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Pauline, Jeffrey Scott. "Lifestyle management the effects of an intensive lifestyle management course on behavioral, psychological, physiological, and psycho-behavioral factors /." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=1897.
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Thesis (Ed. D.)--West Virginia University, 2001.<br>Title from document title page. Document formatted into pages; contains xiii, 178 p. : ill. Includes abstract. Includes bibliographical references (p. 124-136).
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Thomas, Tara. "Lifestyle management in the reversal of atherosclerosis." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1506.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Nursing<br>Nursing
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Sharifonnasabi, Zahra. "Transnational consumer lifestyle and social movements." Thesis, City, University of London, 2018. http://openaccess.city.ac.uk/20826/.
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My research interest is to understand consumer behavior related to transnationalism. In this dissertation, I address three questions concerning consumption and transnationalism. First, I situate transnationalism within the extensive body of work in consumer culture theory on globalization. Second, I examine one aspect of transnationalism: transnational consumer lifestyle that characterizes the lifestyle of individuals who simultaneously work and/or live in multiple countries (Glick Schiller et al. 1999). This is an interesting context to re-examine important consumer behavior phenomena, including consumer acculturation, relationship to home in contemporary globalization, and the role of consumption in managing a fragmented and multicentered life. Third, I examine another aspect of transnationalism: transnational consumer movement facilitated by transnational digital spaces. Transnational digital spaces, such as social media platforms, facilitate connections between activists, transnational news agencies, and political and social figures and institutions across borders and have the potential to empower some consumers, specifically those in totalitarian societies. I believe these are important phenomena that shape contemporary global consumer culture, but they have received little attention in consumer research thus far.
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Davis, D. "Lifestyle self-management experiences of South Asians post myocardial infarction." Thesis, University of Salford, 2018. http://usir.salford.ac.uk/45107/.
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Background: Coronary heart disease is the biggest killer in this country. South Asians carry the burden of increased incidence and prevalence and have poorer outcomes after a MI than the general UK population. Reviews have shown lifestyle modification including physical activity, healthy diet and smoking cessation, alters the course of heart disease and reduces recurrences crystallising its significance as a cost-effective public health strategy to reduce the rising burden of this disease. There are lacunae of knowledge as to what constitutes to guarantee a therapeutic lifestyle modification for better health outcomes in the South Asian community. Aim: To explore the self-management experience of South Asians after a heart attack. Method: Pioneering of its kind, this study used a grounded theory approach to elucidate how South Asians navigate these lifestyle changes. Two phase interviews at 2 weeks and 8 weeks of discharge, were conducted with 14 participants who were newly diagnosed with heart attack - from 2015 to July 2016. Results: Theoretical categories were developed through constant comparison and theoretical sampling – these were 'patronage of the family, affinity towards one's group and conforming to the religious and health (causal) beliefs'. Discussion: By providing a unique insight that choosing and prioritising lifestyle style changes is not an 'individual act', but a 'shared act', a case for 'shared efficacy' is made. The concept of 'shared efficacy' as an essential strategy to enhance an individual’s ability to make meaningful choice, is showcased. The novel presentation of making and maintaining lifestyle choices as a 'conflict resolution strategy' with the aim of 'maintaining harmony' among South Asians calls for a ‘harmony model’ to deal with diagnosis of heart attack and subsequent lifestyle changes. This proposed harmony model homes in on a family centred approach, where there is an 'awareness' of the family's needs, an 'appreciation' of the cardiac patient’s religious and causal beliefs as well as an 'acknowledgement' of their cultural priorities, in self-management programmes. 'Conclusion:' Migrant South Asians across the globe have an increased propensity to this disease. The findings contribute to the development of supporting negotiating strategies by capturing concepts that crystallise the significance of lifestyle self-management. To alleviate the burden, there is a need for ethno-sensitivity rather than an ethnocentricity in the delivery of services. This calls for a move from cultural competence to cultural intelligence.
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Clark, Maria C. M. "Lifestyle self-management intervention in patients with type 2 diabetes." Thesis, University of Surrey, 2001. http://epubs.surrey.ac.uk/843773/.
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The studies reported in this thesis sought to explore two major areas of concern in the care of the obese patient with type 2 diabetes: 1) the development and evaluation of a brief, effective intervention to improve lifestyle self-management in patients with type 2 diabetes and 2) differences in diabetes-related attitudes and beliefs of health care professionals and patients with type 2 diabetes that may have a negative impact on diabetes-related outcomes and intervention implementation and effectiveness. To address these issues, two studies were conducted. The first was a randomised controlled trial of a brief intervention to improve lifestyle self-management in patients with type 2 diabetes. One hundred patients aged between 40-70 years were recruited at a Diabetes Centre. Participants completed full questionnaire and physiological assessments at four time points, baseline, 3 months, 6 months and 1 year. A personalised self-management plan was developed with participants in the intervention group who also received follow-up telephone calls at 1 week, 3 weeks and 7 weeks post initial assessment. The second study was a comparison of patients' and health care professionals' diabetes beliefs and attitudes. One hundred and four health care professionals and 100 of their patients completed questionnaires assessing diabetes-related beliefs and attitudes. In addition, the 100 patients in the lifestyle intervention study also participated in this study, in order to test the hypothesis that patients with type 2 diabetes will regard their own diabetes as less serious compared to diabetes in general. Key findings from the randomised controlled trial suggest that the intervention was successful in helping patients in the intervention group to reduce their fat intake and increase their lifestyle physical activity levels. These self-reported changes in behaviour were reflected in the objective data with weight maintenance in the intervention group compared to the control group, together with a reduction in waist circumference but did not translate into improvements in the other physiological measures. A striking finding from the comparison of patients' and health care professionals' diabetes beliefs and attitudes study was that health care professionals viewed type 2 diabetes as more serious than their patients, and participants in the intervention study viewed their own diabetes as a less serious condition compared to the seriousness of type 2 diabetes in general. A majority of the health care professionals considered diabetes harder to treat compared with other chronic conditions and felt that they did not have adequate time and resources to treat their patients with diabetes effectively. The implications of the above for future research and practice were discussed.
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Pavel, Dana Mihaela. "MyRoR : towards a story-inspired experience platform for lifestyle management scenarios." Thesis, University of Essex, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.605562.
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The lifestyle management area has become increasingly important during the past years due to the present as well as the expected impact on healthcare systems created by people living longer and with various chronic conditions. The work described in this thesis is motivated by an individual and societal drive towards empowering individuals with knowledge and technological means in order to increase self-awareness and lead to better self-management of personal wellbeing. However, lifestyles are complex and evolving, therefore when we build systems aimed at this area it is not enough to only focus on certain aspects of users' lives. Instead, we need to take a more holistic and long-term view of what is important and try to capture as many aspects of people's lives as possible. By doing this we can move from focusing on what happened towards why it happened and better support users in self-awareness, self-understanding, self-reflection and, ultimately, self-change. There is a lot of value in the information we generate through our daily interactions with computing devices. This thesis presents the work I performed towards creating MyRoR, an experience platform aimed at lifestyle management scenarios. At the core of this work is a novel story-inspired paradigm for correlating, abstracting, presenting and sharing multi-faceted user information through a dynamic and adaptive creation process. The main contributions of this work consist of: (1) a design framework and realisation of a novel story-inspired paradigm for modelling, organising and presenting information within a lifestyle management system; (2) a design framework, architecture and realisation of a multi-parametric experience platform for lifestyle management scenarios that can capture varied information, store it, model it, process it, correlate it and present it to an end user at various levels of abstraction; (3) valuable user-level in sights into experiencing such systems in order to create self-understanding and support self-reflection.
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Kantor, Linda Sara. "Lifestyle and personality changes of participants on a commercial stress management programme." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13479.
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Bibliography: leaves 89-101.<br>The lifestyle and personality changes of 61 participants after a five day stress management programme were assessed. A pre-and post-programme lifestyle questionnaire was developed to investigate changes in areas covered on the programme: nutrition, fitness, health beliefs and behaviour, relationships, work life and coping resources. Participants were requested to complete this questionnaire before the course, and a follow-up questionnaire three weeks and six months after the course. Personality variables measured were Locus of Control, Sense of Coherence, and Type A behaviour. These variables were assessed prior to the course and at the six month follow-up. The effect of these personality variables on lifestyle and lifestyle change was examined. Three weeks after the course, significant changes in the self-reported lifestyle measures of nutrition, health beliefs and behaviour, and fitness were found. From the pretest to the six-month follow-up, significant changes in nutrition, health beliefs and behaviour, and relationships were found. The majority of delegates reported positive attitudes towards goals set on the course after three weeks and six months. No change was demonstrated in personality variables from the pre-test to six months after the course. No relationship was found between personality variables and lifestyle or lifestyle change. Implications for future evaluations, and for stress management programmes in general are highlighted.
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Foote, Alexander Gavin. "Contemporary commercial music (CCM) singers| Lifestyle choices and acoustic measures of voice." Thesis, State University of New York at Buffalo, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1594707.
