'Improving Health through Reducing Stress': Parents' Priorities in the Participatory Development of a Multilevel Family Health Programme in a Low-Income Neighbourhood in The Netherlands

Gerda Wink, Gerdine Fransen, Merel Huisman, Sandra Boersma, Lieke van Disseldorp, Koos van der Velden, Annemarie Wagemakers, Maria van den Muijsenbergh, Gerda Wink, Gerdine Fransen, Merel Huisman, Sandra Boersma, Lieke van Disseldorp, Koos van der Velden, Annemarie Wagemakers, Maria van den Muijsenbergh

Abstract

In order to reduce health inequities, a socio-ecological approach and community engagement are needed to develop sustained interventions with a positive effect on the health of disadvantaged groups. This qualitative study was part of the development phase of a community health promotion programme. The study aimed to provide insight into the perceptions of parents in a disadvantaged neighbourhood about health, and their priorities for the community health programme. It also described the process of integrating these perceptions in the development of a multilevel plan for this programme. Participatory methods were applied to enable the engagement of all groups involved. Ten parents from a low-income neighbourhood in the Netherlands participated in five panel sessions. Parents' priorities for improving family health were reducing chronic stress and not so much healthy eating and physical activity. They prioritised solutions to reduce their financial stress, to provide a safe place for their children to meet and play and to establish good quality communication with authorities. The programme development process resulted in objectives in which both parents and professionals were willing to invest, such as a safe playground for children. This study shows that target population engagement in health programme development is possible and valuable.

Keywords: community engagement; family health; health inequities; health promotion; intervention logic; low-income neighbourhood; multilevel intervention; participatory action research; perceptions of health; programme development.

Conflict of interest statement

The authors declare no conflict of interest. The funder had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
Time path of PAR activities in the programme plan development phase (August 2015–January 2016).
Figure 2
Figure 2
Intervention logic adapted from programme plan.
Figure 3
Figure 3
Parents’ perceptions of factors causing stress and their relatedness, positioned in the corresponding level of influence on health (Figure from [15]). Parents’ priorities for improvements are written in italics in the red ovals.

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