Work

Understanding factors affecting engagement with food-related services in areas of deprivation: A mixed-methods approach

Year: 2026

Type: article

Abstract: Poor dietary health is disproportionately higher in low-income adults, who often face multiple barriers to accessing affordable, nutritious food. Food-related services aim to address these challenges, but engagement remains inconsistent. Understanding the drivers of (non)engagement is critical to improving service design and delivery. This mixed-methods study explored factors influencing engagement with food-related services among low-income adults living in deprived areas. A cross-sectional survey ( n = 77) measured capability, opportunity, and motivation to engage with services using the COM-B (capability, opportunity, motivation – behaviour) model. Semi-structured interviews ( n = 20) were analysed thematically to explore service users’ lived experiences. Survey findings indicated that perceived capability and opportunity, but not motivation, were positively associated with service engagement. In contrast, qualitative data revealed that motivation was often present but disrupted by external barriers, such as stigma and unmet needs. Future interventions should prioritise equitable access, dignity-preserving practices, and responsiveness to user needs to reduce barriers and enhance engagement.

Source: Journal of Health Psychology

DOI: 10.1177/13591053251404162

Authors: Abigail Stephen, Oana Petre, Janet Kyle, Frank Thies, Julia L. Allan

Institutions: University of Aberdeen, University of Stirling

Language: English

Topic: Food Security and Health in Diverse Populations

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: hybrid

Estimated APC paid: $3,650