The impact of a weight-centred treatment approach on women's health and health-seeking behaviours

2012 ◽  
Vol 1 (2) ◽  
pp. 3-12
Author(s):  
Lucy Aphramor
Keyword(s):  
Focus Groups ◽  
Interpersonal Relationships ◽  
Disease Risk ◽  
Good Health ◽  
Size Discrimination ◽  
Structured Interviews ◽  
Health Seeking ◽  
Attitudes And Practices ◽  
The Impact ◽  
Experiences Of Women

Background Dietetics relies on a conventional weight-centred paradigm that attributes disease risk to fatness and encourages weight loss. This research examines the impact that this weight-centred paradigm has on the health, health-seeking behaviours, and everyday experiences of women who self-identify as large. Methods This was a qualitative, community-based study using semi-structured interviews and focus groups. The participants were 18 women who self-identified as being large, either previously or currently, where large was understood among participants as an appropriate descriptor for fatness. Interviews and focus groups were recorded and transcribed verbatim and data were manually sorted. Coding categories were developed and participants' quotes were assigned to these using thematic analysis. The study had ethics approval. Results Participants described that health professionals’ assumptions and recommendations about their weight negatively affected psychosocial variables and behaviours known to impact on health, such as depression, self-esteem, eating/exercise habits and interpersonal relationships. The assumptions of a weight-centred paradigm underpinned experiences of size discrimination outside the clinic. Conclusions The conventional position towards weight results in attitudes and practices that negatively impact on health and health-seeking behaviour through a range of interlinked pathways. A professional commitment to reappraising the weight-centred paradigm is required to promote good health and avoid overt and inadvertent size discrimination.

Re-orientating Dietetic Interventions for Adults with Eating and Weight Concerns: A Qualitative Study of the Well Now course – Part 1

2016 ◽  
Vol 3 (2) ◽  
pp. 56-66
Author(s):  
Lucy Aphramor ◽  
Nazanin Khasteganan
Keyword(s):  
Focus Groups ◽  
Interpersonal Relationships ◽  
Sense Of Self ◽  
Health Gain ◽  
Weight Concerns ◽  
Structured Interviews ◽  
Making Sense ◽  
Self Worth ◽  
Research Findings ◽  
The Impact

This research examines the impact of attending a Well Now course on participants’ wellbeing and contrasts this with their reports of previous experiences of seeking support with weight concerns. The Well Now course teaches health-gain and body respect. As such, it offers people a way of making sense of their experiences around food and eating that is premised on criticality, compassion and respect. This is the first of two articles discussing research findings. This was a qualitative, community-based study using semi-structured interviews and focus groups. The participants were women and men who had completed a 6 session Well Now course. Interviews and focus groups were recorded and transcribed verbatim and data were manually sorted. Coding categories were developed and participants’ quotes were assigned to these using thematic analysis. The study had ethics approval*. Participants described how engaging with the Well Now philosophy in a supportive group had beneficially impacted their health and sense of self-worth. The reorientation made available through Well Now enhanced psychosocial variables and behaviours known to impact on health, such as mood, self-esteem, eating/exercise habits and interpersonal relationships. They recounted instances where recommendations to follow a weight-corrective approach, and attendant size bias seen in health practitioner’s attitudes, had had a detrimental impact on their wellbeing and sense of self-worth. A professional commitment to socio-politically aware practice is recommended as a means of advancing equity, helping people heal from body shame and meeting our ethical responsibilities as health practitioners.  

Re-orientating Dietetic Interventions for Adults with Eating and Weight Concerns: A Qualitative Study of the Well Now course – Part II

2016 ◽  
Vol 3 (2) ◽  
pp. 67-76
Author(s):  
Nazanin Khasteganan ◽  
Lucy Aphramor
Keyword(s):  
Focus Groups ◽  
Interpersonal Relationships ◽  
Sense Of Self ◽  
Health Gain ◽  
Weight Concerns ◽  
Structured Interviews ◽  
Making Sense ◽  
Self Worth ◽  
Research Findings ◽  
The Impact

This research examines the impact of attending a Well Now course on participants’ wellbeing and contrasts this with their reports of previous experiences of seeking support with weight concerns. The Well Now course teaches health-gain and body respect. As such, it offers people a way of making sense of their experiences around food and eating that is premised on criticality, compassion and respect. This is the second of two articles discussing research findings. This was a qualitative, community-based study using semi-structured interviews and focus groups. The participants were women and men who had completed a six session Well Now course. Interviews and focus groups were recorded and transcribed verbatim and data were manually sorted. Coding categories were developed and participants’ quotes were assigned to these using thematic analysis. The study had ethics approval. Participants described how engaging with the Well Now philosophy in a supportive group had beneficially impacted their sense of wellbeing and self-worth. The reorientation made available through Well Now enhanced psychosocial variables and behaviours known to impact on health, such as mood, self-esteem, eating/exercise habits and interpersonal relationships. They recounted instances where recommendations to follow a weight-corrective approach, and attendant size bias seen in health practitioner’s attitudes, had had a detrimental impact on their wellbeing and sense of self-worth. A professional commitment to socio-politically aware practice, such as Well Now, is recommended as a means of advancing equity, helping people heal from body shame and meeting our ethical responsibilities as health practitioners.

