IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i10p1229-d115070.html
   My bibliography  Save this article

Barriers and Facilitators for Health Behavior Change among Adults from Multi-Problem Households: A Qualitative Study

Author

Listed:
  • Gera E. Nagelhout

    (Department of Health Promotion, Maastricht University (CAPHRI), Maastricht 6200 MD, The Netherlands
    Department of Family Medicine, Maastricht University (CAPHRI), Maastricht 6200 MD, The Netherlands
    IVO Addiction Research Institute, Rotterdam 3021 DM, The Netherlands)

  • Lette Hogeling

    (Chair Group Health & Society, Department of Social Sciences, Wageningen University, Wageningen 6700 EW, The Netherlands)

  • Renate Spruijt

    (Stimenz, Apeldoorn 7311 JD, The Netherlands)

  • Nathalie Postma

    (Stimenz, Apeldoorn 7311 JD, The Netherlands)

  • Hein De Vries

    (Department of Health Promotion, Maastricht University (CAPHRI), Maastricht 6200 MD, The Netherlands)

Abstract

Multi-problem households are households with problems on more than one of the following core problem areas: socio-economic problems, psycho-social problems, and problems related to child care. The aim of this study was to examine barriers and facilitators for health behavior change among adults from multi-problem households, as well as to identify ideas for a health promotion program. A qualitative study involving 25 semi-structured interviews was conducted among Dutch adults who received intensive family home care for multi-problem households. Results were discussed with eight social workers in a focus group interview. Data were analyzed using the Framework Method. The results revealed that the main reason for not engaging in sports were the costs. Physical activity was facilitated by physically active (transport to) work and by dog ownership. Respondents who received a food bank package reported this as a barrier for healthy eating. Those with medical conditions such as diabetes indicated that this motivated them to eat healthily. Smokers and former smokers reported that stress was a major barrier for quitting smoking but that medical conditions could motivate them to quit smoking. A reported reason for not using alcohol was having difficult past experiences such as violence and abuse by alcoholics. Mentioned intervention ideas were: something social, an outdoor sports event, cooking classes, a walking group, and children’s activities in nature. Free or cheap activities that include social interaction and reduce stress are in line with the identified barriers and facilitators. Besides these activities, it may be important to influence the target group’s environment by educating social workers and ensuring healthier food bank packages.

