Qualitative study exploring beliefs related to participation in a large web-based prospective survey on diet and health among individuals with a low socioeconomic status (Preprint)

BACKGROUND: NutriQuebec is a Web-based prospective study on the relationship between diet and health as well as the impact of food-related health policies in the adult population of Quebec, Canada. Recruitment and retention of individuals with a low socioeconomic status (SES) in such a study are known to be challenging, yet critical for achieving representativeness of the entire population. OBJECTIVE: This study aimed to identify the behavioral, normative, and control beliefs of individuals with a low SES regarding participation in the NutriQuebec project and to identify their preferences regarding recruitment methods. METHODS: A total of four focus groups were conducted in community centers located in low-income areas of Quebec City, Canada. On the basis of the theory of planned behavior, participants' beliefs associated with attitude, subjective norm, and perceived behavioral control regarding hypothetical participation in the NutriQuebec project were identified. Focus groups were recorded, transcribed, and coded by two analysts. RESULTS: Participants (16 men and 12 women) were aged between 28 and 72 years, and a majority of the participants had an annual household income of Can $19,999 or less. The main perceived advantages of participating in the NutriQuebec project were contributing to improved collective health and supporting research. The only disadvantage identified was the risk of having to fill out too many questionnaires. Participants could not, in general, identify persons from their entourage who would approve or disapprove their participation in the study. The main facilitators identified were obtaining a brief health assessment and the ability to complete questionnaires in a way that is not Web-based. The main barrier was the lack of internet access. The preferred means of recruitment were through social media, television, and community centers. CONCLUSIONS: These results provide insightful information regarding the best methods and messages to use in order to recruit and retain individuals with a low SES in a population-based prospective study on lifestyle and health on the internet.