Living beyond cancer: Adolescent and young adult perspectives on choice of and participation in meaningful occupational roles

2020 ◽  
pp. 030802262096067
Author(s):  
Amy Wallis ◽  
Pamela Meredith ◽  
Mandy Stanley
Keyword(s):  
Young Adult ◽  
Interpersonal Relationships ◽  
Young Person ◽  
Adolescent And Young Adult ◽  
Photo Elicitation ◽  
Structured Interviews ◽  
Occupational Roles ◽  
Subsequent Interview ◽  
Cancer Experience ◽  
The Impact

Introduction Whilst it is recognised that cancer may present numerous challenges for the adolescent or young adult during treatment, experiences after this stage as the young person transitions to life without cancer have received little attention. The purpose of this study is to understand the implications of having survived cancer for the young person’s choice of, and participation in, meaningful occupational roles. Method In this qualitative descriptive study, four participants were interviewed on two occasions using semi-structured interviews, with the subsequent interview supplemented with photo elicitation. Participants were male and female, aged 19 and 24 years, and medically cleared of (living beyond) cancer. Thematic analysis was used. Results Three main themes emerged: changes in relationships; moving beyond; and future perspectives. Adolescents and young adults identified the impact of the cancer experience on interpersonal relationships and related occupational roles (for example parenthood), and described how cancer affected their participation in, and the meaning of, occupational roles, and altered present and future occupational priorities. Conclusion Having cancer as an adolescent or young adult has lasting impacts on occupational roles. Understanding the opportunities and challenges this population may face when living beyond cancer can assist in providing enhanced age-aware occupational therapy, potentially optimising outcomes for young people.

“Less Feminine and Less a Woman”:The Impact of Unplanned Postpartum Hysterectomy on Women

2012 ◽  
Vol 2 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Rakime Elmir ◽  
Debra Jackson ◽  
Virginia Schmied ◽  
Lesley Wilkes
Keyword(s):  
Interpersonal Relationships ◽  
Qualitative Interviews ◽  
Family Health ◽  
Major Theme ◽  
Childbearing Age ◽  
Number Of Children ◽  
Emergency Hysterectomy ◽  
The Impact ◽  
Experiences Of Women

AIM: This article is a report of the women’s experiences of unplanned emergency hysterectomy following severe postpartum hemorrhage (PPH).BACKGROUND: Every year, thousands of women worldwide undergo hysterectomies for either gynecological issues or following childbirth to save their life from severe PPH. Little attention has been given to the experiences of women with secondary infertility, despite many of these women being of childbearing age. Some of the issues concerning this group of women are related to their feminine identity, sexuality, sense of being, and womanhood.METHOD: Qualitative interviews were conducted with 21 Australian women between the ages of 24 and 57 years. The data were collected between May and October 2009. Data were analyzed using inductive thematic analysis.FINDINGS: One major theme; loss of normality, and four subthemes emerged, “being incomplete: half a woman,” “not myself: a changed body,” “being alone: isolation and disconnectedness,” and “fearing intimacy: insecure and wary.”CONCLUSIONS: This study shows that irrespective of the number of children women have, they may continue to experience significant emotional distress following their hysterectomy after childbirth. The distress these women experience is not only during the immediate postsurgical period but continues long term, and affects social, familial, and interpersonal relationships. Health professionals, particularly those providing community-based child and family health services, are in a position to provide ongoing professional support to women who experience an emergency hysterectomy following childbirth.

scholarly journals The Impact of Interpersonal Relationships on Dietary Habits

2021 ◽  
Author(s):  
Freda D. Intiful ◽  
Rebecca Steele-Dadzie ◽  
Patricia Mawusi Amos ◽  
Ruth Pobee ◽  
Joana Ainuson-Quampah ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Dietary Habits ◽  
Well Being ◽  
Good Health ◽  
The Novel ◽  
Level Of Evidence ◽  
Eating Pattern ◽  
Corona Virus ◽  
The Social ◽  
The Impact

In recent times, there is significant level of evidence to suggest a transition in the eating pattern and dietary habits of people across the globe. Food, though a physiological necessity and required for good health and functionality, also contributes to the social, cultural, psychological and emotional well-being of our lives. There is no doubt that relationships contribute to how, what and when people eat. This chapter will review the impact of how different categories and levels of interpersonal relationships impact on the development of dietary habits among people. Additionally the chapter will explore how the advent of the novel corona virus, covid-19 has impacted on interpersonal relationships and consequently on dietary habits.

