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Barriers from multiple perspectives towards physical activity, sedentary behaviour, physical activity and dietary habits when living in low socio-economic areas in Europe : the Feel4Diabetes study

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Abstract
This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, Finland, Hungary, Greece and Spain). In each country, three focus groups were conducted with parents, one with teachers and one with local community workers. Data were analysed using a deductive framework approach with a manifest content analysis using the software NVivo. The present study identified barriers on four levels (individual, interpersonal, organisational and macro level) of a socio-ecological model of health behaviour. From parents’ perspectives, both general barriers (e.g., financial limitations and lack of time) and country-specific barriers (e.g., organisational difficulties and inappropriate work environment) were identified. Additional barriers (e.g., lack of parental knowledge and lack of parental skills) were provided by other stakeholders (i.e., teachers and local community workers). The results of this study demonstrate the additional value of including multiple perspectives when developing a lifestyle intervention aiming to prevent type 2 diabetes in vulnerable groups. Future lifestyle interventions are recommended to include multiple components (family, school, and community) and could be implemented across European countries if country-specific adaptations are allowed.
Keywords
physical activity & health, physical activity, sedentary behaviour, dietary habits, type 2 diabetes prevention, low socio-economic status, qualitative study, European study, Feel4Diabetes-study, CHILDHOOD OBESITY, CARDIOVASCULAR HEALTH, SCHOOL, INTERVENTIONS, PERCEPTIONS, ASSOCIATION, OVERWEIGHT, ADULTHOOD, PARENTS, DISEASE

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MLA
Van Stappen, Vicky et al. “Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-economic Areas in Europe : the Feel4Diabetes Study.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 15.12 (2018): n. pag. Print.
APA
Van Stappen, V., Latomme, J., Cardon, G., De Bourdeaudhuij, I., Lateva, M., Chakarova, N., Kivelä, J., et al. (2018). Barriers from multiple perspectives towards physical activity, sedentary behaviour, physical activity and dietary habits when living in low socio-economic areas in Europe : the Feel4Diabetes study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 15(12).
Chicago author-date
Van Stappen, Vicky, Julie Latomme, Greet Cardon, Ilse De Bourdeaudhuij, Mina Lateva, Nevena Chakarova, Jemina Kivelä, et al. 2018. “Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-economic Areas in Europe : the Feel4Diabetes Study.” International Journal of Environmental Research and Public Health 15 (12).
Chicago author-date (all authors)
Van Stappen, Vicky, Julie Latomme, Greet Cardon, Ilse De Bourdeaudhuij, Mina Lateva, Nevena Chakarova, Jemina Kivelä, Jaana Lindström, Odysseas Androutsos, Esther González-Gil, Pilar De Miguel-Etayo, Anna Nánási, László Kolozsvári, Yannis Manios, and Marieke De Craemer. 2018. “Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-economic Areas in Europe : the Feel4Diabetes Study.” International Journal of Environmental Research and Public Health 15 (12).
Vancouver
1.
Van Stappen V, Latomme J, Cardon G, De Bourdeaudhuij I, Lateva M, Chakarova N, et al. Barriers from multiple perspectives towards physical activity, sedentary behaviour, physical activity and dietary habits when living in low socio-economic areas in Europe : the Feel4Diabetes study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 2018;15(12).
IEEE
[1]
V. Van Stappen et al., “Barriers from multiple perspectives towards physical activity, sedentary behaviour, physical activity and dietary habits when living in low socio-economic areas in Europe : the Feel4Diabetes study,” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 15, no. 12, 2018.
@article{8585963,
  abstract     = {This study investigated barriers towards health behaviours (physical activity, limiting sedentary behaviour and healthy dietary habits) experienced by young European families living in vulnerable areas, from multiple perspectives (parents, teachers, local community workers). Focus groups were conducted in six European countries (Belgium, Bulgaria, Finland, Hungary, Greece and Spain). In each country, three focus groups were conducted with parents, one with teachers and one with local community workers. Data were analysed using a deductive framework approach with a manifest content analysis using the software NVivo. The present study identified barriers on four levels (individual, interpersonal, organisational and macro level) of a socio-ecological model of health behaviour. From parents’ perspectives, both general barriers (e.g., financial limitations and lack of time) and country-specific barriers (e.g., organisational difficulties and inappropriate work environment) were identified. Additional barriers (e.g., lack of parental knowledge and lack of parental skills) were provided by other stakeholders (i.e., teachers and local community workers). The results of this study demonstrate the additional value of including multiple perspectives when developing a lifestyle intervention aiming to prevent type 2 diabetes in vulnerable groups. Future lifestyle interventions are recommended to include multiple components (family, school, and community) and could be implemented across European countries if country-specific adaptations are allowed.},
  articleno    = {2840},
  author       = {Van Stappen, Vicky and Latomme, Julie and Cardon, Greet and De Bourdeaudhuij, Ilse and Lateva, Mina and Chakarova, Nevena and Kivelä, Jemina and Lindström, Jaana and Androutsos, Odysseas and González-Gil, Esther and De Miguel-Etayo, Pilar and Nánási, Anna and Kolozsvári, László and Manios, Yannis and De Craemer, Marieke},
  issn         = {1660-4601},
  journal      = {INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH},
  keywords     = {physical activity & health,physical activity,sedentary behaviour,dietary habits,type 2 diabetes prevention,low socio-economic status,qualitative study,European study,Feel4Diabetes-study,CHILDHOOD OBESITY,CARDIOVASCULAR HEALTH,SCHOOL,INTERVENTIONS,PERCEPTIONS,ASSOCIATION,OVERWEIGHT,ADULTHOOD,PARENTS,DISEASE},
  language     = {eng},
  number       = {12},
  pages        = {15},
  title        = {Barriers from multiple perspectives towards physical activity, sedentary behaviour, physical activity and dietary habits when living in low socio-economic areas in Europe : the Feel4Diabetes study},
  url          = {http://dx.doi.org/10.3390/ijerph15122840},
  volume       = {15},
  year         = {2018},
}

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