Mandlik Milind, Oetzel John G, Kadirov Djavlonbek
Department of Marketing, University of Auckland Business School, Auckland, New Zealand.
Waikato Management School, University of Waikato, Hamilton, New Zealand.
Health Promot J Austr. 2021 Apr;32(2):274-284. doi: 10.1002/hpja.347. Epub 2020 Apr 30.
One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic.
A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory.
Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors' (participants) engagement in acts of (food-related) consumption practices.
This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. SO WHAT?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly "wrap-around" service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.
21世纪人类健康面临的最大担忧之一是肥胖率不断上升及其对公共资助医疗服务提供的预算影响。本研究首先探讨了与食物相关的消费选择和肥胖后果的多方面性质，随后提出了改进现有干预策略以遏制这一流行病的建议。
通过在新西兰奥克兰大都市区张贴海报邀请，共招募了24名参与者。参与者通过深入的半结构化访谈分享了他们的医疗保健干预计划经历。数据按照建构主义扎根理论的传统进行分析。
分析揭示了各种同时起作用的个体行为和生态介导过程，这些过程由于社会行为者（参与者）参与（与食物相关的）消费行为而导致致胖结果。
本研究有助于说明导致肥胖个体感到挫败或无力的潜在多方面过程，他们明确愿意但无法在生活中实现健康改变。我们希望这项研究将促使医疗保健从业者在构思和实施医疗保健干预计划时采取整体方法。那又如何？：当前的医疗保健干预计划未能为有需要的人实现最佳解决方案。所有未来的计划在部署以客户为中心的干预解决方案时，都需要认识到个人以及生态因素所起的作用。也许这些计划需要一种基于团队的方法来提供真正的“全方位”服务提供策略，而不是目前使用的传统一对一咨询方法。