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<p> Contemporary commercial music (CCM) singers may be at a high risk for voice damage due to their increased vocal demands and the chronic exposure to chemical irritants associated with unhealthy lifestyle choices. Continuous mechanical damage, confounded with chemical trauma, has detrimental effects on the biomechanical properties of the vocal folds. Prior research on CCM singers has been limited, with efforts focused on physiologic aspects of voice production. The objective of the study was to report on the lifestyle choices of CCM singers and evaluate their vocal abilities according to healthy vs. unhealthy profile status via acoustic analyses as well as auditory perceptual assessments. The second objective was to evaluate if there were differences in lung volume associated with healthy vs. unhealthy lifestyle profiles. </p><p> Thirteen CCM singers participated in the study where they were assigned to either a healthy or unhealthy lifestyle vocal profile. Acoustic analyses of sound pressure level (SPL), signal-to-noise ratio (SNR), fundamental frequency (F0), and jitter/shimmer were collected during a prolonged singing /i/ in isolation as well as a singing /i/ in context of the “Star Spangled Banner” at three different vocal intensities <i>(low, comfortable, high)</i>. Lung volume was recorded via a vital capacity maneuver. Voice recordings were then rated via an auditory perceptual assessment (CAPE-V). Results were compared with a Wilcoxon rank-sum test. </p><p> Differences with regard to group trends were observed across all dependent measures. SNR median values for unhealthy singers were significantly lower in both singing tasks during <i>low</i> vocal intensity (p<0.05), with differences approaching significance found during prolonged singing /i/ in isolation at <i>comfortable</i> vocal intensity (p<0.10). F0 analysis noted significantly lower median values for unhealthy singers during isolated /i/ productions at <i>low</i> vocal intensity (p<0.05). Jitter analysis among unhealthy singers showed significantly higher median values during isolated /i/ productions at <i>comfortable</i> vocal intensity (p<0.05), with differences approaching significance found during singing /i/ in context at <i>low</i> vocal intensity (p<0.10). Shimmer analysis among unhealthy singers showed significantly higher median values during isolated /i/ productions at low and comfortable vocal intensity (p<0.05), with differences approaching significance found during singing /i/ in context at low vocal intensity (p<0.10). Unhealthy singers showed lower vital capacity as compared to healthy singers, however results were nonsignificant (p>0.05). Auditory perceptual assessment of voice was perceived to be essentially normal for all participants regardless of healthy versus unhealthy profile status. </p><p> The findings provide a descriptive profile of contemporary commercial music singers and contribute to the existing literature on the harmful effects of exposure to cigarette smoke on voice production. Unhealthy singers displayed significant acoustic differences most often observed in <i>low</i> vocal intensity conditions, which suggest a decreased vocal ability. This may be explained by their repeated exposure to chemical irritants (i.e. cigarette smoke) and possible phonotrauma, causing changes in the biomechanical properties of the vocal folds. Given the disparity between acoustic measures and auditory perceptual assessment, it was concluded that the biomechanical changes might be in the early onset and suggest future voice difficulties.</p>
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Cheung, Chi Fai. "A lifestyle analysis and price perception of a segment of Macau generation Y." Thesis, University of Macau, 2003. http://umaclib3.umac.mo/record=b1636704.
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Berryman, Barbara Michelle Swindell. "Design of a cardiac fitness and lifestyle management tool for phase III cardiac rehabilitation patients." Thesis, Georgia Institute of Technology, 2002. http://hdl.handle.net/1853/23732.
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Jones, Ashley May. "Improving the Management of Obesity in a Rural Community." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/594400.
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Background: Nearly half of the US population is overweight or obese, carrying with them a higher risk for morbidity and mortality and rising healthcare costs. Rural women are disproportionately affected, with higher rates of obesity, obesity-related chronic diseases, and poorer health outcomes (Befort, Nazir, & Perri, 2012; Penney, Rainham, Dummer & Kirk, 2014). There may be several factors. In general, rural health systems are more isolated, with a lack of healthcare resources including quality providers, technology, and public health services (IOM, 2009). Purpose: The purpose of this quality improvement project was to assess how obesity is managed in women residing in one rural community - Ritzville, Washington. Methods and Aims: Charts of all women ≥ 18 years of age receiving care at Hometown Family Medicine clinic (HTFM) were queried for a diagnosis of obesity. The prevalence of obesity in this group was calculated. Of those identified as obese, thirty charts were selected at random and reviewed. The following was determined: 1) Prevalence of chronic disease in adult women who receive care at HTFM; and 2) The management of obesity at HTFM compared with current evidence-based guidelines. This was followed by a community assessment to determine the resources available for the prevention and treatment of obesity in Ritzville, WA. Results: The prevalence of obesity (36.9%) and chronic diseases (hypertension, diabetes type 2, dyslipidemia, and heart disease) in the population studied were found to be significantly higher than both state and national averages. Due to a lack of basic resources, (access to weight loss specialties, exercise facilities, healthy foods, etc.) management of obesity in Ritzville, WA may be challenging. Findings from this study helped to inform resource allocation and identified opportunities to improve the management of obesity based on current practice guidelines. Primary health care may be the only opportunity to promote healthy behaviors and improve health outcomes in this vulnerable population. Action needs to be taken or the burden of obesity will continue to rise.
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Åkerlund, Ulrika. "The Best of Both Worlds : Aspirations, Drivers and Practices of Swedish Lifestyle Movers in Malta." Doctoral thesis, Umeå universitet, Kulturgeografi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-82972.
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It has often been claimed that contemporary societies are shaped by globalization; the rapid interconnections of societies, economies, markets, flows and information potentially linking all places in the world to each other. In search for experiences, variation, escape or comfort, individuals are travelling, circulating, and migrating between places, challenging the notions of ‘home’ and ‘away’, ‘everyday’ and ‘extraordinary’. This thesis addresses the ways lifestyle-led mobilities are produced and performed, by studying the mobility trajectories and experiences of Swedes dividing their time seasonally between Sweden and Malta. It explores how movers are faced with a structural framework that both facilitates and directs their choices concerning mobility, and how they interpret and respond to these structures. It also explores the imaginaries, meanings, and feelings for place, identity, and lifestyle that the movers negotiate through their mobility practices and through the links they create and sustain in places. Thus, this thesis is situated in an evolving field of research on lifestyle mobilities. Lifestyle mobilities are here defined as those mobility practices undertaken by individuals based on their freedom of choice, of a temporal or more permanent duration, with or without any significant ‘home base(s)’, that are primarily driven by aspirations to increase ‘quality of life’, and that are primarily related to the individuals’ lifestyle values. The thesis is based on four individual papers exploring different aspects lifestyle mobility. The aim is to understand how production and performance aspects of lifestyle mobilities are related, and how notions of identity and belonging are negotiated in relation to lifestyle mobility practices. The production aspect relates to those structures and frameworks that create, facilitate, or sometimes delimit opportunities for lifestyle mobility while the performance aspect focuses on individual agency and meaning of lifestyle mobility practices. The studies are based on in-depth interviews with Swedish movers in Malta, and focus on how structural frameworks and mediations influence the ways that movers manoeuvre, manipulate or adapt to structures and influences in order to arrange their life context to achieve ‘quality of life’. A second aim focuses on the ways that movers reflect upon their identities and belongings as they travel routinely between two (or more) significant places, and how this may influence mobility practices. It is concluded that structures and mediations are both facilitating and delimiting movers’ space of choice regarding mobility decisions. Through their agency, movers negotiate their space of choice by allocating resources and experience, accessing supportive networks and tailoring their access to entitlements. The production and performance aspects of lifestyle mobility practices are interlinked in complex ways.
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Golley, Rebecca Kirsty, and rebecca golley@gmail com. "FAMILY-FOCUSED MANAGEMENT OF OVERWEIGHT IN PRE-PUBERTAL CHILDREN A RANDOMISED CONTROLLED TRIAL." Flinders University. Medicine, 2006. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20061018.021848.
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Over a quarter of children and two thirds of adults in Australia are overweight, with these estimates reflecting global trends. The literature review in Chapter 1 highlights that treatment of childhood overweight is an important part of the public health approach required to address the obesity epidemic. Energy moderation, behaviour modification and family support are the cornerstones of treatment of childhood overweight. However the evidence to guide best practice is limited, with a call being made for well designed studies to inform age-appropriate effective, long term child weight management. Studies are needed in a range of populations and to assess a range of health outcomes. This thesis tested the hypothesis that, pre-pubertal children whose parents participate in a parent-led, family-focused child weight management intervention comprising parent skills training and intensive lifestyle education will have adiposity, metabolic profiles and indicators of physical and psychosocial functioning after 12 months that are a) improved compared to children wait listed for intervention and b) no different to children whose parents participate in parenting skills training alone (without intensive lifestyle education).
Methods of the randomised controlled trial undertaken with 111 overweight, pre-pubertal 6-9 year olds to test this hypothesis are detailed in Chapter 2. Parents were defined as the agents of change, responsible for attending intervention sessions and implementing family-focused lifestyle change to support child weight management. Two interventions, both utilising parenting skills training, but differing in the presence or absence of intensive lifestyle eduction were compared to a group waitlisted for intervention with a brief pamphlet. Program effectiveness was defined in terms of adiposity together with broader health and evaluation outcomes.
Chapter 3 describes the study population, their flow through the study, the primary outcome BMI z score and waist circumference z score. With parenting plus intensive lifestyle education there was a 10% reduction in BMI z score over 12 months. However this was not statistically different to the 5% reduction observed with parenting alone or intervention waitlisting. There was a significant reduction in waist circumference between baseline and 12 months with parenting alone and parenting plus lifestyle education, but not waitlisting. There was a group, time and gender interaction, with boys receiving intervention having greater reductions in adiposity. In determining intervention effectiveness, growth, metabolic profile and psychosocial outcomes are presented in Chapter 4. While there were limited improvements in metabolic profile and body dissatisfaction, significant improvements were observed in parent-perceived HR-QOL relating to psychosocial and family functioning. Improvements were confined to the intervention groups, parenting plus lifestyle education more than parenting alone. Chapter 5 presents the study process and impact evaluation. Parents were satisfied with the program and reported that it provided the type of help they wanted. Personal, rather than program factors such as work and family commitments limited intervention attendance to 60%. Child health behaviours and parental weight status show positive change in all groups, but favour intervention. Chapter 6 highlights key findings, study strengths/limitations and areas for further research. In conclusion, a parent-led family-focused intervention utilising parenting skills training and healthy family lifestyle is a promising intervention for young overweight children.
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Metwally, Ayman H. "The effect of the congruence between the individual lifestyle and the organisation structure on job satisfaction." Thesis, Southampton Solent University, 2002. http://ssudl.solent.ac.uk/623/.
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Theoretical and empirical relationships between the individual's lifestyle, organisational characteristics and job satisfaction have received considerable attention in the literature. Typically, contingency models of organisational behaviour have related job satisfaction to the interaction of the socio-personality characteristics of individuals and the internal characteristics of the organisation (structure). The purpose of this study is to test the hypothesis that individual lifestyle interacts with organisational structure to influence the change in job satisfaction. In addition, the study tries to compare the predictive power of "subtractive" and "multiplicative" contingency and non-contingency models of job satisfaction. Specifically, interested in testing the hypothesis that the congruence between the individual lifestyles and perception of the internal characteristics of the organisation (structure) will account for significantly more variance in individual job satisfaction than any singe predictor of these same variables.
