial Incentives ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Health Interventions ◽  
Lifestyle Interventions ◽  
Public Health Interventions ◽  
The Public ◽  
Health Lifestyle ◽  
Health Promoting

Nudging is increasingly used in public health interventions in Western societies to produced health-promoting behavior changes; however, there is lack of clarity as to what constitutes a nudge, scant knowledge of the effectiveness of nudging techniques in public health lifestyle interventions and a number of ethical and value-based concerns. The aim of this review is to address these research lacunae and identify the characteristics of nudges in empirical research on public health interventions intended to induce healthy lifestyle changes, including whether they are effective. We conducted systematic searches for relevant articles published between January 2008 and April 2019 in three databases, PubMed, CINAHL and PsycINFO, and combined this with a metasynthesis to construct interpretative explanations. A total of 66 original studies met the inclusion criteria. The findings of the systematic review showed that most nudging interventions involved diet/nutrition, most were carried out as single experiments, and the majority had the intended effects. Specific nudging techniques were identified with respect to the broader nudging categories of accessibility, presentation, using messages and pictures, technology-supported information, financial incentives, affecting the senses, and cognitive loading; several studies included more than one nudging technique. Although many nudging techniques had the intended effects, it is unclear whether they would work outside the study setting. The synthesis revealed that the studies lacked critical reflection on the assumptions about health that were implicit in nudging interventions, the cultural acceptability of nudges, the context-free assumptions of nudging theory, and the implications of these aspects for the public health context.

scholarly journals Barriers and Facilitators to Healthy Lifestyle Changes in Minority Ethnic Populations in the UK: a Narrative Review

2016 ◽  
Vol 4 (6) ◽  
pp. 1107-1119 ◽  
Author(s):  
Naina Patel ◽  
Harriet Batista Ferrer ◽  
Freya Tyrer ◽  
Paula Wray ◽  
Azhar Farooqi ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Narrative Review ◽  
Barriers And Facilitators ◽  
Ethnic Populations ◽  
The Uk ◽  
Minority Ethnic

An engagement-facilitation intervention (EFI) for increasing uptake and engagement for self-guided online mental health interventions: Consumer-guided development (Preprint)

2019 ◽  
Author(s):  
Amelia Gulliver ◽  
Alison L Calear ◽  
Matthew Sunderland ◽  
Frances Kay-Lambkin ◽  
Louise M Farrer ◽  
...  
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Health Program ◽  
Mental Health Program ◽  
Health Interventions ◽  
Barriers And Facilitators ◽  
Health Programs ◽  
Current Evidence ◽  
Mental Health Interventions ◽  
Mental Health Programs

BACKGROUND Self-guided online mental health programs are effective in treating and preventing mental health problems. However, both the uptake and engagement with these programs in the community is suboptimal, and there is limited current evidence indicating how to increase the use of existing evidence-based programs. OBJECTIVE The current study aims to investigate the views of people with lived experience of depression and anxiety on the barriers and facilitators to using e-mental health interventions and to use these perspectives to help develop an engagement-facilitation intervention (EFI) to increase uptake and engagement with self-guided online mental health programs. METHODS A total of 24 community members (female = 21; male = 3) with lived experience of depression and/or anxiety participated in four focus groups that discussed: 1) barriers and facilitators to self-guided e-mental health programs, 2) specific details needed to help them decide to use an online program, and 3) the appearance, delivery mode, and functionality of content for the proposed EFI. A total of 14 of the focus group attendees participated in a subsequent follow-up survey to evaluate the resultant draft EFI. Data were thematically analysed using both inductive and deductive methods. RESULTS Participants suggested that the critical component of an EFI was information that would challenge personal barriers to engagement with psychosocial interventions. These were providing personalised feedback about symptoms, information about the content and effectiveness of the e-mental health program, normalisation of participation in e-mental health programs including testimonials, and brief information on data security. Reminders, rewards, feedback about their progress, and coaching were all mentioned as being useful in assisting people to continue to engage with a program once they had started. Feedback on the developed EFI was positive; with participants reporting satisfaction with the content of the EFI and that it would likely positively affect their use of an e-mental health program. CONCLUSIONS EFIs have the potential to improve the uptake of e-mental health programs in the community and should focus on providing information on the content and effectiveness of e-mental health programs, as well as normalising their use. There is strong value in involving people with a lived experience in the design and development of EFIs to maximise their effectiveness.

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