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Exercise and physical activity in asylum seekers in Northern England; using the theoretical domains framework to identify barriers and facilitators

Yes / Many asylum seekers have complex mental health needs which can be exacerbated by the challenging
circumstances in which they live and difficulties accessing health services. Regular moderate physical activity can improve
mental health and would be a useful strategy to achieve this. Evidence suggests there are barriers to engaging black and
minority ethnic groups in physical activity, but there is little research around asylum seekers to address the key barriers
and facilitators in this group.
Methods: A two stage qualitative study used semi-structured interviews underpinned by the Theoretical Domains
Framework. The interviews were conducted in voluntary sector groups in four towns/ cities in Northern England.
Purposive sampling recruited 36 asylum seekers from 18 different countries. Interviews were audio recorded,
transcribed verbatim and subject to framework analysis. Stage two involved a nominal group technique with five key
stakeholders including asylum seekers and those that work with them. They followed a four stage process to rank and
reach consensus on the key barrier to undertaking physical activity/ exercise that could be addressed locally through a
future intervention.
Results: A number of barriers and facilitators were identified including a lack of understanding of the term physical
activity and recommended levels but knowledge of the health benefits of physical activity/ exercise and the
motivation to increase levels having engaged with activities back home. Living as an asylum seeker was considered a
barrier due to the stress, poverty and temporary nature of living in an unfamiliar place. The outcome of the nominal
group technique was that a lack of knowledge of facilities in the local area was the prevailing barrier that could be
addressed.
Conclusions: Public health practitioners could develop interventions which capitalise on the motivation and knowledge
of asylum seekers to encourage an increase in physical activity which may in turn reduce the breadth and depth of
mental health needs of this group. / Internal funding was received from the University of Bradford

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/16526
Date19 June 2018
CreatorsHaith-Cooper, Melanie, Waskett, Catherine, Montague, Jane, Horne, Maria
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeArticle, Published version
Rights© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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