A mixed-methods evaluation of prospective acceptability for a family-targeted programme promoting healthy lifestyles

Lauren Bell, Maxine Whelan, Lucie Thomas, Hayley Wright, Deborah Lycett, Gemma Mckinnon, Jo Southan, Riya Patel

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Abstract

Aim: Childhood overweight and obesity is a serious public health concern in the UK. As part of a national initiative, parents and caregivers are provided information about their child’s weight status and invited to attend healthy lifestyle programmes. Uptake to these programmes, however, is low. This study investigated the prospective acceptability of a healthy lifestyles programme to help refine a commissioned programme. 

Subject and methods: Parents and caregivers of children aged 4–11 years were invited to respond to a survey and interviews. Responses were coded into domains of the theoretical framework of acceptability (TFA) using deductive thematic analysis. 

Results: Data from 60 survey respondents and six interviewees indicated that most participants would be open to attending a healthy lifestyles programme. Participants reported high levels of perceived effectiveness and self-efficacy. Barriers to attendance were identified in the domains of burden, opportunity costs, and ethicality, as well as a lack of information about the format, content, and target audience of the programme. Participants indicated that they would be more likely to enrol if they were aware the programme offered opportunities for social interaction and interactive, holistic learning. 

Conclusion: Although prospective acceptability of the healthy lifestyles programme is high, this did not translate to attendance at the programme. Using the TFA can inform both the intervention refinement process and how recruitment and marketing of the programme can be supported. Provision of more information about the aims, content, and delivery of the programme, and who the target audience is, would improve uptake rates.

Original languageEnglish
Pages (from-to)1815-1828
Number of pages14
JournalJournal of Public Health (Germany)
Volume32
Issue number9
Early online date29 May 2023
DOIs
Publication statusPublished - Sept 2024

Bibliographical note

The final publication is available at Springer via http://dx.doi.org/10.1007/s10389-023-01943-z

Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

This document is the author’s post-print version, incorporating any revisions agreed during the peer-review process. Some differences between the published version and this version may remain and you are advised to consult the published version if you wish to cite from it.

Funder

This work was commissioned by Warwickshire County Council, UK.

Keywords

  • Prospective acceptability
  • Healthy lifestyles
  • Weight management
  • Child overweight
  • Child obesity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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