Displacement through incarceration: an opportunity for personal re-engagement

2019 ◽  
Vol 21 (1) ◽  
pp. 36-45
Author(s):  
David N. Eades
Keyword(s):  
Interpersonal Relationships ◽  
Interpersonal Relations ◽  
Well Being ◽  
Significant Other ◽  
Structured Interviews ◽  
Formerly Incarcerated ◽  
Content Type ◽  
Field Notes ◽  
Carceral Geography ◽  
The Impact

Purpose The purpose of this paper is to highlight that interpersonal relations within a visits venue in a carceral space can be restorative. This provides implications for staff working in institutions to support a visits programme to assist those incarcerated. Design/methodology/approach The experiences of those formerly incarcerated are captured through an ethnography of engagement by way of semi-structured interviews and field notes. In methodology it draws upon the fields of criminology and prison sociology, and in particular using an ethnographic approach within the field of Carceral Geography. Findings Interpersonal relationships developed, with a “significant other” within the liminality of displacement, are therapeutic in nature and potentially contribute to ongoing healthier relationships than previously experienced, once a person is released from incarceration. These also assist those incarcerated transition into the community when released. Research limitations/implications The sample within the study was only small, did not include the impact of family members, nor the impact of not having visitors upon people who are incarcerated. The feedback received was all positive. Other people might have had alternative experiences that were not captured in this study. Practical implications A practical outcome of this research is to encourage the development of interpersonal relationships and the reconstruction of social networks for those incarcerated as a means of early intervention for their recovery and future progress reintegrating back into society. Social implications The impact of a significant other helps those formerly incarcerated to value the importance of close supportive relationships in contributing to the lives of others socially. Originality/value Assisting those incarcerated develop a relationship with a significant other provides a unique protective element as a social intervention. Staff within institutions have a unique role within their service to facilitate visitors and to encourage those incarcerated to connect with a significant other so as to help their mental health, support their general well-being and give them hope for the future.

scholarly journals Dietary fibre in Europe: current state of knowledge on definitions, sources, recommendations, intakes and relationships to health

2017 ◽  
Vol 30 (2) ◽  
pp. 149-190 ◽  
Author(s):  
Alison M. Stephen ◽  
Martine M.-J. Champ ◽  
Susan J. Cloran ◽  
Mathilde Fleith ◽  
Lilou van Lieshout ◽  
...  
Keyword(s):  
Health Effects ◽  
Dietary Fibre ◽  
Disease Risk ◽  
Current Knowledge ◽  
Good Health ◽  
Food Composition ◽  
Health Claims ◽  
Food Sources ◽  
Food Composition Tables ◽  
The Impact

AbstractResearch into the analysis, physical properties and health effects of dietary fibre has continued steadily over the last 40–50 years. From the knowledge gained, countries have developed guidelines for their populations on the optimal amount of fibre to be consumed each day. Food composition tables from many countries now contain values for the dietary fibre content of foods, and, from these, combined with dietary surveys, population intakes have been determined. The present review assessed the uniformity of the analytical methods used, health claims permitted, recommendations and intakes, particularly from national surveys across Europe and around the world. It also assessed current knowledge on health effects of dietary fibre and related the impact of different fibre types on health. The overall intent was to be able to provide more detailed guidance on the types of fibre which should be consumed for good health, rather than simply a total intake figure, the current situation. Analysis of data indicated a fair degree of uniformity in the definition of dietary fibre, the method used for analysis, the recommended amount to be consumed and a growing literature on effects on digestive health and disease risk. However, national dietary survey data showed that intakes do not reach recommendations and very few countries provide guidance on the types of fibre that are preferable to achieve recommended intakes. Research gaps were identified and ideas suggested to provide information for more detailed advice to the public about specific food sources that should be consumed to achieve health benefits.

scholarly journals Strategies to Address the Complex Challenge of Improving Regional and Remote Children’s Fruit and Vegetable Consumption

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1603 ◽  
Author(s):  
Stephanie Godrich ◽  
Christina Davies ◽  
Jill Darby ◽  
Amanda Devine
Keyword(s):  
Role Models ◽  
Cognitive Theory ◽  
Vegetable Consumption ◽  
Good Health ◽  
Self Control ◽  
Food Groups ◽  
Rural And Remote ◽  
Structured Interviews ◽  
Food Literacy ◽  
The Impact

