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The ups and downs of lifestyle modification: An existential journey among persons with severe obesity.

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Title: The ups and downs of lifestyle modification: An existential journey among persons with severe obesity.
Authors: Toft, Bente Skovsby, Hörberg, Ulrica, Rasmussen, Birgit
Source: Scandinavian Journal of Caring Sciences. Mar2022, Vol. 36 Issue 1, p265-274. 10p. 3 Charts.
Subjects: Obesity, Grounded theory, Activities of daily living, Interviewing, Experience, Phenomenology, Conceptual structures, Research ethics, Hope, Qualitative research, Health behavior, Independent living, Weight loss, Field notes (Science), Judgment sampling, Body mass index, Thematic analysis, Behavior modification
Abstract: Background: Maintaining a healthy living after the end of a lifestyle intervention is a challenge for persons with severe obesity. Measurable outcomes are often emphasised, but there is a need for understanding the process of lifestyle change and the long‐term perspectives among persons with severe obesity. Aim and objective: To describe and deepen the understanding of how persons with severe obesity experience making and maintaining lifestyle changes in everyday life three years after lifestyle intervention. Methodology and methods: The study used a hermeneutic phenomenological approach. A purposive sample of seven adults with BMI ≥ 40 was recruited from a lifestyle intervention programme. Data were generated through individual follow‐up interviews. The analysis was based on theoretical framework on dwelling and mobility. Ethical approvals were received from the Danish Data Protection Agency and the ethical principles of the Declaration of Helsinki were followed. Results: One overarching theme emerged: 'The journey of ups and downs'. Three sub‐themes were: 'Living with and tackling the demands of life's hassles', 'Deliberating the fight for weight loss' and 'Needing a trusted person to feel met as a human being'. Conclusions: Everyday life among persons with severe obesity is experienced as a dynamic process of shifting experiences of dwelling and mobility. Sustained lifestyle changes require ongoing adjustments of action, which healthcare providers can influence in ways that either support or obstruct. Collaboration and a humanised approach across disciplines and sectors are suggested to promote sustained healthy living. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The ups and downs of lifestyle modification: An existential journey among persons with severe obesity.
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Mar2022, Vol. 36 Issue 1, p265-274. 10p. 3 Charts.
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– Name: Abstract
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  Data: Background: Maintaining a healthy living after the end of a lifestyle intervention is a challenge for persons with severe obesity. Measurable outcomes are often emphasised, but there is a need for understanding the process of lifestyle change and the long‐term perspectives among persons with severe obesity. Aim and objective: To describe and deepen the understanding of how persons with severe obesity experience making and maintaining lifestyle changes in everyday life three years after lifestyle intervention. Methodology and methods: The study used a hermeneutic phenomenological approach. A purposive sample of seven adults with BMI ≥ 40 was recruited from a lifestyle intervention programme. Data were generated through individual follow‐up interviews. The analysis was based on theoretical framework on dwelling and mobility. Ethical approvals were received from the Danish Data Protection Agency and the ethical principles of the Declaration of Helsinki were followed. Results: One overarching theme emerged: 'The journey of ups and downs'. Three sub‐themes were: 'Living with and tackling the demands of life's hassles', 'Deliberating the fight for weight loss' and 'Needing a trusted person to feel met as a human being'. Conclusions: Everyday life among persons with severe obesity is experienced as a dynamic process of shifting experiences of dwelling and mobility. Sustained lifestyle changes require ongoing adjustments of action, which healthcare providers can influence in ways that either support or obstruct. Collaboration and a humanised approach across disciplines and sectors are suggested to promote sustained healthy living. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.12985
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 265
    Subjects:
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Grounded theory
        Type: general
      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Phenomenology
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Research ethics
        Type: general
      – SubjectFull: Hope
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Independent living
        Type: general
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Field notes (Science)
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Behavior modification
        Type: general
    Titles:
      – TitleFull: The ups and downs of lifestyle modification: An existential journey among persons with severe obesity.
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            NameFull: Toft, Bente Skovsby
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            NameFull: Hörberg, Ulrica
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            NameFull: Rasmussen, Birgit
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            – D: 01
              M: 03
              Text: Mar2022
              Type: published
              Y: 2022
          Identifiers:
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              Value: 02839318
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              Value: 36
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            – TitleFull: Scandinavian Journal of Caring Sciences
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