“One hundred dollars is a big help, but to continue, it’s a challenge”. A qualitative study exploring correlates and barriers to Active Kids voucher uptake in western Sydney

Introduction The Active Kids voucher is a universal, state-wide voucher program, provided by the New South Wales (NSW) Government, Office of Sport. All school-aged children in NSW are eligible to receive a voucher to reduce registration costs of structured physical activity programs. This study explores reasons behind lower uptake among children who are overweight or obese, from cultural and linguistically diverse families and those living in low socio-economic areas. Methods Participants were recruited through a convenience sample of parent/carers who participated in the NSW Health Go4Fun program. Qualitative data was collected using focus groups. The Framework method was adapted for the analysis, taking an interpretive phenomenological approach. Results Study participants (n= 54) were all parents of children who were overweight or obese from both low and high socio-economic status (SES). Most reported speaking a primary language other than English at home (65%). Parents were mostly aware of the Active Kids program (91%) and reported that the voucher had a positive impact on their children's participation in structured physical activity. A range of socio-ecological factors, in addition to activity cost, influenced whether parents were able to use an Active Kids voucher and participate in structured physical activity. Conclusions The Active Kids voucher does not alleviate all barriers, particularly for families living in low socioeconomic areas. Engagement of this population in structured physical activities using the Active Kids vouchers could be strengthened through the implementation of effective interventions which comprehensively address the remaining barriers, such as access and flexibility of programs with local stakeholders and activity providers.