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Lee, Stacy Hyun-Nam. "Exploring Sustainability VALS: Sustainability Value, Lifestyle Practices and Stewardship." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103352/.
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Living sustainability is a set of behaviors for the long-term functioning of society. Sustainability VALS provides the clothing and textiles industry distinctive insight into comprehending the phenomenon through the application of the appropriate theoretical platform. The objectives are to identify the dimensionality of sustainability value, sustainability practices and sustainability stewardship in consumers’ perceptive, and to examine the impacts of sustainability value and stewardship on sustainability practices. Analyzing data (n = 239) from a southwestern university reveals the critical dimensions of sustainability lifestyle practices, sustainability value and sustainability stewardship. 62 out of 64 hypotheses were confirmed the significant impacts of sustainability values and stewardship on sustainability lifestyle practices. The findings revealed that the altruistic, openness to change, anthropocentrism, and ecocentrism values are influential sustainability values affecting on sustainability lifestyle practices. Given the theoretical perspective of sustainability VALS, sustainability stewardships can facilitate the holistic idea to incur consumer’s sustainability lifestyle practices.
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Weber, Timothy H. "Unhealthy lifestyle practices and medical-care costs in the military." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1994. http://handle.dtic.mil/100.2/ADA279580.
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Thesis (M.S. in Systems Management) Naval Postgraduate School, March 1994.Thesis advisor(s): James Scaramozzino, Ronald Weitzman. "March 1994." Includes bibliographical references. Also available online.
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Fudge, Barry W. "Diet, hydration, lifestyle and training practices of elite Kenyan endurance runners." Thesis, University of Glasgow, 2009. http://theses.gla.ac.uk/903/.
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Since the emergence of Kenyan endurance runners on the world stage at the 1968 Mexico Olympics, where they won 8 medals ranging from 400m relay to the 10 000m, Kenyan success has grown year on year. The staggering success of a country that compromises just 0.5 % of the world population has triggered a number of explanations. Heavily cited explanations are genetic superiority and environmental factors. Despite a number of investigations, genetic superiority remains to be determined, what is clear though is that the environmental factors that interact with each genetic element leading to world-class performance are particularly important. Aims and objectives: Given the importance environmental factors may have on the process leading to world class performance, the main aims of the following research were: 1) to determine the composition of elite Kenyan endurance runners diet and assess their energy balance status prior to major competition using "gold standard" methods; 2) to establish lifestyle practices of elite Kenyan endurance runners prior to major competition that will allow an insight in to the preparation of some of the best athletes in the world; 3) to ascertain the hydration status of elite Kenyan endurance runners during an important training period and directly compare these results to traditional paradigms and current thinking on optimal fluid intake for superior endurance running performance; 4) to investigate the training process leading to world class performance by quantifying training load in the lead up to major competition; 5) to determine the fluid intake behaviours of the world s best marathon runners during racing. This will allow an insight into current practices of elite runners that will act as a benchmark and comparison of current fluid intake guidelines; and 6) to validate and combine existing technologies of heart rate and accelerometry for quantifying energy expenditure during free living conditions. Methods: Chapters 2 and 3 detail extensively the diet, hydration, lifestyle and training practices of a group of highly successful elite Kenyan endurance runners during important training periods based at a high altitude camp in Kenya. Chapter 4 explores the significance of the hydration practices reported in Chapters 2 and 3 (i.e., ad libitum fluid intake) have on elite marathon running performance and the wider implications for fluid intake recommendations for elite marathon running. Chapter 5 investigates novel technology (i.e., the combined use of accelerometry and heart rate) that may further enhance our understanding of the physical activity patterns and training practices of elite Kenyan endurance runners on a day-to-day basis. Results