Stakeholder perspectives on the barriers and facilitators of engagement in healthy lifestyle behaviours in underrepresented adolescents: a focus group study from the European SEEDS project
dc.contributor.author | Wargers, A | |
dc.contributor.author | Elphick, CM | |
dc.contributor.author | Mölenberg, FJM | |
dc.contributor.author | Senequier, A | |
dc.contributor.author | Manios, Y | |
dc.contributor.author | Mavrogianni, C | |
dc.contributor.author | Murray, C | |
dc.contributor.author | Queral, J | |
dc.contributor.author | Tarro, L | |
dc.contributor.author | Williams, CA | |
dc.contributor.author | Vlachopoulos, D | |
dc.contributor.author | Jansen, W | |
dc.date.accessioned | 2024-09-26T13:31:21Z | |
dc.date.issued | 2024-07-25 | |
dc.date.updated | 2024-09-26T10:45:38Z | |
dc.description.abstract | BACKGROUND: Obesity in adolescence has increased in the last decades. Adolescents fail to meet the recommended guidelines for physical activity (PA) and healthy diet. Adolescents with a low socioeconomic status (SES) particularly seem to have fewer healthy lifestyle behaviours. The European Science Engagement to Empower aDolescentS (SEEDS) project used an extreme citizen science approach to develop and implement healthy lifestyle behaviour interventions in high schools. As part of this project, key stakeholders were invited to reflect on the intentions of adolescents to engage in healthy lifestyle behaviours. The aim of this study was to gain stakeholder insights into the barriers and facilitators to healthy lifestyle behaviours of adolescents from low SES areas and on the possible role of these stakeholders in facilitating healthy lifestyle behaviours. METHODS: Six semi-structured focus groups were conducted in four European countries with 28 stakeholders from different settings (schools, community, and government), like teachers, policy advisors and youth workers. The theoretical framework of focus groups was based on the Theory of Planned Behaviour. The main questions of the focus groups were centred on PA and healthy diet. The focus groups were qualitatively analysed in NVivo using thematic analysis to identify topics and themes. RESULTS: According to stakeholders, adolescents have sufficient understanding of the importance of PA and a healthy diet, but nevertheless engage in unhealthy behaviour. Parents were mentioned as important facilitators for engaging adolescents in healthy lifestyle behaviours. Stakeholders listed lack of knowledge, time, and financial resources as barriers for adolescents from low SES families to engage in healthy lifestyle behaviours. The school environment was listed as an important facilitator of adolescents' healthy lifestyle changes, but stakeholders acknowledged that current school days, curriculum and buildings are not designed to promote healthy lifestyle behaviours. External support and collaboration with community and governmental stakeholders was seen as potentially beneficial to improve healthy lifestyle behaviours. CONCLUSIONS: This study shows the variety of barriers adolescents from low SES areas face, and the need for a broader collaboration between key stakeholders to facilitate healthy lifestyle behaviours. Schools are regarded specifically as important facilitators. Currently, the school environment entails various barriers. However, when addressing those, schools can increase opportunities for healthy lifestyle behaviours of adolescents from low SES areas. TRIAL REGISTRATION: This study is registered in ClinicalTrials.gov on 12/08/2021: NCT05002049. | en_GB |
dc.description.sponsorship | European Union Horizon 2020 | en_GB |
dc.identifier.citation | Vol. 24(1), article 1988 | en_GB |
dc.identifier.doi | https://doi.org/10.1186/s12889-024-19419-4 | |
dc.identifier.grantnumber | 101006251 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/137553 | |
dc.identifier | ORCID: 0000-0002-1740-6248 (Williams, Craig A) | |
dc.identifier | ORCID: 0000-0003-1556-715X (Vlachopoulos, Dimitris) | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/39054496 | en_GB |
dc.rights | © The Author(s) 2024. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | en_GB |
dc.subject | Adolescents | en_GB |
dc.subject | Diet | en_GB |
dc.subject | Physical activity | en_GB |
dc.subject | Socioeconomic status | en_GB |
dc.subject | Stakeholders | en_GB |
dc.subject | Thematic analysis | en_GB |
dc.subject | Theory of Planned Behaviour | en_GB |
dc.title | Stakeholder perspectives on the barriers and facilitators of engagement in healthy lifestyle behaviours in underrepresented adolescents: a focus group study from the European SEEDS project | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2024-09-26T13:31:21Z | |
dc.identifier.issn | 1471-2458 | |
exeter.article-number | 1988 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Data availability: The dataset generated for the present study will not become publicly available. Stakeholders could indicate whether their data could be used for future research outside the SEEDS project. These data are available from the SEEDS consortium upon reasonable request and with permission of the Management Board. The corresponding author can be contacted for this: w.jansen.1@erasmusmc.nl. | en_GB |
dc.identifier.eissn | 1471-2458 | |
dc.identifier.journal | BMC Public Health | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2024-07-09 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2024-07-25 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2024-09-26T13:12:04Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2024-09-26T13:31:27Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2024-07-25 |
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in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will
need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The
Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available
in this article, unless otherwise stated in a credit line to the data.