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Alexander-Cooper, Julie. "Overweight, obesity and weight management." Thesis, Loughborough University, 2009. https://dspace.lboro.ac.uk/2134/26229.
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There is significant research evidence to demonstrate that physical activity can produce weight loss, weight maintenance and positive health effects in the overweight and obese. However, it can be difficult to get this population sufficiently active to achieve these benefits. This thesis reports on a series of studies that explore physical activity used alone and in conjunction with other weight management strategies. The primary aim was to gain a greater understanding about how weight loss and continued long term weight maintenance could be achieved. The first study was a systematic review on the dose of physical activity associated with weight loss and weight maintenance, it investigated if the current treatment dose was appropriate. The findings correlated with the recently published new CDC guidelines. In the second study, semi-structured interviews were employed to explore the attitudes and experiences of overweight and obese individuals towards weight loss and health. It was reported by participants that they prefer autonomy and personalisation to tailor weight loss and health strategies to their own lifestyles. It was also found that their knowledge base was confused and outdated. In the final study, a sample of overweight and obese adults took part in participatory action research with the aim to design and assess their own weight management programme. A multi-strategy weight management programme emerged that could be tailored to individual lifestyle. Tips and ideas were also devised to aid weight maintenance. This thesis found that the overweight and obese appeared to favour a multi-strategy weight management intervention that could be incorporated, personalised and tailored to their everyday lives. Physical activity (that was enjoyable, lifestyle or accomplished through accumulated bouts), dietary changes, education/improved knowledge base, support and weight monitoring all appeared to be important factors to aid weight management.
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Robson, Martine. "Couples' management of lifestyle change in health and after coronary heart disease : a Foucauldian-Deleuzian approach." Thesis, Aberystwyth University, 2017. http://hdl.handle.net/2160/e996fe98-0287-4fbc-a7e4-f0c76c279160.
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Non-communicable diseases, such as coronary heart disease (CHD), are the leading cause of death globally, and their link to lifestyle behaviours has led to national and global investment in healthy-lifestyle promotion. Located within the logic of neoliberal governance, health promotion constructs healthy lifestyle as a matter of individual responsibility and choice. Critical research identifies the potential for judgement and blame through this individualistic construction, suggesting an alternative framework is needed. But there is a gap in critical health research that considers how dominant health discourses are negotiated by couples. In contrast, mainstream health psychology research identifies intimate relationships as important mediators of health benefits. But findings are inconclusive, and indicate that wider social factors may contribute to the complexity of couples’ health behaviours. Drawing these two literatures together, this thesis aimed to explore couples’ management of individualistic and pervasive healthy lifestyle advice. In developing a theoretical framework that accounted for the complexity of couples’ health behaviours, it also aimed to provide an affirmative alternative to the logic of blame. To meet these aims, people in long-term relationships were interviewed about lifestyle and lifestyle change, both in the absence of diagnosed illness (Study 1), and after a diagnosis with CHD (Study 2). Their talk was analysed using a novel poststructuralist theoretical framework that combined Foucauldian Discourse Analysis (FDA) with Deleuzian concepts of affect, assemblages, and time. Study 1 was designed to identify key issues in participants’ talk about healthy living within relationships and test the analytical framework. In individual semi-structured interviews with seven people (five women and two men), participants extended neoliberal discourses of individual health responsibility to encompass their partners. Within this joint endeavour there were three discourses: ‘weight ... is a relationship thing’, in which participants’ negotiated distinct but parallel discourses of appearance and health; ‘risky relationships’, in which they constructed healthy lifestyle as joint risk management; and ‘drift back into comfortableness’, which built an account of healthy lifestyle as fluid, effortful and short term. The salience of health led to the exploration of how couples negotiate lifestyle advice in the context of illness. Study 2 was a substantial, longitudinal qualitative project with 22 people (nine couples and four men in long-term relationships who chose to participate alone), recruited within two weeks of a partner receiving a new diagnosis of CHD, and interviewed once a month for three months, creating a total of 37 interviews. Using FDA with Deleuzian concepts, three main discourses were identified: ‘Ideal health citizens, ideal partners’, in which couples’ negotiated conflicting norms of ideal coupledom and responsible health citizenship; ‘expert patients, expert partners’, where couples managed competing knowledges and ensuing power relations; and ‘multiple temporalities of lifestyle change’, where couples referred to multiple time-frames or durations of illness, recovery, and ageing which afforded acceptance, stoicism, and the assertion of values other than the narrow pursuit of health through healthy lifestyle. The novel contributions of this thesis include the following: A reconceptualization of ‘technologies of the self’ meant that couples’ joint practices could be understood as work on both self and other to produce desired subject positions, and revealed that imperatives of health can transgress relationship norms. Far from always being in alignment, ideals of coupledom could compete and conflict with those of good health citizenship. The thesis also contributed a novel understanding of how couples’ co-construction of risk through multiple experiential and expert knowledges produced intricate power relations. Finally, this thesis developed the field with an original application of Deleuze’s notion of time to couples’ talk of multiple and fluid temporalities of illness, recovery, and health could work for or against engagement in lifestyle change. In health psychology literature, intimate relationships are assumed to be protective and supportive of health, but the thesis indicated that couples’ joint management of lifestyle increases complexity and therefore possibilities for both affirmative and negative experiences. The Foucauldian-Deleuzian approach successfully engaged with the complexity and dynamism of couples’ health negotiations, offering an affirmative and ethical perspective on couples’ management of lifestyle advice and change that has valuable implications for future research and practice.
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Mohamad, Hamdan bin. "Design and outcomes of a lifestyle intervention for weight management in men treated for prostate cancer." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=227593.
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Prostate cancer is the most common cancer in men in the United Kingdom. Recent studies suggest that obesity is associated with prostate cancer aggressiveness and higher recurrence rates after treatment. Prognosis may therefore be improved by maintaining healthy weight but research on weight management is relatively scarce. Therefore a weight management programme was designed for prostate cancer patients and a pilot feasibility trial conducted with the aim to evaluate the compliance and effectiveness. Three preliminary studies; a systematic review, a questionnaire survey and qualitative research among patients and their partners, were carried out to inform the optimal design and delivery of the intervention. To identify effective components of the intervention, 778 titles and abstracts were screened in a systematic review. Twenty randomised controlled trials were included in the final review which consisted of six diet interventions, eight exercise interventions and six combined diet and exercise interventions. 256 men completed a mailed questionnaire survey and 48 participants (34 men and 14 partners) participated in six focus group discussions. This mixed-methods research informed the choice of the components, setting and mode of delivery of the intervention. A pilot feasibility study using a two arm randomised controlled trial design compared change in weight and quality of life (QoL) between a 12 week package of a group session, consultant's encouragement letter, monthly individual telephone-based dietitian-led consultations, web-based self-help resources, and pedometer in the intervention group and no intervention in a wait-list control group. 286 men with localized and locally advanced prostate cancer from UCAN (Urology CANcer Charity) Care Centre database were invited to participate of whom 95 responded. Sixty-two eligible men were randomly assigned to intervention (n=31) or wait-list control group (n=31) using minimisation on age, BMI and time since diagnosis. One man in the intervention group and three in the control group withdrew before baseline data collection. Another four men in the intervention group cannot be accommodated into the group schedule. The mean age of the remaining 54 participants at enrolment was 65.5 years (SD 5.6), mean weight 88.9 kg (SD 11.7), BMI 29.6 kgm-2 (SD 2.9) and QoL score 76.6 points (SD 19.0), with no significant difference between the two groups. At 12 weeks, the weight change in the intervention group was greater than in the wait-list control group with a significant group difference of −2.13 kg (95% CI −3.50 to −0.76 kg); p=0.003. The general QoL score change in the intervention group was also greater than in the wait-list control group with a significant group difference of +11.9 points (95% CI 4.6 to 19.2); p=0.002, after adjustment for baseline age, BMI and time since diagnosis. Over weeks 13-24, the intervention group continued to lose weight with a median (IQR) weight change of −1.25 (−3.45, 0.38) kg, which contributed to the overall weight change of −3.40 kg (95% CI −5.27 to −1.53 kg); p=0.001, from week 0-24. The wait-list control was offered a lower-cost mini-intervention of a consultant's encouragement letter, pedometer and the access to the same self-help resources of the weight management programme, but no group meeting or dietetic consultation, from week 13-24. Over this period, the mini-intervention group had a significant weight loss with a weight change of −2.37 kg (95% CI −3.24 to −1.50 kg); p=<0.001. There was no significant change in general QoL or any individual functional or symptom scales in either the intervention or wait-list control group from 12 to 24 weeks. This study can contribute to the future work in this new area which could help to improve clinical outcome in men treated for prostate cancer and inform clinical practice.
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Brinson, David Raymond. "The Self-Management of Type 2 Diabetes: changing exercise behaviours for better health." Thesis, University of Canterbury. Health Sciences, 2007. http://hdl.handle.net/10092/1409.
