A qualitative study of the determinants of dieting and non-dieting approaches in overweight/obese Australian adults.
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18/12/2012
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Resumo |
Background Dieting has historically been the main behavioural treatment paradigm for overweight/obesity, although a non-dieting paradigm has more recently emerged based on the criticisms of the original dieting approach. There is a dearth of research contrasting why these approaches are adopted. To address this, we conducted a qualitative investigation into the determinants of dieting and non-dieting approaches based on the perspectives and experiences of overweight/obese Australian adults. Methods Grounded theory was used inductively to generate a model of themes contrasting the determinants of dieting and non-dieting approaches based on the perspectives of 21 overweight/obese adults. Data was collected using semi-structured interviews to elicit in-depth individual experiences and perspectives. Results Several categories emerged which distinguished between the adoption of a dieting or non-dieting approach. These categories included the focus of each approach (weight/image or lifestyle/health behaviours); internal or external attributions about dieting failure; attitudes towards established diets, and personal autonomy. Personal autonomy was also influenced by another category; the perceived knowledge and self-efficacy about each approach, with adults more likely to choose an approach they knew more about and were confident in implementing. The time perspective of change (short or long-term) and the perceived identity of the person (fat/dieter or healthy person) also emerged as determinants of dieting or non-dieting approaches respectively. Conclusions The model of determinants elicited from this study assists in understanding why dieting and non-dieting approaches are adopted, from the perspectives and experiences of overweight/obese adults. Understanding this decision-making process can assist clinicians and public health researchers to design and tailor dieting and non-dieting interventions to population subgroups that have preferences and characteristics suitable for each approach. |
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application/pdf |
Identificador | |
Publicador |
BioMed Central |
Relação |
http://eprints.qut.edu.au/56666/1/56666.pdf DOI:10.1186/1471-2458-12-1086 Leske, Stuart, Strodl, Esben, & Hou, Xiang-Yu (2012) A qualitative study of the determinants of dieting and non-dieting approaches in overweight/obese Australian adults. BMC Public Health, 12, pp. 1086-1099. |
Direitos |
Copyright 2012 BioMed Central |
Fonte |
Faculty of Health; Institute of Health and Biomedical Innovation; School of Psychology & Counselling; School of Public Health & Social Work |
Palavras-Chave | #170106 Health Clinical and Counselling Psychology #Diet; Dieting; #Non-dieting #Qualitative #Grounded Theory #Overweight #Obesity #Adults |
Tipo |
Journal Article |