Social factors and Cooperation
obesity, ’
OBESITY
Two constructs that were identified, and not included in the current version of CFIR were Social factors and Cooperation. Although the domain ‘Characteristics of individuals’ was originally directed at the deliverers of the intervention, [Other social aspects such as migration, social integration, food culture, economy, workload etc. were found to have an impact on the parents wish to participate in the intervention and should be taken into consideration since these aspects may influence their degree of involvement. One barrier that parents described was financial constraints, e.g., in relation to not being able to sign up their children for different activities. A study exploring challenges of low-income parents to participate in an obesity prevention intervention reported parents’ inability to find affordable family activities outside the home [The construct Cooperation highlights the need for a functioning interaction and a division of responsibility between school and the parents to reach positive health outcomes for the children. These findings are in line with those from previous process evaluations of the HSSP where the importance of a clear communication between parents and teachers was emphasised [