scholarly journals Why it is so hard to lose weight? An exploration of patients’ and dietitians’ perspectives by means of thematic analysis

2021 ◽  
Vol 8 (1) ◽  
pp. 205510292110244
Author(s):  
Magdalena Poraj-Weder ◽  
Grażyna Wąsowicz ◽  
Aneta Pasternak

The present paper is aimed at understanding the importance of motivation (perceived qualitatively) in ensuring the success of the dietary change process. This study expands on previous research by confronting the perspective of persons dieting to lose weight with the perspective of professionals providing support (dietitians). We interviewed 13 respondents (six patients, seven dietitians) and performed a thematic analysis. The study’s results show that understanding motivational mechanisms is a prerequisite for a consistent narrative in the patient–dietitian dyad. The research results could help in developing effective dietary interventions that could facilitate effective and permanent dietary change.

2016 ◽  
Vol 3 (2) ◽  
pp. 32-42
Author(s):  
Catherine Morley

A hermeneutic phenomenology was undertaken to explore eating and feeding experiences with 11 women living with changed health status and who had household feeding responsibilities. Thematic analysis yielded two distinct narratives; those in Life-the-Same (LS) group (n=3; participants whose lives were relatively the same after a period of adjustment), and the Life Altered (LA) group (n=8) (those whose lives were completely altered as a result of their condition). Participants in the LS group had adjusted to new dietary, exercise, and medication routines, achieved physiologic goals, and retained eating and feeding routines at and away from home. Participants in the LA group experienced profound changes in ingesting and digesting food, and eliminating waste, physical appearance, and in enjoyment of eating, and rarely left home. Anticipated physiologic effects of dietary change were not achieved due to physical deterioration. Family and friends took on feeding duties when the regular ‘feeder’ was acutely ill, however, participants resumed these roles as soon as they were able (even though they remained unwell) owing to the strength of role identification. The Organizational Framework for Exploring Nutrition Narratives (OFFENN) emerged from the analysis, and is comprised of four domains (Personal; Household; Beyond Household; and Unthoughts), and four filters (Events/Facts; Values/Beliefs; Actions; Emotions and Reflections). The framework offers a means to explore clients’ narratives and to invite conversations about eating and feeding; it is not meant to be prescriptive of dietary guidance, and has application in dietetics education (in preparing students for their counselling roles and in informing research).


2021 ◽  
Vol 7 ◽  
Author(s):  
Balquees Al-Awadhi ◽  
Rosalind Fallaize ◽  
Rodrigo Zenun Franco ◽  
Faustina Hwang ◽  
Julie A. Lovegrove

Prevention strategies for non-communicable diseases (NCDs) are a global priority as it has been estimated that NCDs will account for around 73% of worldwide mortality by the year 2020. The adoption of diets that are low in saturated fat, free sugars, and red and processed meats and higher in unsaturated fats, wholegrains, fruit, and vegetables have been shown to reduce the risk of NCDs. With increasing internet use, several nutrition interventions are now being conducted online as well as face-to-face, however it is unclear which delivery method is most effective. Although a consumer preference toward face-to-face dietary advice delivery has been identified previously, interest in delivering web-based dietary advice, and in particular personalized nutrition (PN), has been rising, as internet delivery may be less costly and more scalable. This review compares published face-to-face and web-based dietary interventions to give insight into which dietary method might be more effective for PN. In total, 19 peer-reviewed randomized controlled trials were identified for inclusion in the review. The majority of face-to-face nutrition interventions were successful at facilitating dietary change. Results from web-based nutrition interventions suggested that personalized web-based nutrition interventions may be successful at inducing short-term dietary change compared to standardized dietary interventions, however, minimal evidence of long-term impact has been found across both delivery methods. Results of a trial that compared face-to-face with web-based diet intervention found significantly greater dietary changes in the face-to-face group compared to web-based and control groups. Further controlled comparative studies and cost-benefit analysis are needed to assess whether web-based methods can be used in place of face-to-face interventions for achieving dietary change.


