Barriers and Facilitators to the Uptake of Online and Telephone Services Targeting Health Risk Behaviours among Vocational Education Students: A Qualitative Study

Prince Atorkey, Christine Paul, John Wiggers, Billie Bonevski, Aimee Mitchell and Flora Tzelepis
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Prince Atorkey: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
Christine Paul: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
John Wiggers: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
Billie Bonevski: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
Aimee Mitchell: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
Flora Tzelepis: School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia

IJERPH, 2021, vol. 18, issue 17, 1-15

Abstract: Uptake of online and telephone services targeting health behaviours is low among vocational education students and barriers and facilitators are unknown. This study aimed to explore barriers and facilitators to uptake of online and telephone services for smoking, nutrition, alcohol, and physical activity (SNAP) risk behaviours via semi-structured individual telephone interviews with fifteen vocational education students. Two authors independently completed thematic analysis, classified themes according to the COM-B (Capability, Opportunity, Motivation, Behaviour) framework, and discussed disagreements until consensus was reached. Facilitators to uptake of online (e.g., desire to learn something new, cost-free, accessible) and telephone services (e.g., prefer to talk to provider, complements online support) primarily related to capability and opportunity. For telephone services, difficulty understanding accent/language was a capability-related barrier. Opportunity-related barriers for online and telephone services were preference for face-to-face interaction and lack of time, while preference for apps/online programs was a barrier for telephone services. For online and telephone services, not wanting to change SNAP behaviours was a motivation-related barrier and being able to change SNAP risk behaviours themselves was a motivation-related barrier for online services. Barriers and facilitators to online and telephone services are relevant for designing interventions vocational education students are more likely to use.

Keywords: barriers; facilitators; uptake; vocational education students; multiple health risk behaviours (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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