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New Zealand is currently in the midst of a diabetes epidemic and it has become clear that the increasing prevalence of obesity and a sedentary lifestyle are inextricably linked to this escalating health crisis. Extensive research has long made clear that people of all ages can enhance their health by incorporating moderate levels of physical activity as part of their normal daily routine and physical activity is now recognised as a major therapeutic modality for type 2 diabetes. Despite such evidence, most people in the western world do not engage in sufficient regular physical activity and there remains a paucity of evidence that elucidates effective methods of achieving the required behaviour change over time. This study set out to demonstrate meaningful correlations between the psychosocial constructs optimism, exercise self-efficacy, goal-directness, stage of change, anxiety and depression, the biochemical measures HbA1c and BMI and also the behavioural outcomes of general physical activity and physical exercise participation, all within a newly diagnosed type 2 diabetic population. Participants (n=30, newly diagnosed adults with type 2 diabetes; mean age 61.46 years; BMI 31.43 Kg/m²[range 18.8-50.95 Kg/m²]) were recruited from attendees of the Christchurch Diabetes Centre's education seminars. The recruitment strategy was designed to search out diabetic patients as near as practicable to the point in time when they first became cognisant of their disease state. A battery of instruments was assembled into a researcher-administered retrospective questionnaire and this was completed with all subjects at baseline and again at six month follow-up. Additional data comprised subject's demographics and selected bio-chemical measures (subject height, weight, and blood Haemoglobin A1c). Descriptive, correlational and qualitative statistics were evaluated. The level of physical activity reported was significantly less than is required to facilitate the biochemical and psychological changes that are generally considered necessary to support optimal health. On average, study participants did not perform their planned physical activity tasks as well as they might have, despite being relatively optimistic and goal-directed at baseline. Many participants clearly indicated an inadequate understanding of exercise modalities and the intensity, duration and frequency of physical activity required to support optimal health. Generally, participants tended to overestimate their physical activity levels. Exercise self-efficacy emerged as an especially important psychological construct, and one that appeared to be among those central to the participants' relationships with physical activity and exercise. The study group demonstrated a relatively high prevalence of low level anxiety and depression, and even at these sub-clinical levels, anxiety and depression were significantly inversely related to optimism, goal-directness, goal-attainment, exercise self-efficacy and stage of change. The study findings illuminate the wide contextual variability among patients who are suffering from the same chronic condition. Further, the implications of conducting detailed pre-assessments of patients' personal characteristics and their psychological profiles, in order to guide intervention tailoring, are also outlined and discussed. Areas for future research are highlighted. In conclusion, meso and macro-level policy implications are discussed, with reference to an array of the broader determinants of health.
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Laws, Rachel Angela Centre for Primary Health Care & Equity Faculty of Medicine UNSW. "Putting prevention into practice: developing a theoretical model to help understand the lifestyle risk factor management practices of primary health care clinicians." Awarded by:University of New South Wales. Centre for Primary Health Care & Equity, 2010. http://handle.unsw.edu.au/1959.4/44828.
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Despite the effectiveness of brief lifestyle interventions delivered in primary health care (PHC), implementation in routine practice remains suboptimal. Previous research suggests that there are many barriers to PHC clinicians addressing lifestyle risk factors, however few studies have identified the importance of various factors and how they shape practices. This thesis aimed to develop and describe a theoretical model to explain the lifestyle risk factor management practices of PHC clinicians and to identify critical leverage points for intervention. The study analysed data collected as part of a larger feasibility project of risk factor management in three community health teams in NSW, Australia, involving 48 PHC providers working outside of general practice. Grounded theory principles were used to inductively develop a model, involving three main stages of analysis: 1) an initial model was developed based on quantitative analysis of clinician survey and audit data, and qualitative analysis of a purposeful sample of participant interviews (n=18) and journal notes; 2) the model was then refined through additional qualitative analysis of participant interviews (n=30) and journal notes; and 3) the usefulness of the model was examined through a mixed methods and case study analysis. The model suggests that implementation of lifestyle risk factor management reflects clinicians??? beliefs about commitment and capacity. Commitment represents the priority placed on risk factor management and reflects beliefs about role congruence, client receptiveness and the likely impact of intervening. Capacity beliefs reflect clinician views about self efficacy, role support and the fit between risk factor management and ways of working. The model suggests that clinicians formulate different intervention expectations based on these beliefs and their philosophical views about appropriate ways to intervene. These expectations then provide a cognitive framework guiding their risk factor management practices. Finally, clinicians??? appraisal of the overall benefits and costs of addressing lifestyle issues acts to positively reinforce or to diminish their commitment to implementing these practices. The model extends previous research by outlining a process by which clinicians??? perceptions shape implementation of lifestyle risk factor management in routine practice. This provides new insights to inform the development of effective strategies to improve such practices.
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Becker, Craig M. "A pilot test of the usability of a lifestyle instrument based on the Deming approach to management." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845958.
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This study was designed to determine if the Deming approach to monitoring manufacturing processes could be successfully adapted to monitoring lifestyle processes. This study tested a new self-monitoring instrument that provides quick, accurate, personal feedback. The usability of this new instrument was tested. Validity of the instrument was established through review by experts in appropriate lifestyle management disciplines.The pilot test of this new instrument was done in a program with a convenience sample of 29 people who used the instrument for 28 days. A high percentage of the participants used the instrument and found the instrument to be helpful in developing a healthy lifestyle, although they desired a less cumbersome format. It is recommended that the instrument be adapted for use in lifestyle change programs.<br>Institute for Wellness
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Fernandez, Ritin. "Development and evaluation of a health-related lifestyle self-management intervention for patients with acute coronary syndrome." View thesis, 2007. http://handle.uws.edu.au:8081/1959.7/32586.
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Thesis (Ph.D) -- University of Western Sydney, 2007.<br>A thesis submitted to the University of Western Sydney, College of Health and Science, School of Nursing, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographical references.
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Johnson, Katherine Elizabeth. "Motivational Interviewing and Nurse Practitioner-Implemented Lifestyle Inverventions for the Prevention and Management of Type 2 Diabetes." Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/555544.
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The purpose of this thesis was to develop recommendations for best practice in the management of type 2 diabetes patients by advanced practice nurses trained in motivational interviewing. The focus of the project was to provide a healthy lifestyle program for adults diagnosed with or at risk for type 2 diabetes. Type 2 diabetes accounts for 95% of diagnosed cases (CDC, 2012) and is the 7th leading cause of death (American Diabetes Association, 2014). In 2012, 29 million Americans had diabetes and 86 million had prediabetes, trending up from 2010 (American Diabetes Association, 2014). A literature review was conducted using keywords "type 2 diabetes", "lifestyle interventions" and "motivational interviewing" in PubMed, CINAHL and Cochrane databases. Results indicated that motivational interviewing and lifestyle interventions were associated with increased metabolic control for overweight and obese patients, including those with type 2 diabetes. Nurse practitioner understanding of nutrition and motivational interviewing techniques was often insufficient. The proposed intervention includes a comprehensive training program for primary care nurse practitioners including focus groups and evaluation. Motivational interviewing is utilized to deliver dietary counseling to patients with prediabetes and type 2 diabetes.
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Duro, Charles. "Effects of Lifestyle Changes on the Health of African Americans With Type 2 Diabetes." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4362.
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African Americans are adversely affected by Type 2 diabetes at a greater rate than their European American counterparts; however, research on the effects of Type 2 diabetes on African Americans is limited. Lifestyle modifications that include the incorporation of physical activity and dietary changes can help patients with Type 2 diabetes better manage their disease and improve their overall quality of health. The purpose of this phenomenological study was to explore the experiences of African Americans with Type 2 diabetes who incorporated these self-management behaviors, discerning if they had improved health and quality of life. The self-efficacy framework was applied to understand the research problem and interpret study results. An in-depth interview protocol was used to explore participants' perspectives and lived experiences in disease management. Interview transcripts and participant data were analyzed using a thematic-content-analysis approach. According to study findings, participants experienced physical activity and dietary changes, and their self-efficacy directly correlated with their experience of positive changes in their health status. Providing programs that support the adoption of healthy lifestyles for this population will help mitigate the later effects of diabetic complications. Implications for social change include the provision of strategies that will help in formulating programs and policies that will reduce diabetic complications and deaths due to complications.
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Morris-Paxton, Angela Ann. "Impact of a holistic lifestyle management education programme on health and education outcomes of socioeconomically disadvantaged university students." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/11909.
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Disorders of lifestyle are increasing globally; countries in transition are suffering the double burden of both contagious and chronic disorders. The utilization of health education to address these issues has had variable results, but the most successful have incorporated human contact. The aim of this study was to measure the quantitative and qualitative impact of a wellness promotion programme on university students. The objective was to provide a structured facilitated holistic wellness education programme to a sample of socioeconomically disadvantaged students in Higher Education in the Eastern Cape Province, South Africa. Using a pragmatic mixed methodological approach to this critical evaluation, the impact on both wellness and academic progress was measured. Initial demographic data was gathered via a biographical questionnaire, pre- and post-intervention measurement of wellness, using the Wellness Questionnaire for Higher Education, as well as a semi-structured qualitative questionnaire and transcripts of academic results. Quantitative data was analysed using SPSS analysis software and qualitative data using the NVivo analysis package. The findings were that all students improved throughout the year in their overall wellness scores, in particular in areas such as avoiding excessive sun exposure and increasing the amount of physical exercise. This corresponded with an increase in the value that the participants attached to information on these aspects of wellness, which was attributed to the programme. Results revealed that there was a weak correlation between student wellness measured at the year-end and academic success overall, but a strong correlation between student wellness and academic success for the students that gained the highest marks. Analysis of the dimensions of wellness that correlated best with student success revealed that there was a particularly strong correlation between year-end career wellness and year-end academic success. In conclusion it was found that a positive and holistic salutogenic wellness education programme increased levels of student wellness overall, which translated into student academic success. The link between wellness and success was particularly strong in students that gained higher marks. Recommendations include that first-year higher education students receive a positive wellness education programme built into the curriculum of their first year of study and that the overall impact be monitored across a broader spectrum of students over the duration of their diploma or degree programme.
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Kutumbuka, Benjamin Kukatula. "A systematic review of the effectiveness of lifestyle and medication: interventions in the management of hypertension in pregnancy." University of the Western Cape, 2017. http://hdl.handle.net/11394/6314.
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Magister Curationis - MCur<br>Pregnancy induced hypertension is one of the causes of maternal, fetus and
neonatal morbidity and mortality. It is the condition in which a pregnant woman develops
hypertension because of physiological changes that result during pregnancy and both mother
and fetus can be affected. According to the World Health Organization (WHO), the first
target of the third United Nations Sustainable Development Goals (SDG-3) is to reduce the
maternal mortality rate (MMR) to less than 10 per 100.000 live births by 2030 (WHO, 2017).
This is because globally, about 350 000 women die every year from pregnancy related causes
(Hogan, Foreman, & Naghavi, 2010). According to the WHO (2015), these conditions
namely post-partum hemorrhage, hypertension in pregnancy, infections, unsafe abortion and
other delivery-related complications cause three quarters of all maternal deaths in the World.
