Table 2

The analysis process, of meanings and interpretations of theme B ‘perceptions, experiences and barriers towards healthier lifestyles

ThemeSubthemeMeanings and interpretations
Perceptions, experiences and further barriers for healthier lifestylesChallenges with regular meals
  • Loneliness at home affects willingness to eat regularly.

  • Eating fastfood instead of regular meals.

  • Not perceiving the need for regular mealtimes and unestablished mealtime schedules.

  • Eating repeatedly snacks and sweets.

  • Sometimes overeating or fasting.

Food preparation, taste preferences and portion size
  • Preferences for eating food with ‘good smell and taste’ over dishes prepared in a healthier way (boiled).

  • Difficulties to introduce to the diet healthier food, healthier cooking and low-calorie products.

  • Custom of eating large portions.

Family traditions and expectations
  • The children decide what to eat in the family hindering a healthy diet.

  • Following family traditions when gathering to eat hindering the willingness to eat moderately.

  • Family resistance to exercise.

  • Challenges changing the role of the mother; limiting the mother’s time and possibilities to exercise.

Other barriers influencing motivation level
  • Climate and related factors lessening outdoor physical activity and increasing overeating.

  • Depressed mood isolation affecting willingness to participate in outdoor physical activities.

  • Difficulty to establish an exercise routine after many years of physical inactivity that worsens with concomitant pain.