{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:02:10Z","timestamp":1782741730106,"version":"3.54.5"},"reference-count":60,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"unspecified","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute for Health and Care Research, Bristol Biomedical Research Centre","award":["NIHR203315"],"award-info":[{"award-number":["NIHR203315"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,6,4]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood obesity remains high in the UK, with a higher prevalence among children from ethnic minority groups. The \u2018Healthy Madrasa\u2019 programme was developed and implemented in Bradford, UK, to support obesity prevention in Muslim children by working with Islamic religious settings such as madrasas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to explore how the \u2018Healthy Madrasa\u2019 programme could be adapted for delivery in another UK city where the proportion of people from the Muslim faith is lower and the ethnic composition is more diverse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study involving a co-production workshop and eight focus groups was conducted utilising topic guides guided by the normalisation process theory (NPT). Data were analysed thematically using NVivo software (V.15) and mapped onto the constructs of the NPT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Bristol City, UK (2024\u20132025).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>34 participants took part, including representatives of Islamic organisations, voluntary sector organisations, public health experts and Muslim parents. Data were collected through one co-production workshop (n=15, 47% female) and eight focus groups (n=19, 100% female) of which two were conducted as individual interviews due to single attendance (n=1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three constructs of the NPT have been identified. Participants showed positive engagement towards the programme \u2018cognitive participation, NPT\u2019, they highlighted an equity gap in current provision due to issues of inclusivity, safe space and the lack of culturally appropriate opportunities for Muslim girls \u2018coherence, NPT\u2019. However, barriers to \u2018coherence, NPT\u2019 were noted by Muslim parents, stating that cultural and religious conservatism might hinder female participation in the programme. \u2018Collective action, NPT\u2019, included the practicalities of transferring the programme to Bristol and assigning the roles and responsibilities. Participants emphasised the importance of creating an \u2018Islamic community-led\u2019 steering group, inclusive of diverse communities, building effective partnerships with other relevant organisations and supporting the programme with sufficient resources, such as culturally acceptable funding, space and volunteers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study generated a co-produced preliminary roadmap for implementation. Further collaboration with stakeholders is required to achieve coherence and collective action before the programme\u2019s operationalisation in Bristol.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-115161","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T13:34:32Z","timestamp":1782740072000},"page":"e115161","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Healthy Madrasas: a qualitative study using normalisation process theory and co-production approach to explore translation of a childhood obesity prevention intervention in Islamic religious settings from one UK city to another"],"prefix":"10.1136","volume":"16","author":[{"given":"Elin","family":"Cawley","sequence":"first","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK"},{"name":"Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3394-0176","authenticated-orcid":false,"given":"Russell","family":"Jago","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK"},{"name":"Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samina","family":"Baig","sequence":"additional","affiliation":[{"name":"Caafi Health, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sufyan A","family":"Dogra","sequence":"additional","affiliation":[{"name":"Bradford Institute for Health Research, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zia","family":"Haque","sequence":"additional","affiliation":[{"name":"Caafi Health, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-7575","authenticated-orcid":false,"given":"Julian","family":"Hamilton-Shield","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK"},{"name":"Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally E","family":"Barber","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK"},{"name":"Bradford Institute for Health Research, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7986-743X","authenticated-orcid":false,"given":"Nour","family":"Al Husein","sequence":"additional","affiliation":[{"name":"NIHR Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK"},{"name":"Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"2026062906302746000_16.6.e115161.1","unstructured":"Office for Health Improvement and Disparities . 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