Although a range of strategies were typically used, the most successful method

appeared to be word of mouth ( Dobson et al., 2000+; Withall et al., 2009+). A number of studies reported the acceptability of interventions, in terms of the attributes of health workers, the delivery and content of interventions, social inclusion and the associated image formed by health behaviours in interventions ( Dobson et al., 2000+; Gray et al., 2009+; Kennedy et al., 1998+; Kennedy et al., 1999+; Peerbhoy et al., 2008+; Spence and van Teijlingen, 2005+; Wormald et al., 2006+). Positive attributes of health workers included knowledge this website of the community, facilitating empowerment, engaging participants in the subject matter, communicating information in a meaningful way, empathy and trustworthiness. Certain aspects of intervention delivery and content were facilitative (Dobson et al., 2000+; Gray et al., 2009+; Kennedy et al., 1998+; Peerbhoy et al., 2008+; Rankin et al., 2006++; Spence and van Teijlingen, 2005+; Stead et al., 2004+; Wormald et al., 2006+), including practical demonstrations, progressive small steps towards change, male-only classes and orientation to weight management, delivering content

according to participants’ needs, incentives such as free food, using familiar and affordable food and using community members to deliver the intervention. Acceptability could be enhanced by women-only classes, activities at the weekend, free sessions, child-care

and food, tailored recipes and enjoyable Paclitaxel chemical structure activities. Social inclusion was important in enhancing intervention acceptability (Dobson et al., 2000 and Gray et al., 2009+; Lindsay et al., 2008+; Peerbhoy et al., 2008+; Rankin et al., 2006++; Rankin et al., 2009++; Thomson et al., 2003+). The image associated with certain health promotion activities could be a barrier to participation (Coleman et al., 2008++; Rankin et al., 2006++; Stead et al., 2004+), for example negative connotations with exercise clothing and the term ‘healthy eating’. Views and experiences of health professionals and health workers reported in one study suggested that a deeper knowledge of target groups’ circumstances for could be a facilitator and correspondingly that lack of knowledge could be a barrier ( Rankin et al., 2009++). Barriers and facilitators regarding information on health behaviours were identified in a number of studies, and were related to available information and understanding messages. Available information was obtained from many sources including health professionals and the mass media ( Daborn et al., 2005 +; Dibsdall et al., 2002++; Gough and Conner, 2006++; Wood et al., 2010+). Television was seen as a facilitator, when used positively to improve knowledge of food and nutrition. However, people felt bombarded by information, often confusing and contradictory, and distrust was common. Many barriers impeded the understanding of health messages (Gray et al., 2009+; Lawrence et al.