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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 Orcid Logo

Nutrition Bulletin, Volume: 42, Issue: 4, Pages: 309 - 320

Swansea University Author: Richard Bracken Orcid Logo

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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...

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Published in: Nutrition Bulletin
ISSN: 1471-9827
Published: 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa36827
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This qualitative study aimed to use Basic Needs Theory (BNT) as a framework to explore participants&#x2019; 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 &#x2013; autonomy, competence and relatedness &#x2013; 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&#x2019; 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.</abstract><type>Journal Article</type><journal>Nutrition Bulletin</journal><volume>42</volume><journalNumber>4</journalNumber><paginationStart>309</paginationStart><paginationEnd>320</paginationEnd><publisher/><issnPrint>1471-9827</issnPrint><keywords>cardiovascular disease; obesity; type 2 diabetes; weight loss; weight maintenance</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2017</publishedYear><publishedDate>2017-12-31</publishedDate><doi>10.1111/nbu.12292</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2017-11-21T12:22:29.7187832</lastEdited><Created>2017-11-20T09:46:40.1446927</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences</level></path><authors><author><firstname>E. 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. D.</firstname><surname>Mellalieu</surname><order>7</order></author><author><firstname>Richard</firstname><surname>Bracken</surname><orcid>0000-0002-6986-6449</orcid><order>8</order></author></authors><documents><document><filename>0036827-21112017121846.pdf</filename><originalFilename>Battista2017.pdf</originalFilename><uploaded>2017-11-21T12:18:46.1300000</uploaded><type>Output</type><contentLength>879038</contentLength><contentType>application/pdf</contentType><version>Accepted Manuscript</version><cronfaStatus>true</cronfaStatus><embargoDate>2018-02-10T00:00:00.0000000</embargoDate><copyrightCorrect>false</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 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
author_id_str_mv f5da81cd18adfdedb2ccb845bddc12f7
author_id_fullname_str_mv 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
format Journal article
container_title Nutrition Bulletin
container_volume 42
container_issue 4
container_start_page 309
publishDate 2017
institution Swansea University
issn 1471-9827
doi_str_mv 10.1111/nbu.12292
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
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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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