Hence the needs to prevent or successfully treat conditions that contribute to this scourge
(WHO, 2011). The two main interventions that are used to prevent or treat hypertension in
pregnancy are medication and lifestyle adjustment. However, it is important to understand the
intervention that is most suited to a context and its patient and compare the effects of these
interventions on management of hypertension in pregnant women as a patient outcome.
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Krack, Gundula [Verfasser]. "Management of interventions to improve adherence to therapies and healthy lifestyle for patients with chronic diseases / Gundula Krack." München : Verlag Dr. Hut, 2021. http://d-nb.info/124054006X/34.
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Ho, Ieng I. "A study of people's lifestyle, perceived brand benefits, and the use of public libraries in Macau." Thesis, University of Macau, 2008. http://umaclib3.umac.mo/record=b1950726.
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Černá, Zdena. "Management osobního rozvoje." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2017. http://www.nusl.cz/ntk/nusl-241191.
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This thesis called "Management of Personal Development" is focused on analysis of the personal development management at one unnamed Moravian manufacturing and trade company focused on creative tasks. The theoretical background deals with defining the elementary terms in this area, lifestyle, career management, mental hygiene, successful manager principles, time management, introspection, and problem solving. In the area of creativity, it approaches the topic in itself, its development, creative abilities and attitudes, and shows a connection between creativity and personal development. It also includes several alternative methods of personal development. The practical part deals with the present state of personal development management and creativity in the company, and on the influence of these factors on the company's operation. This thesis also includes several specific solutions which show several ways of company development.
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Hörlin, Hartmann Katarina. "School´s role in supporting a healthy lifestyle-A management and staff perspective in Ho Chi Minh City, Vietnam." Thesis, Mittuniversitetet, Avdelningen för hälsovetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-26355.
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Johnson, Sarah Elizabeth. "Pragmatic Implementation Trials: Understanding the Integrated Research-Practice Partnership Approach to Lifestyle Obesity Management Across a Transforming Health System." Diss., Virginia Tech, 2017. http://hdl.handle.net/10919/74239.
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Obesity, a condition of excess body fat, is one of the most complex problems facing health systems. Lifestyle management programs that combine diet, physical activity, and intensive behavioral therapy have been shown by research to support a degree of weight loss that produces health benefits (i.e., at least a 3-5% initial body weight). However, it has been difficult for research-developed programs to be delivered in typical practice to have a meaningful impact. Integrated research-practice partnerships that involve the coming together of academic researchers, health system administrators, and program delivery staff may help overcome this gap, especially during this transformational time in the healthcare sector. This dissertation aimed to develop an understanding of how using the integrated research-practice approach would facilitate and sustain evidence-based lifestyle management strategies across a health system to treat obesity among patients and employees.
An integrated research-practice partnership with Carilion Clinic, a health system in western Virginia, served as an example for the study. From 2013-2016, the Carilion Clinic integrated research-practice partnership conducted a series of trials testing different strategies for delivering weight loss and weight loss maintenance support. An evaluation guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework was conducted to describe implementation processes and outcomes for each strategy. Lessons learned from the evaluation support the value of the integrated-research practice partnership approach as a solution for overcoming gaps in obesity care. A shared priority perspective between research and practice was identified as the powerful process for supporting facilitation and sustainability of strategies. In addition, findings from the evaluation produced evidence to inform the future development of a system for Carilion Clinic to help patients and employees lose weight and keep it off through lifestyle management.<br>Ph. D.
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Killick, Kirsty. "An examination of the UK community pharmacist's role in facilitating patient self-management of cardiovascular disease through lifestyle behaviours." Thesis, Aston University, 2015. http://publications.aston.ac.uk/27351/.
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The progression of cardiovascular disease (CVD) is largely modifiable through lifestyle behaviours. UK pharmacists are contractually obliged to facilitate patient self-management of chronic conditions such as CVD. Pharmacists are easily accessible health professionals who are well placed to identify “at risk” patients through medication regimes. Research has identified varying attitudes towards and levels of involvement in pharmacist-led health promotion activity. Given the diverse and exploratory nature of the work, a pragmatic, mixed methods approach was used to explore community pharmacists’ role in facilitating patient self-management of CVD. The thesis presents four studies: a qualitative study with pharmacists; a cross sectional questionnaire of community pharmacists; a systematic review and a qualitative study with patients with CVD. The qualitative study with pharmacists gave an insight into pharmacists’ experiences of giving patients with CVD lifestyle advice and the factors underpinning commonly cited barriers to providing public health services. This informed the development of the cross-sectional questionnaire which identified the predictors of pharmacists’ intentions to give two different types of advice to facilitate patient self-management. The systematic review identified a small number of interventions to prepare pharmacists to facilitate patient lifestyle behaviour change and evaluated the theories and behaviour change techniques used in successful interventions; however due to poor study quality and poor reporting of the interventions limited conclusions about the efficacy of the interventions could reliably be drawn. Finally, the qualitative study gave an insight into the experiences of patients with CVD using community pharmacy services and their expectations of the service they receive from community pharmacists. Recommendations about changes to pharmacy policy and practice in order to support pharmacists’ provision of CVD self-management advice are made.
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Hamadi, Caroline. "Public health nutrition intervention to enhance healthy eating and lifestyle modification among Lebanese women with Polycystic Ovarian Syndrome." Thesis, University of Westminster, 2018. https://westminsterresearch.westminster.ac.uk/item/q947q/public-health-nutrition-intervention-to-enhance-healthy-eating-and-lifestyle-modification-among-lebanese-women-with-polycystic-ovarian-syndrome.
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Polycystic ovary syndrome (PCOS) is the most common endocrinopathy disorder in reproductive age women. The symptoms of this disorder are the androgen excess seen with anovulation/oligoovulation or morphologically ovarian cysts. The aim of the study was to assess the efficacy of public health nutrition intervention designed to enhance healthy eating and lifestyle modification among PCOS patients attended the obstetrics and gynecology clinic at the American University of Beirut Medical Centre (AUB-MC) in Beirut, Lebanon. A prospective hospital based public health nutrition intervention was proposed in which 76 women with PCOS were recruited in the pilot study and 588 women were recruited in the scale-up intervention divided between PCOS and non-PCOS. During the scale up phase non-PCOS women were recruited to study the effect of the nutritional counseling on them as a way to compare the outcome with PCOS women. Recruited population were divided into 8 groups; group A: overweight/obese PCOS patient’s intervention (received weight management program with nutritional guidelines). Group B: overweight/ obese PCOS controls (received the usual heath care by the gynecologist), Group C: lean PCOS controls (received the usual heath care by the gynecologist), Group D: lean PCOS intervention (received weight maintenance program with nutritional guidelines ), Group E: overweight/obese non-PCOS patient’s intervention (received weight management program with nutritional guidelines) ,Group F: overweight/ obese non-PCOS controls, Group G: lean non- PCOS intervention (received weight maintenance program with nutritional guidelines), Group H: lean non-PCOS controls. Data were collected using a pre-validated questionnaire to capture sociodemographic variables, nutritional status, and physical activity, psychological and medical status. Blood analysis was carried out to determine biochemical indices. Assessment of study indicators were carried out at baseline, after 3 and 6 months from inception of intervention (pilot as well scale up). Patients in intervention groups attended a 6 month tailored nutrition counseling/education program (2 sessions per month), to enhance their understanding of their dietary intake and assist them with weight management, physical activity, healthy cooking, lifestyle, and food shopping. Following a six months pilot study intervention results have shown that 7% weight loss was achieved in overweight/ obese intervention groups and weight maintenance in lean intervention groups( Group A,B,C and D). There was a significant reduction in waist (-4.2 cm (±5.6)) and hip circumference (-3.1cm (±3.5)) with P < 0.001. There was no significant biochemical markers change (fasting blood sugar, CRP, LDL-C,HDL-C,TG,total cholesterol, fasting insulin, total testosterone,Vit D), however there was an increase in physical activity (3.1 hours/week (±1.5)) , and decrease in anxiety and depression score ( BDI-II and BAD-7); -0.8 (±0.8) and -0.7 (±0.7) with P < 0,001 compared to interventions. Following six months scale up intervention, the results have shown a weight reduction among overweight/obese PCOS women (group A) who lost, on average, 8.2 kg (P=0.001). Whilst non-PCOS women lost, on average 11.6 kg (P < 0.001)(Group E). Controls gained weight (Group B, D F and H). The biochemical, psychological and reproductive profile showed significant improvements among PCOS women (P < 0.001). Pregnancy rate increased to 70% among women trying to conceive. The results of this study have shown this intervention to be effective in Lebanese women with PCOS, decreasing their initial body weight by 5%- 10% and improving their reproductive, metabolic and endocrine profiles. This suggests the need for a nutritional intervention (nutritional guidelines) for women diagnosed with PCOS patients as a first line treatment. The study results support the effectiveness of lifestyle modification diet for PCOS women.
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Ukomadu, Chinyere. "An Educational Module on High Blood Pressure Management and Control." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7765.
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An educational module, based on evidence-based practice (EBP) guidelines by the 8th Joint National Committee (JNC 8) and the American College of Cardiology (ACC), was created and implemented to determine if its implementation would impact the knowledge of clinic staff regarding current EBP guidelines about self-management of hypertension (HTN). The module has the potential to contribute to the resolution of patient noncompliance on HTN treatment and management by increasing nursing staff proficiency in knowledge transfer to patients on effective self-management of their health condition. The creation of the module was guided by the concept of need or asset assessment and the theory of planned behavior. The module was composed of 2 short lecture presentations on HTN, current EBP guidelines on lifestyle modifications, and proper blood pressure measurement. The module also included pre- and postlecture surveys to evaluate knowledge and practices of staff, and reiterated the current guidelines and approaches presented in the lectures. Survey data were analyzed using McNemar’s test for paired and binary data. Results showed the agreement of all the staff in recognizing the utility of the module in standardizing their knowledge of current EBP guidelines on lifestyle modifications and blood pressure measurement procedures. The results also showed the enhancement of staff proficiency which might lead to efficient education of patients on effective HTN treatment and management protocol. This pathway has the potential to bring about social change by decreasing the incidence of patient noncompliance and improving patient health.