2021 ◽  
pp. 1-28
Author(s):  
Sally L. Abel ◽  
Lisa C. Whitehead ◽  
David C. Tipene-Leach ◽  
Kirsten J. Coppell

Abstract Objective: To understand motivators, facilitators and challenges to dietary change amongst a diverse sample of New Zealanders with prediabetes participating in a primary care nurse-led individualised dietary intervention. Design: A qualitative study involving semi-structured, face-to-face interviews with a stratified sample of adults with prediabetes and body mass index ≥25kg/m2, purposefully selected from a larger 2-year primary care-based prediabetes dietary intervention study. Thematic analysis was undertaken. A socio-ecological model guided interpretation. Setting: Hawke’s Bay, Aotearoa/New Zealand, April 2018-March 2020. Participants: Fifty-eight people aged 28-69 years, with similar numbers of men and women, indigenous Māori and non-Māori, and those who had and had not regressed to normoglycaemia at 6-months. Results: Motivators for wanting to make dietary changes were determination not to progress to diabetes; wanting to be healthy and contribute to others; and encouragement by others. Facilitators for adopting and maintaining changes were a strong desire to be healthy; personal determination; and feeling supported. Challenges were compromised control over life and environmental factors; feeling unsupported by others; social occasions; financial constraints; and living with other health conditions. Developing their own strategies to overcome challenges was empowering, enabling a sense of control. These factors were similar across demographic and glycaemic outcome groups. Conclusions: Influences on dietary change involved personal, interpersonal, organisational, environmental, and policy factors. Although findings appeared similar across groups, dietary interventions need to address the specific ways motivators, facilitators and challenges manifest for individuals and social groups, and be tailored accordingly within the context of the wider obesogenic and socioeconomic environment.


Jurnal Socius ◽  
2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Herwina Herwina ◽  
Ernawulan Syaodih

This research moved from the problems of children in group B1 XIX-I TK Kartika Siliwangi Bandung. Based on interviews and observations beginning in mind that children may not treat the plants as it should, like a child throwing garbage into flower pots, children ruin flower plants, yet the growing awareness of children throwing trash in the space provided, as well as not fully maintain the cleanliness of oneself. The purpose of this study is to assist classroom teachers in addressing the issue through the implementation of strategies naturalist garden based learning. The method used is classroom action research using a qualitative approach to thematic analysis technique. Was conducted during three cycles of each of the two acts, and each act consists of planning, implementation, observation and reflection. The research results garden based learning implementation strategy in growing naturalist children show improvement. In the third cycle shown increasing children's knowledge about the types of plants, animals and natural objects in the environment around the school. Improved change children's attitudes to the environment around the school, children are no longer disturb the plants, keeping his own personal hygiene and the environment around the school.Keywords: garden based learning, child naturalist intelligence Penelitian ini beranjak dari permasalahan kecerdasan naturalis anak kelompok B1 TK Kartika XIX-I Siliwangi Kota Bandung. Berdasarkan hasil wawancara dan observasi awal diketahui bahwa anak belum memperlakukan tanaman sebagaimana mestinya, seperti anak membuang sampah ke pot bunga, anak merusak tanaman bunga, belum tumbuhnya kesadaran anak membuang sampah pada tempat yang telah disediakan, serta belum sepenuhnya menjaga kebersihan diri sendiri. Tujuan dari penelitian ini adalah membantu guru kelas dalam mengatasi permasalahan kecerdasan naturalis melalui penerapan strategi garden based learning. Metode yang digunakan adalah penelitian tindakan kelas menggunakan pendekatan kualitatif dengan teknik analisis tematik. Dilaksanakan selama tiga siklus masing-masing dua tindakan dan setiap tindakan terdiri dari perencanaan, pelaksanaan, pengamatan dan refleksi. Adapun hasil penelitian penerapan strategi garden based learning dalam menumbuhkan kecerdasan naturalis anak menunjukkan peningkatan. Pada siklus ketiga terlihat peningkatan pengetahuan anak tentang jenis tanaman, hewan serta benda-benda alam dilingkungan sekitar sekolah. Peningkatan perubahan sikap anak terhadap lingkungan disekitar sekolah, anak tidak lagi menganggu tanaman, menjaga kebersihan diri sendiri dan lingkungan sekitar sekolah.Kata kunci: garden based learning, kecerdasan naturalis anak


2021 ◽  
pp. 136749352110012
Author(s):  
Marcos V Esper ◽  
Francine de Montigny ◽  
Naiara B Polita ◽  
Willyane de A Alvarenga ◽  
Ana Carolina A B Leite ◽  
...  

