Riiser Kirsti, Løndal Knut, Ommundsen Yngvar, Misvær Nina, Helseth Sølvi
Oslo and Akershus University College of Applied Sciences, Norway; Norwegian School of Sport Sciences, Norway
Oslo and Akershus University College of Applied Sciences, Norway.
Nurs Ethics. 2015 Mar;22(2):237-47. doi: 10.1177/0969733014524761. Epub 2014 Apr 8.
There are important ethical issues to be examined before launching any public health intervention, particularly when targeting vulnerable groups. The aim of this article is to identify and discuss ethical concerns that may arise when intervening for health behavior change among adolescents identified as overweight. These concerns originate from an intervention designed to capacitate adolescents to increase self-determined physical activity. Utilizing an ethical framework for prevention of overweight and obesity, we identified three ethical aspects as particularly significant: the attribution of responsibility for health behavior, liberty to choose, and the effect on the participants' psychosocial well-being. It is discussed whether and how measures can be taken to deal with these aspects. It seems evident that the ethical aspects are mainly concerned with the vulnerability of adolescents identified as overweight. However, we claim that when individual feedback and counseling is provided, tailored interventions have a unique potential to empower adolescents to make ethically anchored decisions about their own health behavior.
在开展任何公共卫生干预措施之前，都有一些重要的伦理问题需要审视，尤其是在针对弱势群体时。本文的目的是识别并讨论在对被认定为超重的青少年进行健康行为改变干预时可能出现的伦理问题。这些问题源自一项旨在使青少年有能力增加自主身体活动的干预措施。利用一个预防超重和肥胖的伦理框架，我们确定了三个特别重要的伦理方面：健康行为责任的归属、选择的自由以及对参与者心理社会福祉的影响。文中讨论了是否以及如何采取措施来应对这些方面。显然，伦理方面主要涉及被认定为超重的青少年的脆弱性。然而，我们认为，当提供个人反馈和咨询时，量身定制的干预措施具有独特的潜力，能够使青少年有能力就自身健康行为做出符合伦理的决策。
