Experiences of barriers and facilitators to weight-loss in a diet intervention: a qualitative study of women in Northern Sweden
2014 (English)In: BMC Women's Health, ISSN 1472-6874, Vol. 14, 59- p.Article in journal (Refereed) Published
BACKGROUND: There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden.
METHOD: In the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24 months. A strategic selection was made of women from the two intervention groups as well as from the drop-outs in relation to social class, civil status and age. Thematic structured interviews were performed with twelve women and analysed with qualitative content analyses.
RESULTS: The results showed that the women in the dietary intervention experienced two main barriers - struggling with self (related to difficulties in changing food habits, health problems, lack of self-control and insecurity) and struggling with implementing the diet (related to social relations and project-related difficulties) - and two main facilitators- striving for self-determination (related to having clear goals) and receiving support (from family/friends as well as from the project) - for weight-loss. There was a greater emphasis on barriers than on facilitators.
CONCLUSION: It is important to also include drop-outs from diet interventions in order to fully understand barriers to weight-loss. A gender-relational approach can bring new insights into understanding experiences of barriers to weight-loss.
Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 14, 59- p.
behavior change, weight management, obesity/overweight, intervention programmes, gender, qualitative analysis, health behavior, women's health/midlife
Public Health, Global Health, Social Medicine and Epidemiology Environmental Health and Occupational Health Obstetrics, Gynecology and Reproductive Medicine
IdentifiersURN: urn:nbn:se:umu:diva-89223DOI: 10.1186/1472-6874-14-59ISI: 000334949800001OAI: oai:DiVA.org:umu-89223DiVA: diva2:719873