This metasynthesis synthesized and interpreted qualitative research results on the experience of fathers who care for children with mental disorders. It followed the guidelines from the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. A search was conducted in five databases. The Critical Appraisal Skills Programme qualitative research checklist was used to evaluate the quality of the studies, and the Confidence in the Evidence from Reviews of Qualitative Research (Grade-CERQual) approach was used to assess review findings. Thematic analysis of 12 articles included yielded the theme (re)establishment of fatherhood and four subthemes: redefinition of expectations, redefinition of the fatherhood role, benefits achieved with increased father involvement, and strengths and challenges in fatherhood, all of which demonstrated how repercussions from diagnosis and redefinition of expectations of masculinity and fatherhood affected the way fathers exercise fatherhood. Fathers were participative and attentive to their child’s needs, even in a challenging context demanding integration of care with work obligations. This metasynthesis highlights challenges faced by fathers in acquiring new skills and competencies while caring for their children. The findings identify a need for interventions to facilitate fathers’ involvement in caring for their children.


2020 ◽  
Vol 14 (4) ◽  
Author(s):  
Julijana M. Vuletić

In this study we represent the bilingual language situation in the ethnolinguistic community of Serbs in Ingolstadt, recorded over the period of time from 2010 until 2013. The paper also addresses the occurrences of bilingualism and diglossia in the context of contact linguistics, their classification, as well as the samples of bilingualism in the researched corpus, with the accompanying phenomena of language contact. The obtained cross-section of the sociolinguistic and linguistic situation of the researched ethnolinguistic community, as well as the research results, refer to the specific community and specific corpus. Nonetheless, obtained results with certainty allow introspect into the life cycle dynamics tendency for the Serbo-German bilingual communities.  Reflecting upon the research results we may conclude that our investigated sample, which can expand onto the entire research corpus, can be regarded as being almost in the second last phase of the language change process. A rather significant part of the corpus in the further development of the language change process would certainly be the third generation of working migrants. Further direction of the bilingual community development will most likely be dependent upon this generation, as well as other accompanying factors. In the researched sample we can observe different percentual representation of balanced bilinguals and dominant bilinguals, as well as passive and receptive bilinguals. The fact that there is a significant percentual presence of passive and receptive bilinguals among the third group of migrants explains the situation that one part of the second generation of working migrants in the researched community is powerless before the pressure of social networks, economic and social relations that we find in the social majority group. They abandon teaching their children the Serbian language, and they perceive the German language as the capital asset through which those who belong to the third generation of working migrants can gain top positions in the education system and in the market as well. In the language practice of bilingual speakers there is the phenomenon of language contact from the first to the third generation, specifically in the occurrence of transference (mixing of two language systems on the basis of phonetics, morphology, syntax) or in code switching (mixing of two languages from the communicative aspect). Transference, as a phenomenon in the direct and indirect language contact, may have multiple results which will be considered in future papers on the issue of language contact phenomenon. Finally, under the environmental effect (standard German language, German dialects), as well as the effect of different language community dialects the members of the first generation of working migrants come from, a new language is developed. This new language cannot be called the Serbian language spoken by the Serbs in the homeland but namely we propose a new term Serbian diaspora language in Germany. This language as such is then transferred onto the new generations and/or its use declines in one and sustains in other domains. Ultimately, at the end of this process, as many contact linguistic researches have illustrated, an inevitable situation may occur where a life cycle of the bilingual community might come to an end and there might be a complete language change of the minority with the majority community.


2007 ◽  
Vol 10 (10) ◽  
pp. 980-988 ◽  
Author(s):  
Sigrid Gibson

AbstractObjectiveTo summarise the discussions of a seminar on peer-led approaches to dietary change held at the Food Standards Agency (FSA) on 19 July 2006.DesignFollowing presentations on three FSA-commissioned research projects involving peer-led dietary interventions, discussions in small workshop groups identified learning points for researchers, policy-makers and practitioners and considered how the findings of such studies can be effectively communicated to each of these groups. The target groups in the three separate projects were: older people living in sheltered accommodation; mothers and babies during the weaning period; and people with diabetes.ResultsThe projects discussed here were quite different from one another, involving three separate populations, having different aims and approaches and different styles of peer leading. Their effectiveness in achieving quantitative dietary change was disappointing. However, results for some of the qualitative outcomes (social, psychological, behavioural) were more positive. Process evaluation, whether built in or post hoc, provided useful learning to inform future projects and potentially improve their effectiveness and usefulness for researchers, policy-makers and health promotion practitioners.ConclusionsThe projects discussed here showed that peer-led interventions can achieve positive changes in outcomes such as knowledge, confidence and attitudes, as well as small improvements in diet. They also demonstrated that there is a need for a more sophisticated analysis of peer-led interventions that recognises the diversity of approaches and their suitability in different situations.


