Optimizing patient education for people with obesity: Possible use of the autobiographical approach

Maldonato, A.; Piana, Natalia; Bloise, Donatella; Baldelli, Alessandra

doi:10.1016/j.pec.2010.02.010

Cited by 9 publications

(4 citation statements)

References 27 publications

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“…Preparation and writing of a book for school pupils aged 7–11 years, family members and teachers, featuring anthropomorphic animal characters who encourage readers to develop an awareness of healthy nutrition, how best to promote healthy nutrition in daily life (according to the nutritional guidelines of the Mediterranean Diet) and the advantages of physical activity and its daily practice. The book, titled L’Orsetto Gigetto e Serp-Jones alle prese con l’educazione a un sano stile di vita , employs both a scientific and a humanistic approach (Bandura, 1977, 1998; Engel, 1977; Greenhalgh and Hurwitz, 1999; Lejeune, 1975; Maldonato et al, 2010) to deepen understanding of the complexity of human learning and change (Prochaska and Di Cleboyste, 1984).…”

Section: Methodsmentioning

confidence: 99%

An innovative school-based intervention to promote healthy lifestyles

Piana

Ranucci

Buratta

et al. 2017

Health Education Journal

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Objective: To describe an innovative school-based intervention to promote healthy lifestyles. To evaluate its effects on children’s food habits and to highlight the key components which contribute most to the beneficial effects obtained from children’s, teachers’ and parents’ perspectives. Design: An educational tool to improve personal awareness, promote healthy food choices and increase children’s levels of physical activity was developed and evaluated. The tool used a community-based approach and included family members, schools, university, families, sports societies, farms, mass media and municipalities. Setting: A total of 11 primary school classes in five schools in Spoleto, Umbria. Methods: The tool dealt with healthy food choices, lifestyle and physical activities and is structured in four phases (4 months). The Kidmed test (a validated index based on principles sustaining Mediterranean dietary patterns as well as those that undermine them) and open-ended questionnaires (to highlight the key components which contributed most to the beneficial effects) were used to assess the effectiveness of the intervention. Kidmed scores were evaluated both before and after intervention (T0–T1) and the written answers collected (from teachers, parents and children) were subjected to content analysis using a form of grounded theory. Results: Data point to a significant before/after increase on Kidmed scores ( t = −3.88; p = .000), revealing an increase in children’s adherence to the Mediterranean Diet, healthy habit changes, greater parental awareness of their educational responsibilities regarding food choices as well as physical activity, and a new school-family alliance as a result of the educational intervention. Conclusion: Project findings reveal positive effects on children’s food habits and highlight key components necessary to enhance the effectiveness of a school-based educational intervention.

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Section: Methodsmentioning

confidence: 99%

An innovative school-based intervention to promote healthy lifestyles

Piana

Ranucci

Buratta

et al. 2017

Health Education Journal

Self Cite

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show abstract

“…Integrating narrative with clinical practice enhances patient inner motivation, self-reflection and self-awareness, re-construction of life stories, resulting in relief and distancing from sad feelings (43). Substantive research in health psychology demonstrates the positive effects of writing on physical and psychological health (44,45).…”

Section: Discussionmentioning

confidence: 99%

Personalizing obesity assessment and care planning in primary care: patient experience and outcomes in everyday life and health

et al. 2018

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SummaryObesity is a complex, chronic disease, frequently associated with multiple comorbidities. Its management is hampered by a lack of translation of evidence on chronicity and pathophysiology into clinical practice. Also, it is not well understood how to support effective provider–patient communication that adequately addresses patients’ personal root causes and barriers and helps them feel capable to take action for their health. This study examined interpersonal processes during clinical consultations, their impacts, and outcomes with the aim to develop an approach to personalized obesity assessment and care planning. We used a qualitative, explorative design with 20 participants with obesity, sampling for maximum variation, to examine video‐recorded consultations, patient interviews at three time points, provider interviews and patient journals. Analysis was grounded in a dialogic interactional perspective and found eight key processes that supported patients in making changes to improve health: compassion and listening; making sense of root causes and contextual factors in the patient's story; recognizing strengths; reframing misconceptions about obesity; focusing on whole‐person health; action planning; fostering reflection and experimenting. Patient outcomes include activation, improved physical and psychological health. The proposed approach fosters emphatic care relationships and sensible care plans that support patients in making manageable changes to improve health.

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“…Since motivation to alter lifestyle is crucial to achieve long-term changes, support and help from personnel during such programs would be important [8]. Many have argued that personnel skills and attitudes should be characterized by trust, respect and acceptance when caring for persons with chronic diseases [22], [23]. Respect has been described as unconditionally recognizing the patient as a valuable person, and as an integral part of health professionals’ work [24].…”

Section: Introductionmentioning

confidence: 99%

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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Optimizing patient education for people with obesity: Possible use of the autobiographical approach

Cited by 9 publications

References 27 publications

An innovative school-based intervention to promote healthy lifestyles

An innovative school-based intervention to promote healthy lifestyles

Personalizing obesity assessment and care planning in primary care: patient experience and outcomes in everyday life and health

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

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