Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30325
Appears in Collections:Faculty of Health Sciences and Sport eTheses
Title: Developing an acceptable peer support intervention that enables clients, attending a weight management programme, to cascade their learning within their social network
Author(s): Kirby, Deborah
Supervisor(s): Hoddinott, Pat
Taylor, Anne
Keywords: Peer support
Weight management
Cascading learning
Social networks
Intervention development
Issue Date: Mar-2019
Publisher: University of Stirling
Abstract: Impacting on health and well-being, obesity creates an unmanageable burden on the health service and economy, yet is preventable and treatable. Establishing peer support as a tool for weight management could extend the reach of interventions and enhance their efficacy. A Narrative Systematic literature review highlights valuable peer support, yet also evidences that some peers are unhelpful. The aim of this research was to develop an intervention enabling clients of a weight management programme to cascade their learnings and experiential knowledge to those they know. Introducing a peer support intervention to clients and clients offering this to peers requires behaviour changes by lead facilitators and clients. Guided by the theoretical Behaviour Change Wheel (BCW) for designing behaviour change interventions, with Capability, Opportunity, Motivation for Behaviour (COM-B) at its centre, an iterative qualitative approach was undertaken. Using a prospective longitudinal design and maximum diversity sampling within the population attending three programmes, 21 clients attended semi-structured and some serial interviews; four focus groups were conducted with nine Leads. Thematic and interpretive analysis identified key themes. Motivated by altruistic benefits and seeing their peers’ readiness to change, Participants perceived they would be able to indirectly offer support without formal training or role however cues for these offers could be missed. These findings add new knowledge to the field of peer support. Acceptable support was praise, inclusion into and demonstration of weight-related activities, and encouragement. Practical dietary advice was welcomed but ‘norms’ of their social network take precedence over healthy goals. Giving time to peers and stress from hearing their problems, were barriers to offering support. Leads perceived the topic of peer support could be introduced once clients showed readiness to change. Based on theory and findings, an intervention manual, was developed using TIDieR guidance which requires further testing in the future.
Type: Thesis or Dissertation
URI: http://hdl.handle.net/1893/30325

Files in This Item:
File Description SizeFormat 
Deborah Kirby Thesis 2231829.pdfDeborah Kirby thesis student ID 223182931.57 MBAdobe PDFUnder Embargo until 2020-05-01    Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.