Author(s):  
Stephanie L. Silveira ◽  
Emma V. Richardson ◽  
Robert W. Motl

Abstract Background: There are approximately 1 million adults in the United States with multiple sclerosis (MS). Persons with MS are interested in diet as a second-line therapy for improving MS symptoms and disease progression. Examination of desired resources regarding diet among persons with MS is necessary for supporting behavior change. Methods: Twenty-five adults with MS completed one-on-one, online semistructured interviews. An inductive, six-phase, semantic thematic analysis was applied for identifying themes associated with participant preferences for dietary behavior change. Results: The research team crafted four key themes from the data that encompassed participants’ desired resources for dietary behavior change. Theme 1, MS-specific evidence, involved the need for clear information about the impact of diet regimens or specific foods on MS. Theme 2, dietary guidelines, was related to guidelines provided by a reliable source such as a registered dietitian. Theme 3, behavioral supports, underscored the need for support for behavior change, including accountability, self-monitoring, motivation, habituation, and incremental changes. Theme 4, diet resources, highlighted tangible resources for supporting dietary change, including recipes, food lists, meal services, or games. Conclusions: This study provides a foundation for guiding dietary interventions for persons with MS that incorporates their needs and preferences and could improve their overall health. Such dietary change can be facilitated by theory-based behavioral interventions that incorporate behavior change techniques such as self-monitoring and goal setting for supporting behavior change.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1452
Author(s):  
Sarah J. Eustis ◽  
Gabrielle Turner-McGrievy ◽  
Swann A. Adams ◽  
James R. Hébert

Why measure and leverage food motives and values? Every failure and every success in dietary change can be connected to motivation. Therefore, this research question naturally arises: How can food motives and values be measured and leveraged to improve diet outcomes from the individual to populations? There are four ways that food motives and values (FMVs) can assist researchers and health professionals. First, FMVs can help to create a personalized approach to dietary change. Second, FMVs can inform content for dietary interventions. Third, these FMV measures can be used in data analysis to elucidate differences in adherence and outcomes among participants. Fourth, public health nutrition messages can be tailored using information on FMVs. Each of these uses has the potential to further the literature and inform future efforts to improve diet. A central aim of our study is to provide specific examples and recommendations on how to measure and leverage FMVs. To do so, we reviewed 12 measures included in the literature citing the Food Choice Questionnaire by Steptoe, Pollard, and Wardle, which was identified as the earliest, highly cited article appearing under the search terms “food motives” AND “food values” AND “eating behavior” AND “measure”. Specific details on how articles were selected from the citing literature are described in the Methods section. We also expound on our reasoning for including the Three-Factor Eating Questionnaire, which made for 13 measures in total. Our main finding is that each measure has strengths and shortcomings to consider in using FMVs to inform nutritional recommendations at different levels.


Author(s):  
I. Brent Heath

Detailed ultrastructural analysis of fungal mitotic systems and cytoplasmic microtubules might be expected to contribute to a number of areas of general interest in addition to the direct application to the organisms of study. These areas include possibly fundamental general mechanisms of mitosis; evolution of mitosis; phylogeny of organisms; mechanisms of organelle motility and positioning; characterization of cellular aspects of microtubule properties and polymerization control features. This communication is intended to outline our current research results relating to selected parts of the above questions.Mitosis in the oomycetes Saprolegnia and Thraustotheca has been described previously. These papers described simple kinetochores and showed that the kineto- chores could probably be used as markers for the poorly defined chromosomes. Kineto- chore counts from serially sectioned prophase mitotic nuclei show that kinetochore replication precedes centriole replication to yield a single hemispherical array containing approximately the 4 n number of kinetochore microtubules diverging from the centriole associated "pocket" region of the nuclear envelope (Fig. 1).


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