Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy

Abstract Background The aim of the study was to identify and compare components of the COM-B (capability, opportunity, motivation and behaviour) model, that influences behaviour to modify dietary patterns in 40–55-year olds living in Northern Ireland (NI) and Italy, in order to reduce the risk of co...

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Main Authors: Deirdre Timlin, Barbara Giannantoni, Jacqueline M. McCormack, Angela Polito, Donatella Ciarapica, Elena Azzini, Melanie Giles, Ellen E. A. Simpson
Format: Article
Language:English
Published: BMC 2021-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-10307-9
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author Deirdre Timlin
Barbara Giannantoni
Jacqueline M. McCormack
Angela Polito
Donatella Ciarapica
Elena Azzini
Melanie Giles
Ellen E. A. Simpson
author_facet Deirdre Timlin
Barbara Giannantoni
Jacqueline M. McCormack
Angela Polito
Donatella Ciarapica
Elena Azzini
Melanie Giles
Ellen E. A. Simpson
author_sort Deirdre Timlin
collection DOAJ
description Abstract Background The aim of the study was to identify and compare components of the COM-B (capability, opportunity, motivation and behaviour) model, that influences behaviour to modify dietary patterns in 40–55-year olds living in Northern Ireland (NI) and Italy, in order to reduce the risk of cognitive decline in later life. Methods This was a qualitative study examining factors influencing Mediterranean-DASH (Dietary Approaches to Stop Hypertension) Intervention for Neurodegenerative Delay (MIND) diet behaviour. This study further elaborated the COM-B components into the 14 domains of the Theoretical Domains Framework to further understand behaviour. Twenty-five Northern Irish and Italian participants were recruited onto the study, to take part in either a focus group or an interview. Participants were both male and female aged between 40 and 55 years. Results Thematic analysis revealed that the main barriers to the uptake of the MIND diet were; time, work environment (opportunity), taste preference and convenience (motivation). Culture (motivation), seasonal foods and lack of family support (opportunity) to be a barrier to the Italian sample only. The main facilitators reported were; improved health, memory, planning and organisation (motivation) and access to good quality food (opportunity). Cooking skills, knowledge (capability) and heathy work lunch (opportunity) reported as a facilitator to the Italian sample only. Conclusions Cross-cultural differences in relation to psychosocial barriers and facilitators were found in both samples. More barriers than facilitators towards uptake of the MIND diet were found. There is a need for interventions that increase capability, opportunity, and motivation to aid behaviour change. The findings from this study will be used to design a behaviour change intervention using the subsequent steps from the Behaviour Change Wheel.
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spelling doaj.art-9a0f3f310542466bb829ffa0029599a42022-12-21T22:41:32ZengBMCBMC Public Health1471-24582021-02-0121111710.1186/s12889-021-10307-9Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and ItalyDeirdre Timlin0Barbara Giannantoni1Jacqueline M. McCormack2Angela Polito3Donatella Ciarapica4Elena Azzini5Melanie Giles6Ellen E. A. Simpson7School of Psychology, Ulster UniversityCREA - Council for Agricultural Research and Economics Research Centre for Food and NutritionFaculty of Science, Institute of TechnologyCREA - Council for Agricultural Research and Economics Research Centre for Food and NutritionCREA - Council for Agricultural Research and Economics Research Centre for Food and NutritionCREA - Council for Agricultural Research and Economics Research Centre for Food and NutritionPsychology Research Institute, Ulster UniversityPsychology Research Institute, Ulster UniversityAbstract Background The aim of the study was to identify and compare components of the COM-B (capability, opportunity, motivation and behaviour) model, that influences behaviour to modify dietary patterns in 40–55-year olds living in Northern Ireland (NI) and Italy, in order to reduce the risk of cognitive decline in later life. Methods This was a qualitative study examining factors influencing Mediterranean-DASH (Dietary Approaches to Stop Hypertension) Intervention for Neurodegenerative Delay (MIND) diet behaviour. This study further elaborated the COM-B components into the 14 domains of the Theoretical Domains Framework to further understand behaviour. Twenty-five Northern Irish and Italian participants were recruited onto the study, to take part in either a focus group or an interview. Participants were both male and female aged between 40 and 55 years. Results Thematic analysis revealed that the main barriers to the uptake of the MIND diet were; time, work environment (opportunity), taste preference and convenience (motivation). Culture (motivation), seasonal foods and lack of family support (opportunity) to be a barrier to the Italian sample only. The main facilitators reported were; improved health, memory, planning and organisation (motivation) and access to good quality food (opportunity). Cooking skills, knowledge (capability) and heathy work lunch (opportunity) reported as a facilitator to the Italian sample only. Conclusions Cross-cultural differences in relation to psychosocial barriers and facilitators were found in both samples. More barriers than facilitators towards uptake of the MIND diet were found. There is a need for interventions that increase capability, opportunity, and motivation to aid behaviour change. The findings from this study will be used to design a behaviour change intervention using the subsequent steps from the Behaviour Change Wheel.https://doi.org/10.1186/s12889-021-10307-9MIND dietCOM-B modelDementiaAdoptionBrain healthBehaviour change wheel
spellingShingle Deirdre Timlin
Barbara Giannantoni
Jacqueline M. McCormack
Angela Polito
Donatella Ciarapica
Elena Azzini
Melanie Giles
Ellen E. A. Simpson
Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
BMC Public Health
MIND diet
COM-B model
Dementia
Adoption
Brain health
Behaviour change wheel
title Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
title_full Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
title_fullStr Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
title_full_unstemmed Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
title_short Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy
title_sort comparison of barriers and facilitators of mind diet uptake among adults from northern ireland and italy
topic MIND diet
COM-B model
Dementia
Adoption
Brain health
Behaviour change wheel
url https://doi.org/10.1186/s12889-021-10307-9
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