Abstract:Objective: To explore perceived factors that impede or facilitate healthful eating within the home environment among overweight/obese adolescents. Design: In the present qualitative photovoice study, participants were instructed to take photographs of things that made it easier or harder to make healthful food choices at home. Digital photographs were reviewed and semi-structured interviews were conducted to promote discussion of the photographs. Data were analysed using constant comparative analysis. Setting:… Show more
“…When talking about parental rules, participants defined those circumstances when eating out with their children, particularly in fast-food restaurants, may be allowed. That differs from previous studies showing family food rules were more related to encouraging healthy eating habits in home settings (Dean and Elliott, 2012; Lofink, 2012; Watts et al, 2015). Rewarding children and adults with highly processed foods, even if only at special occasions, is concerning: it attaches positive emotional and symbolic values to consumption of nutritionally poor foods and may send a wrong message about food intake.…”
Section: Discussioncontrasting
confidence: 99%
“…Few Photovoice studies (see, for example, Findholt (Findholt et al, 2011) and Watts (Watts et al, 2015)) have explored the interconnections between different environmental attributes, people’s perceptions and food decisions in the light of socioecological approaches. This study builds upon the strengths of socioecological literature on food environment (Sallis and Glanz, 2009; Story et al, 2008; Strack et al, 2010) and reaps the multitude of benefits associated with the Photovoice method (e.g., critical dialogue allowing for in-depth exploration of issues (Castellanos et al, 2013; Foster-Fishman et al, 2005; Kramer et al, 2010; Wang, 1999); participants’ empowerment (Foster-Fishman et al, 2005; Wang, 1999); and policy advocacy (Kramer et al, 2010; Wang, 1999)).…”
People’s perceptions of local food environments influence their abilities to eat healthily. PhotoVoice participants from four communities in Alberta, Canada took pictures of barriers and opportunities for healthy eating and shared their stories in one-on-one semi-structured interviews. Using a socioecological framework, emergent themes were organized by type and size of environment. Findings show that, while availability and access to food outlets influence healthy eating practices, these factors may be eclipsed by other non-physical environmental considerations, such as food regulations and sociocultural preferences. This study identifies a set of meta-themes that summarize and illustrate the interrelationships between environmental attributes, people’s perceptions, and eating behaviors: a) availability and accessibility are interrelated and only part of the healthy eating equation; b) local food is synonymous with healthy eating; c) local food places for healthy eating help define community identity; d) communal dining (commensality) does not necessarily mean healthy eating; e) rewarding an achievement or celebrating special occasions with highly processed foods is socially accepted; f) food costs seemed to be driving forces in food decisions; g) macro-environmental influences are latent in food decisions. Recognizing the interrelationship among multiple environmental factors may help efforts to design effective community-based interventions and address knowledge gaps on how sociocultural, economic, and political environments intersect with physical worlds.
“…When talking about parental rules, participants defined those circumstances when eating out with their children, particularly in fast-food restaurants, may be allowed. That differs from previous studies showing family food rules were more related to encouraging healthy eating habits in home settings (Dean and Elliott, 2012; Lofink, 2012; Watts et al, 2015). Rewarding children and adults with highly processed foods, even if only at special occasions, is concerning: it attaches positive emotional and symbolic values to consumption of nutritionally poor foods and may send a wrong message about food intake.…”
Section: Discussioncontrasting
confidence: 99%
“…Few Photovoice studies (see, for example, Findholt (Findholt et al, 2011) and Watts (Watts et al, 2015)) have explored the interconnections between different environmental attributes, people’s perceptions and food decisions in the light of socioecological approaches. This study builds upon the strengths of socioecological literature on food environment (Sallis and Glanz, 2009; Story et al, 2008; Strack et al, 2010) and reaps the multitude of benefits associated with the Photovoice method (e.g., critical dialogue allowing for in-depth exploration of issues (Castellanos et al, 2013; Foster-Fishman et al, 2005; Kramer et al, 2010; Wang, 1999); participants’ empowerment (Foster-Fishman et al, 2005; Wang, 1999); and policy advocacy (Kramer et al, 2010; Wang, 1999)).…”
People’s perceptions of local food environments influence their abilities to eat healthily. PhotoVoice participants from four communities in Alberta, Canada took pictures of barriers and opportunities for healthy eating and shared their stories in one-on-one semi-structured interviews. Using a socioecological framework, emergent themes were organized by type and size of environment. Findings show that, while availability and access to food outlets influence healthy eating practices, these factors may be eclipsed by other non-physical environmental considerations, such as food regulations and sociocultural preferences. This study identifies a set of meta-themes that summarize and illustrate the interrelationships between environmental attributes, people’s perceptions, and eating behaviors: a) availability and accessibility are interrelated and only part of the healthy eating equation; b) local food is synonymous with healthy eating; c) local food places for healthy eating help define community identity; d) communal dining (commensality) does not necessarily mean healthy eating; e) rewarding an achievement or celebrating special occasions with highly processed foods is socially accepted; f) food costs seemed to be driving forces in food decisions; g) macro-environmental influences are latent in food decisions. Recognizing the interrelationship among multiple environmental factors may help efforts to design effective community-based interventions and address knowledge gaps on how sociocultural, economic, and political environments intersect with physical worlds.
