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

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  • 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
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    References listed on IDEAS

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    Cited by:

    1. 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.
    2. 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.

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