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Nishimura, Akiko. "Color record in self-monitoring of blood glucose improves glycemic control by better self-management." 京都大学 (Kyoto University), 2014. http://hdl.handle.net/2433/189360.
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Opusunju, Ellis Ehizele. "Quality Improvement Through Evidence-Based Education: Advancing Obesity Awareness and Clinical Management Strategies for People Living with Mental Disorders." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3407.
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People living with mental disorders (PLWMDs) are at an increased risk for developing obesity due to poor diet, physical inactivity, and antipsychotic medications. In the United States, the general-population obesity rate is 36% compared to more than 50% for PLWMDs. Mental health professionals (MHPs), focused on addressing psychiatric conditions, seldom recognize and clinically manage obesity. Furthermore, this population is socioeconomically disadvantaged with poor dietary habits while consuming psychiatric medications that stimulate hunger, further exacerbating the risk for obesity. The Promoting Action on Research Implementation in Healthcare Services (PARISHS) framework guided this quality improvement project to improve obesity awareness and management for PLWMD at a large state psychiatric hospital. An evidence-based education intervention was implemented to positively impact obesity awareness and clinical management or MHPs. The evaluation used a validated instrument with a pre- and posttest design. Paired t test was used to analyze multiple constructs from the MHP participants (N = 50). Overall, the pretest indicated 76% of MHPs were not involved in helping obese PLWMDs manage their weight; however, the posttest data (at 90-days) revealed that 90% were involved in this activity. This represents a positive shift in obesity perceptions and management knowledge. Future research needs to evaluate the impact of the perceptions on process measures and clinical outcomes. This project led to positive social change as MHPs are more likely to address obesity in PLWMD due to their increased awareness and knowledge. This project has broader implications as the program can be duplicated in other psychiatric hospitals.
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Hedin, Maja, and Hanna Alricson. ""Fick jag bara 560 likes?" : En kvalitativ studie om hur ungdomar upplever press på Instagram." Thesis, Karlstads universitet, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-40981.
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Low self-confidence and self-esteem are common among young people. Often, this is a result of the ideals that Instagram users create. With editing tools, adolescents are able to present a better version of themselves – a version they are proud of. However, the ideal of the "perfect person" creates a negative impact, which generates stress. The stress means that young people present themselves in different ways in the pursuit of validation. At the same time, there is a lack of knowledge concerning how this stress affects them and their lives. The aim of this study is, therefore, to explore how young people experience pressure on Instagram. To find out young people's experiences, it was important to talk to them. Therefore, we chose to do twelve qualitative interviews with 18-year-old adolescents in Karlstad, Sweden. From previous research, we were able to identify five different negative influences that generate stress, which were: social acceptance, status, achievements, body image and sexual self-presentation. These negative influences were our starting points when our study was designed. The main research question was "How do young people experience stress on Instagram. We then asked questions that covered the five previous identifed negative influences. By starting from these, we could also distinguish two new negative influences that generate pressure: lifestyle stress, and the stress to collect ”likes,” which we call ”like stress” for short. Lifestyle stress means that young people feel compelled to have a perfect life in the pursuit of validation and likes. Not only do adolescents feel they should have perfect lives online, but they must also live these lives offline. Furthermore, young people are competing to see who manages to show off the most perfect life on Instagram. It emerged in our study that the negative influences of body image, sexual self-presentation, performance and lifestyle are dependent on likes, which made it possible to identify ”like stress” as another variable. This means that young people feel pressured to present themselves in different ways in the pursuit of likes on Instagram. To explain the interdependence between the various negative influences that generate stress, we designed a model named ”The model of Likestress”. The model explains how the social acceptance and status are linked to body image, sexual self-presentation, performance and lifestyle through like stress. In future, it will be important to understand how large a role Instagram plays for young people, as stress can affect their identity development.<br>Dåligt självförtroende och självkänsla är vanligt bland ungdomar. Ofta är det ett resultat av de ideal som finns på Instagram. Med hjälp av redigeringsverktyg finns möjlighet att presentera en bättre version av sig själv – en version man är nöjd med. Problematiken med detta är att idealbilden av “den perfekta människan” skapar en negativ påverkan som generar press. Kraven innebär att ungdomar presenterar sig själva på olika vis i strävan efter bekräftelse. Samtidigt saknas kunskap om hur detta påverkar dem och deras liv. Denna studie redogör därför för hur ungdomar upplever press på Instagram. För att få reda på ungdomars upplevelser var det viktigt att prata med dem. Därför valde vi att genomföra tolv kvalitativa samtalsintervjuer med 18-åriga ungdomar i Karlstad. I tidigare forskning kunde vi identifiera fem olika negativa påverkansfaktorer som genererar press, vilka var följande: social acceptans, status, prestationer, kroppsideal och sexuell självpresentation. Dessa hade vi som utgångspunkt när frågorna för vår studie utformades. Vi ställde den övergripande frågan “Hur upplever ungdomar press på Instagram?” och ställde sedan underfrågor som täckte de fem tidigare identifierade negativa påverkansfaktorerna. Genom att utgå från dessa kunde vi även urskilja två nya negativa påverkansfaktorer som genererar press: livsstilspress och likepress. Livsstilspress innebär att ungdomar känner krav på att uppvisa ett perfekt liv i strävan efter bekräftelse och likes. Ungdomar ska inte bara uppvisa perfekta liv online utan de ska även leva dessa liv offline. Dessutom tävlar ungdomar om vem som lyckas visa upp det det mest perfekta livet på Instagram. Det framkom att de negativa påverkansfaktorerna kroppsideal, sexuell självpresentation, prestationer och livsstil är beroende av likes, vilket i sin tur bidrog till att vi kunde identifiera en likepress. Den innebär att ungdomar känner sig pressade att presentera sig på olika vis i strävan efter likes. För att förklara beroendeförhållandet mellan de olika negativa påverkansfaktorerna som genererar press utformade vi en modell vid namn ”Likepress-modellen”. Den förklarar hur social acceptans och status är sammankopplade med kroppsideal, sexuell självpresentation, prestationer och livsstil genom likepress. För det framtida samhället är det viktigt att förstå hur stor roll Instagram spelar för ungdomar, då press och krav kan påverka deras identitetsutveckling.
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Williams, D. Pauline. "The Effectiveness of a Structured, Long-Term, Multi-Component, Family-Based Weight Management Program in Reducing Body Mass Index Z-Scores and Improving Lifestyle Habits in Overweight /Obese Children and Adolescents." DigitalCommons@USU, 2011. https://digitalcommons.usu.edu/etd/921.
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Few studies have evaluated structured, long-term, family-based, weight management programs in children. This study’s purpose was to determine if completion of such a program resulted in reduced body mass index (BMI) z-scores and improved lifestyle habits.
An observational study overtime from 2008-2010 was conducted with 89overweight/obese children. Subjects were divided into two groups, compliers (completed ≥ 7 intervention classes) and non-compliers (completed <7 intervention>classes.) The LiVe program, a 12-month structured, multi-component, family-based program, served as the study intervention. Anthropometric measurements and a written survey on lifestyle habits were used to obtain changes over 12 months in anthropometric, nutrition, activity, and behavior habits for subjects.
Descriptive statistics, chi square, analysis of co-variance, and a mixed modellogistic regression were used to determine anthropometric and lifestyle habits changeover time as well as differences between age, gender, and compliance groups. Nodemographic differences were seen between compliance groups. Compliers had asignificant decrease in BMI z-score (-0.1903 p=.0004) and BMI percentile (-2.02p=.0235) over time. Compliers had a higher probability of meeting vegetable intake (pre 0.31%, post 55.67%; p=<.0001), and physical activity guidelines (pre 13.58%, post 56.58%; p=.0032) post intervention. Males were more likely than females to meet the physical activity guideline (p=.0007). Both compliers and non-compliers had a higher probability of meeting fruit (p=.0015) and sugar-sweetened beverage intake guidelines (p=.0337) at 12 months. No significant differences in age and gender were seen for changes in anthropometric or lifestyle habits except as noted above.
Long-term, family-based, structured weight management programs are effectivein reducing BMI z-scores and improving lifestyle habits in children. Continueddevelopment and evaluation of these programs is warranted to address childhood obesity treatment methods.
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Lion, Susanne, and Emelie Riedel. "Womens strategies for managing endometriosis." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25258.
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Bakgrund: Endometrios är en kronisk sjukdom som drabbar 10% av alla kvinnor i världen.Sjukdomen är ett problem som berör många kvinnor i samhället. Detta bör belysas i störreutsträckning än det gör idag då många läkare inte tar sjukdomen och kvinnornas symtom påallvar. Detta leder till lidande hos kvinnor och lång tid innan diagnostisering sker. Ofta fårkvinnor höra att smärtan är normal, vilket kan leda till förtvivlan och isolering från vänneroch familj.Syfte: Syftet med denna litteraturstudie var att beskriva hanteringsstrategier hos kvinnor somlever med endometrios.Metod: En litteraturstudie med kvalitativ ansats. Metodlitteraturen som använts är Polit ochBeck. Studien har analyserats enligt Graneheim och Lundmans kvalitativa innehållsanalysoch databassökningar utfördes i Cinahl, Pubmed och Psycinfo.Resultat: Resultatet mynnade ut i fyra huvudteman initiering av livsstilsförändringar, behovav alternativa behandlingar, sökande efter kunskap, noncompliance och tre subtemakostomläggningar, ökad fysisk aktivitet, strategiska verktyg.Konklusion: Endometrios påverkar många faktorer i det dagliga livet för kvinnor som levermed sjukdomen. Det kan handla om hantering av smärta, relationer, arbete och utbildning.Dessa kvinnor utvecklar hanteringsstrategier för att lindra symtom av smärta och för attförbättra livskvaliteten. Dessa strategier handlar om ändrade motionsvanor, kost, kunskap ochatt själv ta kontroll. Målet för många kvinnor är att uppnå smärtfrihet samtidigt som önskanom att minska användning av läkemedel önskas. Hanteringsstrategierna upplevs av de flestakvinnor som positiva och bidrar till en ökad livskvalitet. Mer kunskap kan behövas om vilkahanteringsstrategier som används, för att kunna stödja och behandla kvinnor på ett bättre sättinom hälso- och sjukvården.<br>Background: Endometriosis is a chronic disease that affect 10% of all women of the world.Endometriosis is a problem which affects many women in society. This should be noted to agreater extent than today because many doctors don’t take the disease or the womenssymtoms seriously. This leads to a suffering for women and it takes long time beforediagnosis. Women often hear that the pain is normal which leads to dispair and isolation.Aim: The aim of the study was to describe management strategies among women that liveswith endometriosis.Method: A qualitative literature review. The literature that was used for the method was Politand Beck. Graneheim and Lundman’s qualitative contentanalysis was used for the analysis.Cinahl, pubmed and Psycinfo was used for retrieve material.Results: The result showed four main themes, these were initiation of lifestyle changes, needfor alternative treatments, searching for knowledge, noncompliance and three subthemeswere also identified change of diet, increased physical activity, strategic tools.Conclusion: Endometriosis affects many factors in the daily life of women living with thedisease. It can be about managing pain, relationships, work and education. These womendevelop management strategies to relieve symtoms of pain and to improve quality of life.These strategies is about change exercise patterns, diet, knowledge and taking control. Theaim for many women is to achieve painlessness with less painkillers at the same time. Themanagement strategies have a positive impact for most of the women and contributes tobetter life quality. If more knowledge is revealed about management strategies used, thenbetter support and treatment could be possible in healthcare.
