Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study

Objectives To explore perspectives on enhancing physical activity and diet among South Asians in urban deprived communities at high risk of chronic disease and to inform development of culturally appropriate health promotion intervention. Design Qualitative study using semistructured one-...

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Main Authors: Cross-Bardell, Laura, George, Tracey, Bhoday, Mandeep, Tuomainen, Helena, Qureshi, Nadeem, Kai, Joe
Format: Article
Published: BMJ Publishing Group 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/30555/
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author Cross-Bardell, Laura
George, Tracey
Bhoday, Mandeep
Tuomainen, Helena
Qureshi, Nadeem
Kai, Joe
author_facet Cross-Bardell, Laura
George, Tracey
Bhoday, Mandeep
Tuomainen, Helena
Qureshi, Nadeem
Kai, Joe
author_sort Cross-Bardell, Laura
building Nottingham Research Data Repository
collection Online Access
description Objectives To explore perspectives on enhancing physical activity and diet among South Asians in urban deprived communities at high risk of chronic disease and to inform development of culturally appropriate health promotion intervention. Design Qualitative study using semistructured one-to-one and family group interviews with thematic analysis of data. Setting Urban disadvantaged communities in the East Midlands of the UK. Participants 45 respondents, including 34 people of South Asian origin (16 at-risk individuals, six family groups involving 18 relatives), of mainly Pakistani and Indian origin, including 16 non-English speakers; and 11 health professionals working locally with communities of concern. Results South Asian participants underlined the challenges of requiring family members across generations to engage in modifying dietary behaviours, and the central role of communal eating of traditional ‘Asian’ food in their cultural lives. Barriers to increasing physical activity included cost, personal safety and lack of time outside of long working hours and carer commitments. However, increasing walking activity was regarded as feasible by both community and health professional participants. Respondents emphasised using a social approach for potential interventions, undertaking activity with family or friends and with bilingual community peers to facilitate engagement, motivation and support. Spoken content and delivery of interventions was favoured, including personal stories and multilingual audio–visual information; within local informal rather than provider settings, including the home; and aided by pedometers for self-monitoring. Conclusions Focusing on physical activity by increasing walking may hold promise as health promotion in this deprived South Asian community context. Further intervention development, with exploration of feasibility and acceptability of the social approach and elements suggested, is merited.
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spelling nottingham-305552020-05-04T17:01:56Z https://eprints.nottingham.ac.uk/30555/ Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study Cross-Bardell, Laura George, Tracey Bhoday, Mandeep Tuomainen, Helena Qureshi, Nadeem Kai, Joe Objectives To explore perspectives on enhancing physical activity and diet among South Asians in urban deprived communities at high risk of chronic disease and to inform development of culturally appropriate health promotion intervention. Design Qualitative study using semistructured one-to-one and family group interviews with thematic analysis of data. Setting Urban disadvantaged communities in the East Midlands of the UK. Participants 45 respondents, including 34 people of South Asian origin (16 at-risk individuals, six family groups involving 18 relatives), of mainly Pakistani and Indian origin, including 16 non-English speakers; and 11 health professionals working locally with communities of concern. Results South Asian participants underlined the challenges of requiring family members across generations to engage in modifying dietary behaviours, and the central role of communal eating of traditional ‘Asian’ food in their cultural lives. Barriers to increasing physical activity included cost, personal safety and lack of time outside of long working hours and carer commitments. However, increasing walking activity was regarded as feasible by both community and health professional participants. Respondents emphasised using a social approach for potential interventions, undertaking activity with family or friends and with bilingual community peers to facilitate engagement, motivation and support. Spoken content and delivery of interventions was favoured, including personal stories and multilingual audio–visual information; within local informal rather than provider settings, including the home; and aided by pedometers for self-monitoring. Conclusions Focusing on physical activity by increasing walking may hold promise as health promotion in this deprived South Asian community context. Further intervention development, with exploration of feasibility and acceptability of the social approach and elements suggested, is merited. BMJ Publishing Group 2015-02-27 Article PeerReviewed Cross-Bardell, Laura, George, Tracey, Bhoday, Mandeep, Tuomainen, Helena, Qureshi, Nadeem and Kai, Joe (2015) Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study. BMJ Open, 5 (2). e007317/1-e007317/8. ISSN 2044-6055 Physical activity; Diet; Health promotion; UK South Asian communities http://bmjopen.bmj.com/content/5/2/e007317.abstract doi:10.1136/bmjopen-2014-007317 doi:10.1136/bmjopen-2014-007317
spellingShingle Physical activity; Diet; Health promotion; UK South Asian communities
Cross-Bardell, Laura
George, Tracey
Bhoday, Mandeep
Tuomainen, Helena
Qureshi, Nadeem
Kai, Joe
Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title_full Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title_fullStr Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title_full_unstemmed Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title_short Perspectives on enhancing physical activity and diet for health promotion among at-risk urban UK South Asian communities: a qualitative study
title_sort perspectives on enhancing physical activity and diet for health promotion among at-risk urban uk south asian communities: a qualitative study
topic Physical activity; Diet; Health promotion; UK South Asian communities
url https://eprints.nottingham.ac.uk/30555/
https://eprints.nottingham.ac.uk/30555/
https://eprints.nottingham.ac.uk/30555/