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. 2025 Mar 28:10497323241309803.
doi: 10.1177/10497323241309803. Online ahead of print.

The Wishes, Perceived Barriers, and Support Needs of People Living in Persistent Poverty

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Free article

The Wishes, Perceived Barriers, and Support Needs of People Living in Persistent Poverty

Lincy Scholten et al. Qual Health Res. .
Free article

Abstract

This study explores the wishes, perceived barriers, and support needs of people living in persistent poverty. These remain undetermined, yet are essential for developing effective support for this group. We conducted semi-structured video call interviews with people living in persistent poverty (n = 14), peer workers (n = 5), and practitioners (n = 5) in five municipalities in the Netherlands. The findings show that wishes revolve around improving individuals' socio-economic security, their (loved-ones') well-being, and relatedness. The realization of these wishes is hindered by socio-economic barriers, support structures, psychological processes, and an intergroup reality gap. Participants therefore advocated for structural changes in policy and practice. These include more income, a focus on poverty prevention, easily accessible and tailor-made support, and bridging the gap between the living and system world. In addition, service provision for people living in persistent poverty should prioritize the quality of the working alliance, self-direction, a holistic approach, and the engagement of peer workers.

Keywords: barriers; poverty; socio-economic security; support needs; wishes.

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