“…Treatment programmes may unintentionally foster dependence rather than creating autonomous individuals who have the ‘life‐skills’ and emotional control to manage their behaviours and interact with their environment to achieve a healthy weight. Acknowledging the complex ways in which the broader family and social environment shapes adolescents health practices seems critical in maintaining long‐term change, as a focus on individual characteristics and the mobilization of personal resilience seem unlikely to be sufficient when viewed within the context of an increasingly obesogenic environment …”
BackgroundAdolescent obesity is a complex condition involving social, emotional, behavioural and cultural issues.DesignOne‐to‐one interviews and small focus groups with overweight and obese young people were conducted. Qualitative research is an appropriate method to explore the complexity of this issue.Setting and participantsOverweight and obese adolescent's attending a community weight management intervention in South Yorkshire.Main variables studiedInterviews aimed to explore the experiences of obese adolescents and their perspectives towards obesity treatment.ResultsAdolescent's provided detailed accounts of their perspectives on weight gain, alluding to disordered patterns of eating and overeating, reported as being triggered by social and emotional factors, and in particular, bullying. Avoidance of bullying and a desire to integrate socially with peers were key drivers to seek treatment. Young people reported what they should do to lose weight, yet responsibility for successful weight loss and lifestyle change was repeatedly attributed to the treatment received, as opposed to viewing this as a combination of self‐motivation coupled with support provided by friends and family.ConclusionWeight loss programmes need to consider the complex experience of obese young people in their design, focusing on how to implement long‐term lifestyle changes.
“…not consciously considering the type of food consumed in the moment ) also interfered with eating healthfully. This behaviour was common , although some adolescents recognized that eating mindlessly or when bored could contribute to weight gain . Others associated the use of screens (e.g.…”
Section: Barriers: Nutritionmentioning
confidence: 99%
“…Others associated the use of screens (e.g. computer and television) and studying with unhealthy eating , a link that was strengthened by procrastination and perceived stress related to academics . I actually eat a lot more when I'm using my computer than I do [otherwise].…”
Healthy lifestyle behaviours are key to successful weight management, but have proven to be challenging to attain for adolescents with obesity. The purpose of our scoping review was to (i) describe barriers and enablers that adolescents with obesity encounter for healthy nutrition, physical activity, sedentary behaviour and sleep habits and (ii) identify gaps in the literature. We adhered to established methodology for scoping reviews. Six databases were searched (1980-June 2016) for original articles published in English or French that focused on lifestyle behaviours of 13- to 17-year-olds in paediatric weight management. Following screening and data extraction, findings of selected articles were synthesized thematically using a social ecological framework. Stakeholder consultation (n = 20) with adolescents with obesity and health professionals was completed to enhance methodological rigour. Our search yielded 17 articles for inclusion, including 546 unique participants. Barriers to healthy nutrition and physical activity were more consistently related to individual-level and interpersonal-level factors; enablers tended to be linked with interpersonal-level factors. Knowledge gaps identified related to sedentary behaviour and sleep as well as environmental and policy levels of influence. Our review revealed that some barriers and enablers were unique to adolescents with obesity, which were either within or beyond their control. These findings highlight the importance of multilevel interventions to enable healthy lifestyle behaviours for weight management.
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