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Dietary advice on prescription: experiences with a weight reduction programme

Journal article
Authors Marie Brautigam-Ewe
Marie C Lydell
Jörgen Månsson
G. Johansson
C. Hildingh
Published in Journal of Clinical Nursing
Volume 26
Issue 5-6
Pages 795-804
ISSN 0962-1067
Publication year 2017
Published at Institute of Medicine, School of Public Health and Community Medicine
Pages 795-804
Language en
Links 10.1111/jocn.13532
Keywords experiences, life situation, obesity, primary health care, randomized controlled-trial, risk-factors, obesity, intervention, perceptions, women, overweight, management, adherence, barriers
Subject categories Other Medical Sciences


Aims and objectivesTo describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription. BackgroundApproximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress. DesignThe study used a descriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden. MethodsThe first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis. ResultsThe participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends. ConclusionsTo achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter. Relevance to clinical practiceMotivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.

Page Manager: Webmaster|Last update: 9/11/2012

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