Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature
Abstract Background Consuming a balanced diet and regular activity have health benefits. However, many adults have a difficult time adhering to diet and activity recommendations, especially in lifestyle interventions. Adherence to recommendations could be improved if common facilitators and barriers...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-023-01424-2 |
| _version_ | 1797863514375716864 |
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| author | Alysha L. Deslippe Alexandra Soanes Celeste C. Bouchaud Hailee Beckenstein May Slim Hugues Plourde Tamara R. Cohen |
| author_facet | Alysha L. Deslippe Alexandra Soanes Celeste C. Bouchaud Hailee Beckenstein May Slim Hugues Plourde Tamara R. Cohen |
| author_sort | Alysha L. Deslippe |
| collection | DOAJ |
| description | Abstract Background Consuming a balanced diet and regular activity have health benefits. However, many adults have a difficult time adhering to diet and activity recommendations, especially in lifestyle interventions. Adherence to recommendations could be improved if common facilitators and barriers are accounted for in intervention design. The aim of this systematic review was to understand perceived barriers and facilitators to lifestyle (diet and/or activity) intervention guidelines. Methods This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Studies included relied on qualitative methods to explore the barriers and facilitators healthy adults ( $$\ge$$ ≥ 18 years) experienced in lifestyle interventions. Google Scholar, Cochrane Reviews, Medline, PubMed, and Web of Science were searched from January 2005 to October 2021. Main themes from each paper were thematically analyzed and reported as a barrier or facilitator to adherence at the individual, environment or intervention level using inductively derived themes. Study quality was assessed using the Critical Appraisal Skills Programme. Results Thirty-five papers were included. Of these, 46% were conducted in North America and the majority had more female participants (86% in mixed-sex studies, 26% females only). Similar themes emerged across all three levels as facilitators and barriers. At the individual level, attitudes, concern for health and physical changes. At the environmental level, social support, social accountability, changeable and unchangeable aspects of the community. Finally, delivery and design and content at the intervention level. An additional facilitator at the intervention level included fostering self-regulation through Behavior Change Taxonomies (BCT). Conclusions Lifestyle interventions that foster self-regulatory skills, opportunities for social engagement and personalization of goals may improve behaviour adherence. This can be achieved through inclusion of BCT, tapering off of intervention supports, identification of meaningful goals and anticipated barriers with participants. |
| first_indexed | 2024-04-09T22:36:42Z |
| format | Article |
| id | doaj.art-04a7b940ff6642e49e15d160b54fffc8 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-09T22:36:42Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-04a7b940ff6642e49e15d160b54fffc82023-03-22T12:24:56ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682023-02-0120112510.1186/s12966-023-01424-2Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literatureAlysha L. Deslippe0Alexandra Soanes1Celeste C. Bouchaud2Hailee Beckenstein3May Slim4Hugues Plourde5Tamara R. Cohen6Faculty of Land and Food Systems, Food, Nutrition and Health, the University of British ColumbiaSchool of Exercise Science, Physical & Health Education, University of VictoriaPERFORM Research Centre, Concordia UniversitySchool of Human Nutrition, McGill UniversityPERFORM Research Centre, Concordia UniversitySchool of Human Nutrition, McGill UniversityFaculty of Land and Food Systems, Food, Nutrition and Health, the University of British ColumbiaAbstract Background Consuming a balanced diet and regular activity have health benefits. However, many adults have a difficult time adhering to diet and activity recommendations, especially in lifestyle interventions. Adherence to recommendations could be improved if common facilitators and barriers are accounted for in intervention design. The aim of this systematic review was to understand perceived barriers and facilitators to lifestyle (diet and/or activity) intervention guidelines. Methods This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Studies included relied on qualitative methods to explore the barriers and facilitators healthy adults ( $$\ge$$ ≥ 18 years) experienced in lifestyle interventions. Google Scholar, Cochrane Reviews, Medline, PubMed, and Web of Science were searched from January 2005 to October 2021. Main themes from each paper were thematically analyzed and reported as a barrier or facilitator to adherence at the individual, environment or intervention level using inductively derived themes. Study quality was assessed using the Critical Appraisal Skills Programme. Results Thirty-five papers were included. Of these, 46% were conducted in North America and the majority had more female participants (86% in mixed-sex studies, 26% females only). Similar themes emerged across all three levels as facilitators and barriers. At the individual level, attitudes, concern for health and physical changes. At the environmental level, social support, social accountability, changeable and unchangeable aspects of the community. Finally, delivery and design and content at the intervention level. An additional facilitator at the intervention level included fostering self-regulation through Behavior Change Taxonomies (BCT). Conclusions Lifestyle interventions that foster self-regulatory skills, opportunities for social engagement and personalization of goals may improve behaviour adherence. This can be achieved through inclusion of BCT, tapering off of intervention supports, identification of meaningful goals and anticipated barriers with participants.https://doi.org/10.1186/s12966-023-01424-2DietActivityBarriersFacilitatorsIntervention adherenceBehavior change |
| spellingShingle | Alysha L. Deslippe Alexandra Soanes Celeste C. Bouchaud Hailee Beckenstein May Slim Hugues Plourde Tamara R. Cohen Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature International Journal of Behavioral Nutrition and Physical Activity Diet Activity Barriers Facilitators Intervention adherence Behavior change |
| title | Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature |
| title_full | Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature |
| title_fullStr | Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature |
| title_full_unstemmed | Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature |
| title_short | Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature |
| title_sort | barriers and facilitators to diet physical activity and lifestyle behavior intervention adherence a qualitative systematic review of the literature |
| topic | Diet Activity Barriers Facilitators Intervention adherence Behavior change |
| url | https://doi.org/10.1186/s12966-023-01424-2 |
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