Yasmin Fisher, Polina Zmijewski, Chandler McLeod, Anish Patel, Deepti Bahl, Frida Rosenblum, Diana Lin, Manuel Lora Gonzalez, Jessica Fazendin, Herbert Chen, Brenessa Lindeman, Andrea Gillis
Evaluating Patients' Health Literacy to Improve Thyroid Pathology Reports
The Journal of surgical research
children living deprived regions twice likely affluent peers obese one way explain social gradient health determined relative position scale social disadvantage advantage identifying barriers drivers health different groups people experience study explored understanding perceptions barriers drivers healthy lifestyle investigate commissioned services better support residents enable behaviour change area high social deprivation community engagement activity also conducted inform commissioning decisions childrens public health services used qualitative study design semistructured interview schedule four focus groups 58 participants n26 conducted area high deprivation northwest england parents carers invited attend anonymously public health community engagement officer june 2022 inclusion criteria previous attendance weight management programme data analysed using thematic analysis engagement activities require ethics approval participants provided written informed consent take part information collected personal characteristics study participants demonstrated awareness understanding factors affecting child family health health behaviours healthy eating exercise mental health emotional wellbeing family values attitudes towards healthy lifestyle cooking budgeting wider social connections access open spaces availability local activities costs including hidden costs structural barriers using finding participants recognise barriers drivers behaviour change beyond knowledge skills reflect take commissioned intervention aimed address childhood obesity lancashire area reflections inform arguments alternative model service commission relies less established randomised trial evidence base participatory codesign placebased approach working populations existing knowledge skills particularly sensitive peoples perception specific drivers barriers experience behaviour change limitations include sampling area low diversity selection participants previously agreed uptake weight management intervention none