Background: Half of the Danish population is overweight or obese. Obesity can negatively influence health and daily life. The Danish National Board of Health´s guidelines for weight loss programmes to the Danish municipalities, recommends multidisciplinary teams, including occupational therapist, focusing on; diet, exercise, psychosocial aspects, everyday life.Aim: To describe the structure and content of obesity programmes offered by the 98 municipalities in Denmark, including; health professionals, programme recipients, dose, structure, content and the role of occupational therapists.Method: A quantitative content analysis was conducted on 234 published Danish municipal weight loss programmes. Programme descriptions were identified through internet searches using both sundhed.dk and Google.com. Results:Various health professionals conducted the programmes, 5 of these involved occupational therapists. Programmes targeted children, adolescent and adults. Dose, structure and content were heterogeneous. Conclusion:The majority of the programmes were neither evidence-based, nor did they follow recommendations from Danish National Board of Health. Few programmes addressed the role of habits or social participation. Occupational therapists appeared to be under-utilized.Significance: Occupational therapists have a role to play in weight loss programmes, because of their knowledge about occupation, person and environment. These components are included in the recommendations about psychosocial aspects and everyday life from the Danish National Board of Health.
Background: Unsuccessful weight loss or weight loss maintenance is due to different barriers and physical limitations related to participation in everyday life. It will therefore be relevant to investigate the field from an occupational therapy perspective, since occupational therapists are uniquely trained in focusing on people's resources, meaningfulness and participation in everyday life. Aim:The aim was to explore what motivates people to lose weight from an OT perspective and which opportunities people with obesity experience in their everyday lives to achieve and maintain lost weight. Material and Methods:A descriptive phenomenological study including 21 semi-structured individual interviews was conducted as part of the DO:IT study. Results:The data analysis led to the identification of three main themes: The influence of external circumstances on desire for weight loss; use of time in everyday life; and changes in habits, routines and structure. Conclusion:People who are overweight or obese are motivated to lose weight because of health issues and feeling more comfortable with their body. The opportunities for weight loss lie in creating habits, routines and structuring everyday life activities to facilitate a healthier lifestyle. Significance:The findings indicate that an occupational therapist should be part of weight loss interventions.
This systematic review indicates that young Scandinavians consider it a woman's responsibility to obtain and use contraceptives and that young women seeking an abortion on request have little knowledge of their own bodies with respect to fertility and their menstrual cycles. Young Scandinavian women between the ages of 15 and 24 years seeking an abortion on request experience conflicted feelings. They feel both joy and shame about their pregnancies and, during the decision-making process, are torn between the possibility of motherhood and the reasonable and expected choice of abortion that is supported by their parents and friends. The majority of women experience worse-than-expected pain and discomfort in connection with the abortion procedure. The approach of healthcare staff to women's physical needs is described as good and professional, but there is little or no focus on the women's emotional and existential needs. After abortions on request, young women express ambivalence: relief that the pregnancy has been terminated, coupled with a feeling of loss. Some suffer from guilt and some express regret.
The present review shows that two factors enhance elderly people's wellbeing: first, variation and independence in undertaking activities; second, having a choice between the occupations and a structure of activities that make up daily life. The two factors are influenced by a balance between having activities alone and with others. This review is not intended to identify specific occupations that enhance elderly people's wellbeing, but rather to indicate which types of occupations enhance the wellbeing of the elderly, and provide value and meaning to their daily lives.Both the dependability and the credibility of the studies have been rated as moderate.
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