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Cooper, Jennifer Louise. "Health Behaviour in a Cultural Context: A Qualitative Study of the Impact Culture and Lifestyle Has on the Management of Type 2 Diabetes Mellitus Among UAE Nationals." Thesis, Curtin University, 2017. http://hdl.handle.net/20.500.11937/57424.
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This qualitative study gained a deeper understanding the impact UAE National culture and lifestyle has on diabetes prevention and disease management. Using Grounded Theory research method the findings identified culture as the overarching theme with barriers and enablers to healthy lifestyles and T2D information and support also emerging as key themes. The findings will inform health services to meet the needs of this population, and assist to inform policy at an organisational and country level.
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Willer, Fiona. "A good fit: Health-oriented size acceptance and Australian dietetic practice." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/211444/1/Fiona_Willer_Thesis.pdf.
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This thesis explored the suitability of health-oriented, size-accepting approaches for use in Australian dietetics counselling with weight-concerned adults. Across three studies, this work established that such an approach has an acceptable evidence base to drive Australian dietetics practice and may be a superior method to support higher dietary quality and lower eating disorder risk when compared with weight-centric approaches.
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Begemann, Maik-Carsten. "Die Inanspruchnahme von Dienstleistungszentren zur Unterstützung im Privathaushalt : eine vom Konzept der Alltäglichen Lebensführung angeleitete empirische Untersuchung zur Nutzung haushaltsbezogener Dienstleistungen /." Hamburg : Kovač, 2007. http://www.verlagdrkovac.de/978-3-8300-2723-2.htm.
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Haynam, Marcy. "Feasibility and Preliminary Efficacy of a Community-Based, Lifestyle Intervention on Select Body Composition, Functional, and Quality of Life Outcomes Among Breast Cancer Survivors." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586781204477491.
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Dujso, Denis, and Peter Fastesson. "Omvårdnad vid typ 2 diabetes : En litteraturöversikt om faktorer som påverkar patienters hälsa och välbefinnande." Thesis, University of Skövde, School of Life Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-3572.
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<p><strong>Bakgrund</strong>: Det är av stor vikt att förstå patientens roll inom diabetesvården. Vårdgivarenmåste kunna hjälpa patienten med patientundervisning och livsstilsförändring. Patientensmotivation och egenvård går hand i hand och patienten spelar en viktig roll i hanterandetav hans eller hennes diabetes typ 2 sjukdom. <strong>Syfte</strong>: Att fördjupa kunskaper om olikafaktorer inom omvårdnaden av patienter med diabetes typ 2 som påverkar deras hälsa ochvälbefinnande <strong>Metod</strong>: Metoden i denna studie är en litteraturöversikt. En modell avFriberg (2006) användes för att granska de vetenskapliga artiklarna. <strong>Resultat</strong>: För att få ettoptimalt behandlingsresultat måste relationen mellan vårdgivare och patient vara byggd påen jämlik grund och ha en gemensam förståelse för behandlingsmålen. Patientundervisningär till hjälp för patienter och kan ses som ett värdefullt verktyg för patienten att få kunskapoch för att få motivation till att hantera sin diabetes sjukdom på bästa möjliga sätt.Patienten har en central roll inom diabetesvården och den inre motivationen till attförändra sin livsstil och att hantera sin egenvård finns hos patienten själv. <strong>Diskussion</strong>:Eftersom den inre motivationen kommer från patienten så är det där vårdgivaren måstelägga sitt fokus, att förstå hur patienten känner sig och sedan motivera patienten. Omvårdgivaren bygger upp en relation med patienten som skapar en positiv attityd och låterpatienten komma med egna idéer, då kan patienten bli motiverad utifrån sina egna villkor.Dessa patienter kan lättare genomföra livsstilsförändringar och lyckas bättre med sinegenvård. Detta innebär också att kostnaden för sjukvården och för samhället blir lägre.</p><br><p><strong>Background</strong>: It’s important to understand the patients’ role in the diabetic care. The careprovider must be able to help the patient on issues like patient education and lifestylechange. The patients’ motivation and self management goes hand in hand and the patientplays an important part coping with his or hers diabetes type 2 disease.<strong>Purpose</strong>: To deepen our knowledge about the different factors in the caring of patients withdiabetes type 2 that affects their health and wellbeing. <strong>Method</strong>: The method in this study isa literature review. A model from Friberg (2006) was used to examine the scientific articles.<strong>Result</strong>: To get an optimal treatment result the relationship between the patient and the careprovider must be built on an equal ground and have a mutual understanding of the treatmentgoals. Patient education is helpful to patients and is seen as a helpful tool to get knowledgeabout diabetes and to get motivation to handle ones diabetes disease at the best waypossible. The patient are a central part in diabetic care and the inner motivation to changeones lifestyle and to handle ones self-management lies within the patient. <strong>Discussion</strong>: Sincethe inner motivation comes from the patient that’s what the care provider must lay the focuson, to understand how the patient feels and then get him or her motivated. If the careprovider does build a relation with the patient that creates a positive attitude and let’s thepatient come up with own ideas then the patient can be motivated on his or hers own terms,these patients are going to make lifestyle changes and do a lot better with their selfmanagement.This will also mean that the costs for the medical care system and the societyare going to be lower.</p>
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Alahuhta, M. (Maija). "Tyypin 2 diabeteksen riskiryhmään kuuluvien työikäisten henkilöiden painonhallinnan ja elintapamuutoksen tunnuspiirteitä." Doctoral thesis, Oulun yliopisto, 2010. http://urn.fi/urn:isbn:9789514263552.
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Abstract The aim of this study was to describe the characteristic features of weight management and lifestyle changes of people of working age at risk of type 2 diabetes. Seventy-four persons at high risk of type 2 diabetes, 33 men and 41 women, took part in the study. They attended group counselling sessions led by a dietician either at distance or face-to-face. There were 5 distance groups, with the counselling given by a dietician via a videoconferencing link to participants who met in the meeting room of their local health care centre. There were 6 personal groups where the dietician and the group participants met face-to-face at the same location. Each group had 5 to 9 participants. The following were used as study material: videotaped group discussions on the benefits and barriers of lifestyle changes at the beginning of the counselling process, weight management at the beginning and at the end of the process, and weight management and the preconditions and risk factors of successful weight management at the follow-up visit 1.5 years after the end of the process. In addition, study data were gathered before the first and last interventions and before the follow-up visit with a questionnaire sent to the subjects. The subjects were weighed at the beginning and at the end of the counselling process as well as at the follow-up visit. The video material was analysed using both inductive and deductive content analysis. The data were analysed also using SPSS 16.0 software for Windows. At the beginning of the counselling process, 68%, 9% and 14% of the subjects were at the contemplation, preparation and action stages, respectively, the corresponding percentages at the end of the counselling process being 24%, 33% and 40%. Forty subjects had made progress in their lifestyle change stage, 18 had remained where they had been, while 5 had regressed. One and a half year after the end of the counselling process, about half of the subjects were at the maintenance phase in terms of various lifestyle factors (restricting the amount of food, eating regular meals, increasing the intake of nutritional fibre, unsaturated fat and physical activity, restricting alcohol intake). Twenty-one subjects reported relapses, most often in terms of restricting the amount of food intake. Improved health and functional ability were seen as the benefit of lifestyle change. A change in lifestyle calls for effort and resources. The preconditions of successful weight management were one.s own actions, motivation and resources. Weight management was made more difficult by lack of commitment to one’s own actions and lack of goals, self-discipline and motivation. The information obtained with the study may be utilised in developing interventions aimed at persons at risk of type 2 diabetes as well as their contents and methods. The results can also be made use of in improving the counselling skills of health-care students and professionals<br>Tiivistelmä Tutkimuksen tarkoituksena oli kuvata tyypin 2 diabeteksen riskiryhmään kuuluvien työikäisten henkilöiden painonhallinnan ja elintapamuutoksen tunnuspiirteitä. Tutkimukseen osallistui 74 työikäistä tyypin 2 diabeteksen korkean riskin henkilöä. Tutkittavista 33 oli miehiä ja 41 naisia He osallistuivat ravitsemusterapeutin ryhmäohjaukseen joko etä- tai lähiryhmässä. Etäryhmiä oli 5. Niissä ohjaus toteutui siten, että ohjaaja oli videoneuvottelulaitteiden avulla yhteydessä ryhmäläisiin, jotka olivat kokoontuneet oman kuntansa terveyskeskuksen kokoustilaan. Lähiryhmiä oli 6. Niissä ohjaus toteutettiin siten, että ohjaaja ja ryhmäläiset olivat samassa tilassa. Kussakin ryhmässä oli 5–9 osallistujaa. Tutkimusaineistona käytettiin videoituja keskusteluaineistoja, joissa ryhmään osallistuneet kuvasivat elintapamuutoksen hyötyjä ja haittoja ohjausprosessin alussa, painonhallintatilannettaan ohjausprosessin alussa, lopussa ja seurantakäynnillä sekä painonhallinnan onnistumisen edellytyksiä ja riskitekijöistä seurantakäynnillä 1,5 vuotta ohjausprosessin päättymisen jälkeen. Lisäksi tutkimusaineistoa kerättiin ennen ensimmäistä ja viimeistä ohjauskertaa sekä ennen seurantakäyntiä tutkittaville lähetetyllä kyselyllä. Paino mitattiin ohjausprosessin alussa, lopussa ja seurantakäynnillä. Videoaineisto analysoitiin sekä induktiivisella että deduktiivisella sisällönanalyysilla. Aineiston analysoinnissa käytettiin myös SPSS 16.0 for Windows -ohjelmaa. Ohjausprosessin alussa tutkittavista 68 % oli harkintavaiheessa, 9 % valmistautumis- ja 14 % toimintavaiheessa ja ohjausprosessin lopussa 24 % oli harkinta-, 33 % valmistautumis- ja 40 % toimintavaiheessa. Tutkittavista 40 edistyi elintapamuutosvaiheessaan, 18 pysyi ennallaan ja 5 taantui. Puolentoista vuoden kuluttua ohjausprosessin päättymisestä noin puolet tutkittavista oli ylläpitovaiheessa jonkun elintavan suhteen (kuidun ja rasvan käyttö, ruokamäärä, ateriarytmi, liikunta, alkoholin käyttö). Repsahduksista raportoi 21 henkilöä. Niitä oli tapahtunut eniten ruokamäärän rajoittamisen suhteen. Elintapamuutoksen hyötynä nähtiin terveyden ja toimintakyvyn paraneminen. Elintapamuutos vaatii vaivannäköä ja voimavaroja. Painonhallinnan onnistumisen edellytyksiä olivat oma toiminta, motivaatio ja voimavarat. Sitoutumattomuus omaan toimintaan, tavoitteiden, itsekurin ja motivaation puute vaikeuttivat painonhallintaa. Tutkimuksen avulla saatua tietoa voidaan käyttää kehitettäessä tyypin 2 diabeteksen riskiryhmiin kuuluvien henkilöiden ohjauksen sisältöä ja menetelmiä. Tuloksia voidaan hyödyntää myös terveydenhuollon opiskelijoiden ja ammattihenkilöiden ohjaustaitojen kehittämisessä
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Zelenka, David. "Životní styl studentů VŠE." Master's thesis, Vysoká škola ekonomická v Praze, 2017. http://www.nusl.cz/ntk/nusl-359212.