Suggested Citation

  • Gera E. Nagelhout & Lette Hogeling & Renate Spruijt & Nathalie Postma & Hein De Vries, 2017. "Barriers and Facilitators for Health Behavior Change among Adults from Multi-Problem Households: A Qualitative Study," IJERPH, MDPI, vol. 14(10), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1229-:d:115070
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/10/1229/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/14/10/1229/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Reichert, F.F. & Barros, A.J.D. & Domingues, M.R. & Hallal, P.C., 2007. "The role of perceived personal barriers to engagement in leisure-time physical activity," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 515-519.
    3. Tausendfreund, Tim & Knot-Dickscheit, Jana & Post, Wendy J. & Knorth, Erik J. & Grietens, Hans, 2014. "Outcomes of a coaching program for families with multiple problems in the Netherlands: A prospective study," Children and Youth Services Review, Elsevier, vol. 46(C), pages 203-212.
    4. Siegel, P.Z. & Brackbill, R.M. & Heath, G.W., 1995. "The epidemiology of walking for exercise: Implications for promoting activity among sedentary groups," American Journal of Public Health, American Public Health Association, vol. 85(5), pages 706-710.
    5. Scannapieco, Maria, 1994. "Home-based services program: Effectiveness with at risk families," Children and Youth Services Review, Elsevier, vol. 16(5-6), pages 363-377.
    6. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Gera E. Nagelhout & Latifa Abidi & Hein de Vries, 2019. "How Do Health and Social Networks Compare between Low-Income Multiproblem Households and the General Population?," IJERPH, MDPI, vol. 16(24), pages 1-7, December.
    2. Gerda Wink & Gerdine Fransen & Merel Huisman & Sandra Boersma & Lieke van Disseldorp & Koos van der Velden & Annemarie Wagemakers & Maria van den Muijsenbergh, 2021. "‘Improving Health through Reducing Stress’: Parents’ Priorities in the Participatory Development of a Multilevel Family Health Programme in a Low-Income Neighbourhood in The Netherlands," IJERPH, MDPI, vol. 18(15), pages 1-16, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Li, Shengxiao & Zhao, Pengjun & Zhang, He & Quan, Jing, 2019. "Walking behavior in the old downtown Beijing: The impact of perceptions and attitudes and social variations," Transport Policy, Elsevier, vol. 73(C), pages 1-11.
    2. Veerle Van Holle & Jelle Van Cauwenberg & Ilse De Bourdeaudhuij & Benedicte Deforche & Nico Van de Weghe & Delfien Van Dyck, 2016. "Interactions between Neighborhood Social Environment and Walkability to Explain Belgian Older Adults’ Physical Activity and Sedentary Time," IJERPH, MDPI, vol. 13(6), pages 1-14, June.
    3. Hong, Andy & Boarnet, Marlon G. & Houston, Douglas, 2016. "New light rail transit and active travel: A longitudinal study," Transportation Research Part A: Policy and Practice, Elsevier, vol. 92(C), pages 131-144.
    4. Laurence Couture-Wilhelmy & Philippe Chaubet & Tegwen Gadais, 2021. "Winning Conditions for the Adoption and Maintenance of Long-Term Healthy Lifestyles According to Physical Activity Students," IJERPH, MDPI, vol. 18(21), pages 1-27, October.
    5. Maria Andersson & Ola Eriksson & Chris Von Borgstede, 2012. "The Effects of Environmental Management Systems on Source Separation in the Work and Home Settings," Sustainability, MDPI, vol. 4(6), pages 1-17, June.
    6. Tran Huy Phuong & Thanh Trung Hieu, 2015. "Predictors of Entrepreneurial Intentions of Undergraduate Students in Vietnam: An Empirical Study," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 5(8), pages 46-55, August.
    7. Clara Cardone-Riportella & María José Casasola-Martinez & Isabel Feito-Ruiz, 2014. "Do Entrepreneurs Come From Venus Or Mars? Impact Of Postgraduate Studies: Gender And Family Business Background," Working Papers 14.04, Universidad Pablo de Olavide, Department of Financial Economics and Accounting (former Department of Business Administration), revised Sep 2014.
    8. Peng Cheng & Zhe Ouyang & Yang Liu, 0. "The effect of information overload on the intention of consumers to adopt electric vehicles," Transportation, Springer, vol. 0, pages 1-20.
    9. Ruijie Zhu & Guojing Zhao & Zehai Long & Yangjie Huang & Zhaoxin Huang, 2022. "Entrepreneurship or Employment? A Survey of College Students’ Sustainable Entrepreneurial Intentions," Sustainability, MDPI, vol. 14(9), pages 1-15, May.
    10. Alsalem, Amani & Fry, Marie-Louise & Thaichon, Park, 2020. "To donate or to waste it: Understanding posthumous organ donation attitude," Australasian marketing journal, Elsevier, vol. 28(3), pages 87-97.
    11. Pan, Jing Yu & Liu, Dahai, 2022. "Mask-wearing intentions on airplanes during COVID-19 – Application of theory of planned behavior model," Transport Policy, Elsevier, vol. 119(C), pages 32-44.
    12. Benoît Lécureux & Adrien Bonnet & Ouassim Manout & Jaâfar Berrada & Louafi Bouzouina, 2022. "Acceptance of Shared Autonomous Vehicles: A Literature Review of stated choice experiments," Working Papers hal-03814947, HAL.
    13. Jacqueline Ruth & Steffen Willwacher & Oliver Korn, 2022. "Acceptance of Digital Sports: A Study Showing the Rising Acceptance of Digital Health Activities Due to the SARS-CoV-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-16, January.
    14. Jariyasunant, Jerald & Carrel, Andre & Ekambaram, Venkatesan & Gaker, David & Sengupta, Raja & Walker, Joan L., 2012. "The Quantified Traveler: Changing transport behavior with personalized travel data feedback," University of California Transportation Center, Working Papers qt3047k0dw, University of California Transportation Center.
    15. Brown, Philip & Roper, Simon, 2017. "Innovation and networks in New Zealand farming," Australian Journal of Agricultural and Resource Economics, Australian Agricultural and Resource Economics Society, vol. 61(3), July.
    16. Teodora Roman, 2009. "Study regarding entrepreneurial intentions among students," THE YEARBOOK OF THE "GH. ZANE" INSTITUTE OF ECONOMIC RESEARCHES, Gheorghe Zane Institute for Economic and Social Research ( from THE ROMANIAN ACADEMY, JASSY BRANCH), vol. 18, pages 87-94.
    17. Messele Kumilachew Aga, 2023. "The mediating role of perceived behavioral control in the relationship between entrepreneurship education and entrepreneurial intentions of university students in Ethiopia," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-18, December.
    18. Kristin Thomas & Evalill Nilsson & Karin Festin & Pontus Henriksson & Mats Lowén & Marie Löf & Margareta Kristenson, 2020. "Associations of Psychosocial Factors with Multiple Health Behaviors: A Population-Based Study of Middle-Aged Men and Women," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    19. Andreas Falke & Nadine Schröder & Claudia Hofmann, 2022. "The influence of values in sustainable consumption among millennials," Journal of Business Economics, Springer, vol. 92(6), pages 899-928, August.
    20. Kamruzzaman, Md. & Baker, Douglas & Washington, Simon & Turrell, Gavin, 2013. "Residential dissonance and mode choice," Journal of Transport Geography, Elsevier, vol. 33(C), pages 12-28.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1229-:d:115070. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.