Fruit and vegetables (F&V) are imperative for good health, yet less than one per cent of Australian children consume these food groups in sufficient quantities. As guided by Social Cognitive Theory (SCT), this paper aimed to: (i) understand key informant perspectives of the amount, types and quality of F&V consumed by rural and remote Western Australian (WA) children; and, (ii) determine strategies that could increase F&V consumption among rural and remote WA children. This qualitative study included 20 semi-structured interviews with health, school/youth and food supply workers, focusing on topics including: quantity and type of F&V consumed and strategies to increase children’s consumption. A thematic analysis was conducted using NVivo qualitative data analysis software (Version 10, 2014. QSR International Pty Ltd., Doncaster, Victoria, Australia). Key informants reported children consumed energy-dense nutrient-poor foods in place of F&V. Strategy themes included: using relevant motivators for children to increase their preference for F&V (i.e., gaming approach, SCT construct of ‘expectations’); empowering community-driven initiatives (i.e., kitchen gardens, SCT construct of ‘environment’); increasing food literacy across settings (i.e., food literacy skills, SCT construct of ‘behavioural capacity’); developing salient messages and cooking tips that resonate with parents (i.e., parent newsletters, SCT construct of ‘self-control’); increasing F&V availability, safety, and convenience (i.e., school provision); and, considering the impact of role models that extend beyond the family (i.e., relatable role models, SCT construct of ‘observational learning’). Overall, a comprehensive strategy that incorporates relevant motivators for children and families, supports local initiatives, reinforces the range of role models that are involved with children and creates healthier environments, is required to increase F&V consumption among children.

scholarly journals “The whole package deal”: experiences of overweight/obese women living with polycystic ovary syndrome

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Carolyn Ee ◽  
Caroline Smith ◽  
Lisa Moran ◽  
Freya MacMillan ◽  
Michael Costello ◽  
...  
Keyword(s):  
Social Media ◽  
Polycystic Ovary Syndrome ◽  
Focus Groups ◽  
Polycystic Ovary ◽  
Delayed Diagnosis ◽  
Significant Degree ◽  
Obese Women ◽  
Structured Interviews ◽  
Ovary Syndrome ◽  
The Impact

Abstract Background Polycystic Ovary Syndrome (PCOS) is a common female reproductive disorder with multiple manifestations. There are relatively few qualitative studies exploring the nature of living with PCOS despite its high prevalence. Qualitative research can enhance clinical practice via the provision of patient insights into the experience of living with their condition. Methods We conducted two focus groups and three semi-structured interviews of Australian overweight/obese women with PCOS aged 18–46 years between March and April 2017 who were recruited through social media advertising. Interviews and focus groups were audio recorded and transcribed verbatim. Thematic analysis was applied to the data, using the method of constant comparison. Results Ten women contributed data from two focus groups and two semi-structured interviews. Five themes emerged from the data: complexity of the condition with its multiple manifestations, difficulties with delayed diagnosis and lack of information provided after diagnosis, negative experiences on social media and online forums and the need for support, frustration over lack of a “cure”; and the impact of symptoms and concern about long-term sequelae. Conclusions Living with PCOS appears to generate a significant degree of anxiety about the future, dissatisfaction with current treatment models, and loss of feminine identity. Gaps in timely diagnosis, information and support provision need to be addressed. This includes supporting weight management as a fundamental concern for women with PCOS.

scholarly journals Relações interpessoais no centro cirúrgico sob a ótica da enfermagem:estudo exploratório

2017 ◽  
Vol 16 (2) ◽  
pp. 159
Author(s):  
Maria De Fátima Cordeiro Trajano ◽  
Daniela Tavares Gontijo ◽  
Monique Wanderley Da Silva ◽  
Jael Maria De Aquino ◽  
Estela Maria Leite Meireles Monteiro
Keyword(s):  
Interpersonal Relationships ◽  
Exploratory Study ◽  
University Hospital ◽  
Critical Conditions ◽  
Structured Interviews ◽  
Multiprofessional Team ◽  
Attitudes And Practices ◽  
Team Working ◽  
Qualitative Descriptive ◽  
Safe Care

Objective:  to  identify  how  nursing  workers  perceive  interpersonal relationships established within the multiprofessional team working in a surgical center. method:  qualitative,  descriptive  and  exploratory  study  conducted  in the  surgical  center of  a  large  university  hospital  located  in  recife,  pernambuco,  brazil. twenty-five  nursing workers  participated in the  study  through  semi-structured  interviews.  content  thematic analysis was used to treat the data. results: three thematic categories emerged, namely: conception  of  interpersonal  relationships;  factors  that  negatively  impact  interpersonal relationships;  and  attitudes  and  practices  that  strengthen  interpersonal  relationships. conclusion:  reflecting  upon  the  interpersonal  relationships  established  among  the workers  in  the  surgical  center  can  provide  tools  for  managers  to  establish  coping strategies and ensure a harmonious work environment to favor integral, humanized and safe care for patients in critical conditions.

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