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Norman, Å., Nyberg, G. & Berlin, A. (2019). School-based obesity prevention for busy low-income families: Organisational and personal barriers and facilitators to implementation.. PLoS ONE, 14(11), Article ID e0224512.
Open this publication in new window or tab >>School-based obesity prevention for busy low-income families: Organisational and personal barriers and facilitators to implementation.
2019 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 11, article id e0224512Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Little research has targeted multiple-level barriers and facilitators in school-based parental support programmes. This qualitative study aims to describe barriers and facilitators, at organisational and personal levels, that teachers and parents in disadvantaged settings in Sweden perceived as influencing the implementation of the Healthy School Start II (HSS II) intervention.

METHODS: Data collection, analysis and interpretation were guided by the Consolidated Framework for Implementation Research (CFIR). Focus groups and interviews were conducted with 14 parents and ten teachers within the HSS II trial. Data were analysed using qualitative content analysis in a deductive step using the three CFIR domains-inner and outer setting, and personal characteristics-followed by an inductive analysis.

RESULTS: The theme 'being on the same page-getting burdened teachers and parents to work on common ground' was found. Among teachers, barriers and facilitators were related to the structure of the schoolwork and curriculum, involvement from other staff and school management, the practical school workday, perception of high family needs but low parental interest, insufficient resources in the families, and teacher's personal knowledge, interests, and opinions about health and food. For parents, barriers and facilitators were related to the perceived family needs and resources, parents' health knowledge, consensus about healthy behaviours and ability to cooperate, and school involvement in health issues and the intervention.

CONCLUSION: Interventions should facilitate parents' and teachers' work on common ground, with activities suitable for a stressful and burdensome workday and everyday life. This could be achieved by integrating evidence-based practices within school routines, and including activities that are practicable despite parents' stressful lives, and that increase parental consensus about promoting health. Strategies to increase involvement of parents in families with high needs are necessary. Also, this study suggests an expansion of the CFIR to capture the interface between different micro-level organisations, and account for several delivering/receiving organisations.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
urn:nbn:se:gih:diva-5908 (URN)10.1371/journal.pone.0224512 (DOI)31689329 (PubMedID)
Available from: 2019-11-11 Created: 2019-11-11 Last updated: 2019-11-11

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