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Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory
E. M. Di Battista,
R. M. Bracken,
J. W. Stephens,
S. Rice,
M. Thomas,
S. P. Williams,
S. D. Mellalieu,
Richard Bracken
Nutrition Bulletin, Volume: 42, Issue: 4, Pages: 309 - 320
Swansea University Author:
Richard Bracken
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DOI (Published version): 10.1111/nbu.12292
Abstract
The Medical Research Council recommends strong theoretical underpinning in the design and evaluation of lifestyle intervention programmes (LIPs). This qualitative study aimed to use Basic Needs Theory (BNT) as a framework to explore participants’ perspectives on a workplace dietitian-led LIP. Specif...
Published in: | Nutrition Bulletin |
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ISSN: | 1471-9827 |
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2017
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URI: | https://cronfa.swan.ac.uk/Record/cronfa36827 |
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Specifically, experiences with LIP engagement and initiation and maintenance of behaviour change were evaluated. Fifteen semi-structured face-to-face interviews were conducted with participants who had previously completed a workplace cardiovascular disease and type 2 diabetes prevention programme, which involved advice and motivational support with making dietary and lifestyle changes. Interviews were audio recorded and transcribed verbatim. To evaluate the narrative, interpretative phenomenological analyses were used with BNT as the theoretical framework. A total of 12 themes were identified in relation to the three concepts of BNT – autonomy, competence and relatedness – and organised into three domains: intervention engagement, behaviour change initiation and behaviour change maintenance. Line manager and colleague support to attend was reported to have a strong influence on intervention engagement, and the importance of dietitian and peer guidance in initiating behaviour changes was highlighted. Differences between participants who maintained behavioural changes compared to those who relapsed included autonomously seeking support (relatedness) through family, friends, healthcare professionals and commercial slimming organisations. BNT provided an insightful theoretical framework to evaluate factors that underpinned the effectiveness of a dietitian-led cardiovascular and type 2 diabetes prevention LIP. Attendance and retention in workplace LIPs can depend on participants’ managerial and colleague support, so recruitment processes should consider targeting managers in marketing and promotional activities. 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M. Di</firstname><surname>Battista</surname><order>1</order></author><author><firstname>R. M.</firstname><surname>Bracken</surname><order>2</order></author><author><firstname>J. W.</firstname><surname>Stephens</surname><order>3</order></author><author><firstname>S.</firstname><surname>Rice</surname><order>4</order></author><author><firstname>M.</firstname><surname>Thomas</surname><order>5</order></author><author><firstname>S. P.</firstname><surname>Williams</surname><order>6</order></author><author><firstname>S. 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2017-11-21T12:22:29.7187832 v2 36827 2017-11-20 Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory f5da81cd18adfdedb2ccb845bddc12f7 0000-0002-6986-6449 Richard Bracken Richard Bracken true false 2017-11-20 STSC The Medical Research Council recommends strong theoretical underpinning in the design and evaluation of lifestyle intervention programmes (LIPs). This qualitative study aimed to use Basic Needs Theory (BNT) as a framework to explore participants’ perspectives on a workplace dietitian-led LIP. Specifically, experiences with LIP engagement and initiation and maintenance of behaviour change were evaluated. Fifteen semi-structured face-to-face interviews were conducted with participants who had previously completed a workplace cardiovascular disease and type 2 diabetes prevention programme, which involved advice and motivational support with making dietary and lifestyle changes. Interviews were audio recorded and transcribed verbatim. To evaluate the narrative, interpretative phenomenological analyses were used with BNT as the theoretical framework. A total of 12 themes were identified in relation to the three concepts of BNT – autonomy, competence and relatedness – and organised into three domains: intervention engagement, behaviour change initiation and behaviour change maintenance. Line manager and colleague support to attend was reported to have a strong influence on intervention engagement, and the importance of dietitian and peer guidance in initiating behaviour changes was highlighted. Differences between participants who maintained behavioural changes compared to those who relapsed included autonomously seeking support (relatedness) through family, friends, healthcare professionals and commercial slimming organisations. BNT provided an insightful theoretical framework to evaluate factors that underpinned the effectiveness of a dietitian-led cardiovascular and type 2 diabetes prevention LIP. Attendance and retention in workplace LIPs can depend on participants’ managerial and colleague support, so recruitment processes should consider targeting managers in marketing and promotional activities. Workplace LIPs may increase the likelihood of behaviour change maintenance by including methods that foster longer term participant relatedness and emotional support. Journal Article Nutrition Bulletin 42 4 309 320 1471-9827 cardiovascular disease; obesity; type 2 diabetes; weight loss; weight maintenance 31 12 2017 2017-12-31 10.1111/nbu.12292 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2017-11-21T12:22:29.7187832 2017-11-20T09:46:40.1446927 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences E. M. Di Battista 1 R. M. Bracken 2 J. W. Stephens 3 S. Rice 4 M. Thomas 5 S. P. Williams 6 S. D. Mellalieu 7 Richard Bracken 0000-0002-6986-6449 8 0036827-21112017121846.pdf Battista2017.pdf 2017-11-21T12:18:46.1300000 Output 879038 application/pdf Accepted Manuscript true 2018-02-10T00:00:00.0000000 false eng |
title |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
spellingShingle |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory Richard Bracken |
title_short |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
title_full |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
title_fullStr |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
title_full_unstemmed |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
title_sort |
Workplace delivery of a dietitian-led cardiovascular disease and type 2 diabetes prevention programme: A qualitative study of participants’ experiences in the context of Basic Needs Theory |
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f5da81cd18adfdedb2ccb845bddc12f7 |
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f5da81cd18adfdedb2ccb845bddc12f7_***_Richard Bracken |
author |
Richard Bracken |
author2 |
E. M. Di Battista R. M. Bracken J. W. Stephens S. Rice M. Thomas S. P. Williams S. D. Mellalieu Richard Bracken |
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Nutrition Bulletin |
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description |
The Medical Research Council recommends strong theoretical underpinning in the design and evaluation of lifestyle intervention programmes (LIPs). This qualitative study aimed to use Basic Needs Theory (BNT) as a framework to explore participants’ perspectives on a workplace dietitian-led LIP. Specifically, experiences with LIP engagement and initiation and maintenance of behaviour change were evaluated. Fifteen semi-structured face-to-face interviews were conducted with participants who had previously completed a workplace cardiovascular disease and type 2 diabetes prevention programme, which involved advice and motivational support with making dietary and lifestyle changes. Interviews were audio recorded and transcribed verbatim. To evaluate the narrative, interpretative phenomenological analyses were used with BNT as the theoretical framework. A total of 12 themes were identified in relation to the three concepts of BNT – autonomy, competence and relatedness – and organised into three domains: intervention engagement, behaviour change initiation and behaviour change maintenance. Line manager and colleague support to attend was reported to have a strong influence on intervention engagement, and the importance of dietitian and peer guidance in initiating behaviour changes was highlighted. Differences between participants who maintained behavioural changes compared to those who relapsed included autonomously seeking support (relatedness) through family, friends, healthcare professionals and commercial slimming organisations. BNT provided an insightful theoretical framework to evaluate factors that underpinned the effectiveness of a dietitian-led cardiovascular and type 2 diabetes prevention LIP. Attendance and retention in workplace LIPs can depend on participants’ managerial and colleague support, so recruitment processes should consider targeting managers in marketing and promotional activities. Workplace LIPs may increase the likelihood of behaviour change maintenance by including methods that foster longer term participant relatedness and emotional support. |
published_date |
2017-12-31T03:46:11Z |
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1763752197674237952 |
score |
11.021648 |