and discussion: Chapter 2 reported elite Kenyan endurance runners are in negative energy balance prior to major competition as assessed by the gold standard doubly labeled water method (Energy intake: 13.2 +/- 1.3 MJ/d: vs. Energy expenditure: 14.6 +/- 1.0 MJ/d; p < 0.005). Considering the relatively high carbohydrate content of their diet (e.g., 67.3 +/- 7.8 %, 9.8 g/kg/bm) it is hypothesised the caloric deficit may not have a direct impact on their training performance. In fact the performance implications of reducing body mass as a result of energy deficiency is that the athletes will be lighter for competition and may thus be at an advantage as the energy cost per unit distance increases in direct proportion to the added load expressed as a percentage of body mass. Measured physical activity patterns (i.e., Physical Activity Ratio (PAR) and accelerometry) of elite Kenyan endurance runners strongly suggest rest between running training sessions is an important lifestyle factor as it was found time spent relaxing, in light activity, slow running (8.0-13.6 km/h), moderate running (13.7-17.3 km/h), and fast running (> 17.4 km/h) as estimated using the PAR method was 82 +/- 6 %, 8 +/- 6 %, 3 +/- 1 %, 5 +/- 1 %, 2 +/- 1 %, respectively. The reported time spent in light, moderate, hard and very hard activity as determined by accelerometry was 82 +/- 3 %, 11 +/- 2 %, 6 +/- 3 %, and 1 +/- 1 % respectively. A further striking finding in Chapter 2 was the relatively low daily fluid intake that consisted of primarily water (0.9 +/- 0.5 L/d) and milky tea (0.9 +/- 0.3 L/d). Chapter 3 found athletes remained hydrated day-to-day drinking ad libitum despite this relatively low daily fluid intake that corroborated prevailing fluid intake recommendations. This was evidenced by mean total body water and pre training body mass being maintained day-to-day throughout the recording period (p = 0.194 and p = 0.302, respectively). Furthermore, there was no significant difference between the osmolality of the morning urine sample and the evening sample (p = 0.685). It was also found that athletes remained in electrolyte balance (Na+ intake: 3245 +/- 901 vs. Na+ loss: 3254 +/- 1070 mg/d; p = 0.975) day-to-day thus negating the need for further supplementation.
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Montero, Maria L. M. "Health inequity in a neoliberal society : lifestyle choices or constrained practices?" Thesis, University of Warwick, 2015. http://wrap.warwick.ac.uk/82163/.
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Background: Strong evidence has been provided by several researchers on the influence that structure and social factors have on health. However, there is relatively little information about the mechanisms by which the structure shapes health-related practices and the place there is for agency in this process. Therefore, this thesis explores the mechanisms through which the structure influences the space for agency that men and women from different social groups have over their health-related practices in their daily lives in a strongly neoliberal economically high-income country such as Chile. Design and objectives: Following a critical realist approach, this thesis uses mixed methods to answer the research question. The contextual analysis aims to comprehend the wider political and economic forces related to the Chilean neoliberal regime that underlie people’s health-related practices. It is based on a bibliographical review and quantitative analysis of secondary data. The extensive analysis focuses on the extension of health-related practices and their statistical association with structural variables. Finally, the intensive analysis explores the meanings and values people give to health and to their health-related practices. It is based on the analysis of fifty-seven in-depth interviews conducted with twenty-nine people living in Santiago de Chile. Results and conclusions: By combining intensive and extensive approaches with a contextual analysis of Chilean society, this thesis concludes that there are different mechanisms through which the structure influences the space for agency that people have over their health-related practices in Chile. These mechanisms affect people differently according to their socioeconomic level and gender. They are related to people’s economic, social and cultural capital, all of which are unequally distributed in Chile. The analysis shows that these mechanisms are a consequence of a structure with high levels of inequalities consolidated by the Chilean neoliberal policy regime.
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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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Vafamand, Shahpar. "Knowledge, Attitude, Lifestyle Practices, and Quality of Life in Sporadic Lymphangioleiomyomatosis Patients." ScholarWorks, 2014. http://scholarworks.waldenu.edu/dissertations/208.