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The master's thesis 'Lifestyle of students of University of Economics in Prague' focuses on the concept of healthy lifestyle, its definition and sub-areas, such as health in general, nutrition, work-life balance and time management. The aim of the thesis is to analyze the lifestyle of students of the University of Economics in Prague, namely in the areas of living, eating and physical habits, work-life balance and time management. The online questionnaire survey carried out a quantitative research, which was attended by 612 VŠE students. Based on the theoretical part, four hypotheses had been established at the beginning of the application section, which were either confirmed or refuted based on the results of the questionnaire survey.
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Öhrner, Kristina, and Suraa Al-Malah. "Patientens upplevelse av egenvård vid typ 2-diabetes : En litteraturöversikt." Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2194.
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Bakgrund: Typ 2-diabetes är en kronisk sjukdom som står för 90 procent av alla diabetesfall i världen och beräknas öka de kommande åren, på grund av bland annat ohälsosamma levnadsvanor såsom kost och fysisk aktivitet. Egenvård innebär att patienten tar ansvar och för att hantera det behövs kunskap och stöd från vårdpersonalen. Syfte: att beskriva upplevelser av egenvården vid typ 2-diabetes, med fokus på livsstilsförändringar. Metod: En allmän litteraturöversikt baserad på tolv kvalitativa vetenskapliga artiklar genomfördes. Resultat: Det har framkommit olika upplevelser av egenvården och dessa har kategoriserats i teman med subteman: 1) Känsla av kontroll: Olika uppfattningar av betydelsen av typ 2-diabetes, 2) Upplevelser av livsstilsförändringar: Kostomläggning och Fysisk aktivitet och 3) Upplevelser av omvårdnadsåtgärder: Rådgivning, Motiverande samtal, MI och Gruppbaserad patientutbildning. Slutsats: Att ändra på sin livsstil kan upplevas som krävande och omställningen behöver stödjas och anpassas utefter patientens behov. Klinisk betydelse: Patientens upplevelser av egenvård med behov, krav och brister kan fungera som ett kunskapsverktyg för vårdpersonalen vid omvårdnaden av typ 2-diabetes.<br>Background: Type 2-Diabetes is a chronic disease that accounts for 90 percent of all diabetes cases in the world and is expected to increase in the upcoming years, due to unhealthy habits such as diet and physical activity. Self-management means that the patient takes responsibility and in order to manage it knowledge is needed and support from caregivers. Objective: To describe the experiences of self-management in Type 2-Diabetes, focusing on lifestyle changes. Method: A literature review based on twelve qualitative scientific articles were conducted. Results: It has turned out that there have been different experiences of self-management and these have been categorized into themes with subthemes: 1) Sense of control: Different views of the importance of Type 2-Diabetes, 2) Experiences of lifestyle changes: Change of diet and Physical activity and 3) Experiences of nursing interventions: Counseling, Motivational interviewing, MI and Group-based patient education. Conclusion: To change the lifestyle may be perceived as demanding and conversion needs to be adjusted to the patient's needs. Clinical significance: Patient’s experiences of self-management with needs, demands and deficiencies can serve as a knowledge tool for the care staff in the care of Type 2-Diabetes.
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Weng, Yu-Chi. "Estimation and Evaluation of Municipal Solid Waste Management System by Using Economic-Environmental Models in Taiwan." 京都大学 (Kyoto University), 2009. http://hdl.handle.net/2433/77988.
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Kyoto University (京都大学)<br>0048<br>新制・課程博士<br>博士(工学)<br>甲第14561号<br>工博第3029号<br>新制||工||1451(附属図書館)<br>26913<br>UT51-2009-D273<br>京都大学大学院工学研究科都市環境工学専攻<br>(主査)教授 松岡 譲, 教授 酒井 伸一, 准教授 倉田 学児<br>学位規則第4条第1項該当
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Gallagher, Dunla. "The Healthy Eating and Lifestyle in Pregnancy cluster randomised controlled trial : a 24 months postpartum follow-up study : an evaluation of the effect of a weight management intervention for maternal obesity, on maternal and child outcomes at 24 months following birth." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/119679/.
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Background: Obesity in pregnancy, and excessive gestational weight gain, are associated with short and long-term adverse health outcomes for mothers and their offspring, including childhood obesity. The Healthy Eating and Lifestyle in Pregnancy (HELP) cluster randomised controlled trial compared the effectiveness of a group-based weight management intervention, delivered during pregnancy and postpartum, with National Health Service routine maternity care. In total, 598 pregnant women, aged 18 years and over, with a BMI of ≥30 kg/m2, and between 12 and 20 weeks gestation, were recruited across 20 study centres in England and Wales, United Kingdom. The aim of the HELP trial was to improve health outcomes in these women with obesity. The present study followed up these women and their children at 24 months postpartum and aimed to assess longer-term maternal and child outcomes. It also aimed to explore the experiences of these women. Methods: A sequential mixed methods approach was used. The first, quantitative phase, examined the effectiveness of the HELP intervention on primary outcomes, maternal BMI and child BMI-for-age z-scores, and secondary outcomes, including weight, diet, and physical activity behaviours of mothers and children. Outcomes were analysed using multilevel linear, logistic and ordinal regression models. The second, qualitative phase, used telephone interviews to explore women's experiences. Thematic analysis was used to organise and interpret the interview data. Findings from the two approaches were triangulated for discussion. Results: The 24 months postpartum follow-up included 241 women and children, across 19 clusters. The analyses found no evidence of between groups differences in the primary outcomes, maternal BMI at 24 months postpartum (adjusted percentage difference: -0.01, 95% CI -0.04 to 0.02; ICC < 0.001; p= 0.664) and child BMI-for-age z-scores (adjusted difference in means: 0.24, 95% CI -0.17 to 0.64; ICC < 0.001; p=0.250), or the secondary outcomes. Subsequently, 18 of these women completed a telephone interview. Maternal attitudes towards their own and their child's weight and health behaviours, before, during and after pregnancy, were described in three themes: 1) pregnancy specific attitudes and behaviours; 2) wider weight control attitudes and experiences; and, 3) maternal perceptions and influences on children's weight, diet and activity. Discussion: The HELP intervention did not improve outcomes for women and their children at 24 months postpartum. Women have a strong desire to be healthy for their unborn babies during pregnancy. Non-judgmental support may help them adopt healthier behaviours to achieve short-term goals. However, more support would be needed to help women achieve better long-term outcomes. Women's lived experiences of obesity are complex, and it is important to incorporate their beliefs and motivations into interventions. Rather than viewing pregnancy as a short window of opportunity for initiating behaviour change, it should be used as a unique motivator which could give women a purpose for change over a longer term. Exploring options for intervening in the preconception period to address attitudes and weight loss before pregnancy, supporting women during pregnancy to be healthy for their babies, and building on this postpartum to help women shift their goals to weight loss, self-regulation of weight management, being a positive role model for their children and health-promoting feeding practices; may be more effective for improving maternal and child outcomes.
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Muttardi, Serge [Verfasser], and Ulrich [Akademischer Betreuer] Mueller. "Causation or Assortative Mating - The Social Dynamics in Couples With Both Partners Suffering from the Same Lifestyle Disease : A Case Series Study From a German Cohort Study of Type 2 Diabetes Mellitus Patients in a Disease Management Programme. / Serge Muttardi ; Betreuer: Ulrich Mueller." Marburg : Philipps-Universität Marburg, 2019. http://d-nb.info/1189315629/34.
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Romans, Patricia. "Lesbian motherhood : the management of a dual identity." Thesis, University of Essex, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.238374.
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