An investigation of obese adults’ views of the outcomes of dietary treatment

Jones, Natasha; Furlanetto, Denise L.C.; Jackson, Joan L.; Kinn, Sue

doi:10.1111/j.1365-277x.2007.00810.x

Cited by 45 publications

(88 citation statements)

References 10 publications

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“…Experiences of receiving support from personnel were also highlighted by the participants. This is in line with previous findings in which support and encouragement from personnel have been described by persons with obesity as important facilitators for change [29], [30].…”

Section: Resultssupporting

confidence: 93%

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

et al. 2014

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BackgroundResidential weight-loss programs aim to help persons with obesity lose weight and maintain a long-term healthy lifestyle. Knowledge is needed on the different actors’ perceptions and experiences from such programs. The aim of this study was to describe how personnel argued for and perceived a residential weight-loss program, to investigate how the participants experienced the program, and to contrast these perspectives.MethodsThis qualitative study took place in an 18-week residential weight-loss program. Exercise, diet, and personal development were the main components in the program. Data was collected through participant observation and individual and focus group interviews with participants and personnel.ResultsProgram personnel characterized persons with obesity in specific terms, and these formed the basis of the educational aims, teaching principles, and content of the program. According to personnel, persons with obesity typically had problems acknowledging their own resources, lived unstructured lives, had a distorted relationship to food, experienced a range of social problems and featured a lack of personal insight. Program participants reported enthusiasm about their experiences of exercise and appreciated measures of success with the exercise program. They had, however, very different experiences regarding the usefulness and appropriateness of the parts of the program focused on social and personal development. Some felt that weight loss required an engagement with personal development while others viewed it as unnecessary and inappropriate.ConclusionThe reliance in personnel accounts on particular characteristics of persons with obesity as a rationale for the program might lead to stigmatizing and stereotyping. Program activities focused on social and personal development need to be better understood by participants if they are to be viewed as helpful. To achieve this personnel must carefully consider how these parts of the program are communicated and conducted.

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Section: Resultssupporting

confidence: 93%

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

et al. 2014

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“…Examples of these personal skills fostering a helpful engagement style have been reported in obesity dietetic studies in terms of friendliness, supportiveness and being an approachable dietitian (24) . This is reflected in the experiences of patients in the present study such as Terry, whose dietitian 'knows me well and has given me honest advice in the past and understands how I cope.…”

Section: Discussionmentioning

confidence: 94%

“…The guide was informed by relevant literature on exploring communication and engagement within dietetics (24)(25)(26)(27) . Between August 2013 and December 2013, the PI telephoned all 20 individuals at their requested contact date and time.…”

Section: Interviewsmentioning

confidence: 99%

A qualitative examination of patients experiences of dietitians ' consultation engagement styles within nephrology

Morris

Herrmann²,

Liles

et al. 2017

J Human Nutrition Diet

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Background: Dietitians provide individuals with tailored, practical nutritional advice. For this reason, skills in effective interpersonal communication are essential. In the case of chronic kidney disease, the specifics of dietary advice may change according to renal function. The conveyance of accurate dietary advice and compliance is critical and requires full engagement with the service. The effect of communication styles on patients' engagement experiences with renal dietetics is unknown. Accordingly, the present study aimed to explore patients' engagement experiences with renal dietitians. Methods: A qualitative phenomenology study using semi-structured indepth interviews was undertaken with 20 adult renal service users who had engaged with renal dietitians to receive dietary advice. Interpretive phenomenological analysis was used to analyse data. Results: Two main themes emerged from consultation experiences: helpful and unhelpful engagement styles. Individuals reporting helpful engagement styles experienced dietitians' communication as empathetic, demonstrating positive regard for their lifestyles. However, individuals who reported experiences of unhelpful engagement styles found dietetic care indifferent and communication styles paternalistic. These individuals continued to engage reluctantly despite unhelpful engagement experiences, but felt disempowered. These diverse experiences of engagement can be interpreted by means of 'ego states' within the theoretical model of transactional analysis (TA). Adult ego states may underpin a helpful engagement style whilst a dietitians' parental ego state was more likely to precipitate an unhelpful engagement style. Conclusions: Ego states, in the context of TA theory, can help to explain the way in which patients engage with renal dietitians. Attention should be given to the employment of a humanistic approach within dietetic consultations. Dietitans need to ensure that they can demonstrate expertise and confidence in the specific communication skills required for patient-centred care.

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“…Socioeconomic factors play a major role in influencing diet and the general health of the population [153], such as in China. Underprivileged individuals tend to stock up on non-nutritious, high-calorie foods as low-budget staples, whereas nutrient-rich foods and high-quality diets are consumed by more affluent customers [154]. Continuous exposure to foreign food commercials [155] is also considered as another possible cause of obesity in China. Increasing the consumption of SSB on a global scale leads to obesity [156,157].…”

Section: Dietary Alterationsmentioning

confidence: 99%

Obesity in China: What are the Causes?

Deneen

Qin²,

Tian³

et al. 2011

CPD

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To address the causes for obesity in all of China is not feasible in a single article. There are hundreds of ethnic groups over a vast number of provinces. The diet and lifestyle of each is different based upon cultural/ethnic traditions and the environment. Several studies mentioned in this review have been done in particular areas and/or on specific population groups with regards to obesity and health risks associated with being overweight. Obesity is a multifactorial disease that is associated with genetic, physiological, environmental, and cultural/traditional perspectives in order to provide a broadened view on this epidemic in China. In this review, we will assess specific obesity gene and environment interactions, childhood obesity etiology, metabolic syndrome, and dietary and behavioral causes. We attempt to discuss obesity issues particularly in the Han Chinese population ranging from children, adolescents, adults to geriatrics.

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An investigation of obese adults’ views of the outcomes of dietary treatment

Cited by 45 publications

References 10 publications

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

A qualitative examination of patients experiences of dietitians ' consultation engagement styles within nephrology

Obesity in China: What are the Causes?

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