Abstract
<title>Abstract</title> <p>Background Globally, cardiovascular diseases are a growing public health concern. Family-centered interventions (FaCe-D) as preventive strategies have shown success elsewhere, but their adaptation to low income settings is underexplored. We explored stakeholder perspectives on the barriers and facilitators to implementing FaCe-D in Uganda. Methods In this qualitative study, participants were purposively selected. Data collection was through eighteen focus group discussions and twenty-five key informant interviews. Data was managed using NVivo 12 and analyzed deductively based on Consolidated Framework for Implementation Research constructs(CFIR). Results Of the 39 CFIR constructs, barriers emerged from seven and facilitators from twelve. The barriers included; Parents and adolescents’ busy schedules, financial limitations, and cultural beliefs. Limited access to safe spaces hindered routine physical activity. Seasonal food shortages and excessive marketing of processed foods hindered healthier diets. Lack of mobile phones and parents’ illiteracy hindered access to text messages for health information. Facilitators included; VHTs’ assistance with diet planning, contextually appropriate dietary instructions, supporting backyard vegetable gardening, use of dietary recording tools, increased frequency and duration of VHTs home visits and use of peer educators. Conclusion While stakeholders showed feasibility of the intervention, they suggested modification to its dosage and address potenial socioeconomic and cultural barriers.</p>