McGill Bronwyn, O'Hara Blythe J, Phongsavan Philayrath, Bauman Adrian, Lawler Luke, Grunseit Anne C
The University of Sydney, Sydney School of Public Health, Prevention Research Collaboration, Charles Perkins Centre, Camperdown, NSW 2006, Australia.
The Australian Prevention Partnership Centre, 235 Jones Street, Ultimo, NSW 2007, Australia.
Healthcare (Basel). 2020 Jan 16;8(1):21. doi: 10.3390/healthcare8010021.
Qualitative evidence of participants' experiences of real-life weight loss maintenance programs is important for ongoing participant engagement and can inform program improvements. The purpose of this study was to understand how participants account for their engagement with a weight loss maintenance program and the role of the program in their weight management. A qualitative study using semi-structured interviews with 17 participants of a weight loss maintenance program was conducted; common themes were identified using a thematic inductive approach. Many participant narratives incorporated recurrent descriptions of their program experiences as a weight management journey. Our analysis generated four themes: returning to real life as a threat, the personal responsibility imperative, the program supporting agency and the program supporting self-regulation. The program, which provides external support and strategies, overlapped with the context of returning to real life and the personal responsibility imperative. Participant accounts of their journey at this intersection include the program supporting both agency and self-regulation which influences ongoing weight management. The interplay between themes identified and the maintenance program services allows compatibility between participants' sense of personal responsibility and the program components to help participants to 'stay on track' or 'get back on track'. In providing sufficient structure, opportunities to revisit successful strategies, and accountability, participants are empowered to overcome real-life threats and make positive health choices.
参与者在现实生活中维持体重计划体验的定性证据，对于持续吸引参与者参与并为计划改进提供信息非常重要。本研究的目的是了解参与者如何说明他们参与体重维持计划的情况，以及该计划在他们体重管理中的作用。我们对一个体重维持计划的17名参与者进行了半结构化访谈的定性研究；采用主题归纳法确定了共同主题。许多参与者的叙述都反复描述了他们将计划体验视为体重管理之旅。我们的分析产生了四个主题：回归现实生活作为一种威胁、个人责任的必要性、计划支持自主性以及计划支持自我调节。该计划提供外部支持和策略，与回归现实生活的背景和个人责任的必要性相重叠。参与者在这个交叉点上对他们旅程的描述包括该计划既支持自主性又支持自我调节，这会影响持续的体重管理。已确定的主题与维持计划服务之间的相互作用，使得参与者的个人责任感与计划组成部分之间具有兼容性，以帮助参与者“保持正轨”或“重回正轨”。通过提供足够的结构、重新审视成功策略的机会以及问责制，参与者有能力克服现实生活中的威胁并做出积极的健康选择。
