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Research Brief| Volume 41, ISSUE 4, P281-286, July 2009

College Students' Barriers and Enablers for Healthful Weight Management: A Qualitative Study

      Abstract

      Objective

      To identify barriers and enablers for healthful weight management among college students.

      Design

      Sixteen on-line focus groups, homogeneous by sex and university.

      Setting

      Eight universities in 8 states.

      Participants

      College students (N = 115; 55% female; mean age 19.7 ± 1.6).

      Analysis

      Qualitative software, Nvivo version 2 (QSR International, Victoria, Australia, 2002), was used; similar codes were grouped together and categorized using an ecological model.

      Results

      Males and females cited the same barriers to weight management: intrapersonal (eg, temptation and lack of discipline); interpersonal (social situations); and environmental (eg, time constraints, ready access to unhealthful food). Similar enablers were identified by sex: intrapersonal (eg, regulating food intake, being physically active); interpersonal (social support); and environmental (eg, university's environment supports physical activity). More barriers than enablers were given, indicating that these college students were more sensitive to barriers than the enablers for weight management. Factors viewed by some students as barriers to weight management were viewed as enablers by others.

      Conclusions and Implications

      When designing weight management interventions for college students, sex specificity may not be as important as considering that a barrier for one student may be an enabler for another. From an ecological perspective, individually focused interventions must be implemented in conjunction with environmental-level interventions to facilitate behavior change.

      Key Words

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