Evidence map›Paper›PMID 30075716›Full record

ArticleBMC public health2018

Tailoring lifestyle interventions to low socio-economic populations: a qualitative study.

Nia Coupe, Sarah Cotterill, Sarah Peters

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 63 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. How does the food environment influence people engaged in weight management? A systematic review and thematic synthesis of the qualitative literature.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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  18. A Realist Scoping Review of Community Nutrition Interventions in the UK: Implications for the 'Nutrition Skills for Life' Programme.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Nia CoupeManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, Manchester, UK. nia.coupe@postgrad.manchester.ac.uk.ORCID 0000-0003-4974-5794
Sarah CotterillCentre for Biostatistics, School of Health Sciences, The University of Manchester, Manchester, UK.
Sarah PetersManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople living in deprived areas are more likely to be overweight or obese, have poorer health outcomes, and tend to benefit less from interventions than those from more affluent backgrounds. One approach to address such health inequalities is to tailor existing interventions to low socio-economic populations, yet there is limited evidence to inform their design. This study aims to identify how best to tailor lifestyle interventions to low socio-economic populations to improve outcomes.

methodsFollowing direct observations of community-run weight loss groups, we interviewed 11 group facilitators and 14 service users from a health improvement service in a low socio-economic area in the North West of England. Audio-recorded interviews were transcribed verbatim and analysed thematically.

resultsWe identified two overarching themes within the data. The first theme, managing diversity, included challenges faced in delivering a generic intervention to a diverse population in terms of knowledge, language and literacy skills, and cultural diversity. The second theme incorporated all issues relating to the environment, such as cost, access and availability of food and leisure facilities, and 'life gets in the way'.

conclusionsTailoring interventions for this population is necessary, and more attention is needed to develop ways to ensure service providers and users engage with behaviour change techniques such as goal setting, rather than focusing on information provision alone. Interventions should also be mindful of cost, cultural diversity, and language and literacy barriers, as well as potential for disengaging this hard to reach population.

Indexed as

AdultAgedAged, 80 and overBehavior TherapyCultural DiversityDelivery of Health CareEnglandFemaleHealthcare DisparitiesHealth Status DisparitiesHumansLife StyleMaleMiddle AgedObesityPovertyLifestyle interventionsLow socio-economicObesityTailoringWeight loss

Identifiers

PMID30075716
PMCPMC6076398

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.