Designing HEAL-D
Research type
Research Study
Full title
Designing the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) intervention: exploring the barriers and facilitators to delivering culturally-tailored care for diabetes management in African-Caribbean communities
IRAS ID
194991
Contact name
Louise Goff
Contact email
Sponsor organisation
King's College London
Duration of Study in the UK
1 years, 2 months, 28 days
Research summary
The overall aim of this research is to work in partnership with AfC communities to design a culturally-tailored diet and lifestyle intervention for AfC people with T2D.
People from African and Caribbean (AfC) communities more commonly affected by type 2 diabetes (T2D) than those in the general UK population. Lifestyle interventions have been shown to help self-management of T2D. Culturally-tailored lifestyle interventions are thought to improve patient acceptability and be more effective in achieving T2D management targets in AfC patients than standard approaches.
Group discussions will be conducted with 8 groups of AfC T2D patients (6-8 participants in each) and semi-structured interviews will be conducted with healthcare professionals (8 interviews - GPs, nurses, dietitians, commissioners) and community leaders (4 interviews). We aim to identify the barriers and facilitators to diet and lifestyle behaviour change, experiences of delivering care to AfC communities, and the role of community networks in promoting and sustaining interest in health.
To analyse the information we collect, we will use Framework Analysis; in this method the data collected are organised into a pre-determined table or framework to help identify the key ideas. The initial framework will be developed based on the medical literature and behavioural theory and we will use this to identify how issues at the individual, family, community and healthcare delivery levels influence behaviour change. The analysis will draw out common views from the groups of people and will be enable us to identify priority behaviours of focus for an intervention, key barriers and facilitators to behaviour change, favoured settings, and a basic draft of the intervention cultural adaptations. These findings will feed into a series of workshops with patients, community leaders and healthcare practitioners to design the details of the intervention (e.g. content/activities, mode of delivery, setting) to ensure cultural sensitivity.
REC name
London - Chelsea Research Ethics Committee
REC reference
16/LO/1191
Date of REC Opinion
13 Jul 2016
REC opinion
Further Information Favourable Opinion