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Lymphangioleiomyomatosis (LAM) is a rare lung disease recognized by abnormal growth of smooth muscle cells proliferating in lungs parenchyma, developing benign tumors, migrating to the other organs, and ultimately leading to respiratory failure and death. Despite existing literature mainly on clinical aspects of LAM, there is a gap of literature in regards to the knowledge, attitude, and lifestyle practices (KAPs) of LAM patients and their effects on their quality of life. The purpose of this quantitative study was to investigate the KAPs of the sporadic LAM patients as measured by the Bristol Chronic Obstructive Pulmonary Disease Knowledge Questionnaire, Beliefs and Behavior Questionnaire, Determinants of Lifestyle Behavior Questionnaire; these KAPs were then analyzed for their relationship to quality of life reports as measured by the St George’s Quality of Life Questionnaire. Transtheoretical model (TTM) was used to describe the relationship among the variables. The data were collected through online survey questionnaires from 143 sporadic LAM patients registered at the LAM Foundation. Pearson’s correlations and linear regression were used to analyze the data. The results of the analysis showed that there was a significant positive relationship between attitude, lifestyle practices, and quality of life and a negative relationship between knowledge and quality of life. The outcome achieved by this study and its implication on social change identifies the need to initiate more study-specific KAPs within LAM populations, including individuals with tuberous sclerosis complex LAM. The results could also encourage the LAM community as well as other stakeholders to implement programs, workshops, and interventions that could promote and enhance quality of life.
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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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Brehmer, Denise Marie. "A descriptive corelational study of lifestyle practices and stress among baccalaureate nursing students." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1136699.
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Nursing students have perceived stress associated with nursing education.The purpose of this descriptive correlational research was to determine if there is a relationship between lifestyle practices and stress among baccalaureate nursing students. The sample consisted of 72 junior and senior level baccalaureate nursing students, which was 69.9% of the 102 questionnaires distributed from three schools of nursing of mid-size universities in the midwest. The procedures for protection of human subjects were followed.Pender's Health Promotion Model (1996) served as the theoretical framework for this study. Healthy lifestyle was examined using Pender's Health Promotion Lifestyle Profile (HPLP). Perceived stress was measured by Cohen's Perceived Stress Scale (PSS).Findings included student's perceived stress some of the time. The mean for the PSS was 2.14. A healthy lifestyle was determined by a mean of 2.6 on the HPLP. The relationship between healthy lifestyle and perceived stress was significantly negatively correlated at a significant level (r=.4949, p=.001).The HPLP consisted of 6 subscales which measured specific components of a healthy lifestyle. Health responsibility was the first subscale. Overall, students reported never to sometimes seeking a healthcare professional to discuss health concerns or reporting unusual symptoms. Physical activity was subscale number two. Overall, one-fourth to one-third followed a planned exercise program with the same percentage reporting regular exercise. Nutrition was the third subscale. The majority of nursing students sometimes ate a healthy diet with an even larger amount never to sometimes limiting use of foods containing sugar. The fourth subscale was spiritual growth with over 40% feeling connected to some force greater than self Sub scale five was interpersonal relations. Responses to the interpersonal relations subscale indicated that students had support systems in place 80% of the time often to routinely. Stress Management was the sixth subscale of the HPLP. Almost 75% of the nursing students experienced stress and rarely participated in activities to reduce stress.Conclusions were that stress was obvious in nursing education. Stress can be reduced by components of a healthy lifestyle. Lifestyle is a controllable factor in life. Since nursing students are students of health., a healthy lifestyle should be practiced by nursing students. Eating a balanced diet, exercising, and participating in activities to reduce stress are some of the components of a healthy lifestyle.This study was significant because findings provided information about lifestyle and the relationship to perceived stress levels. Since high stress levels may reduce academic performance, and unhealthy lifestyles may increase stress, educational programs could be initiated to reduce stress and improve lifestyle behaviors. Support groups could be instituted to provide a way to support healthy lifestyle and ways to reduce stress.The study has implications for nursing students and nursing faculty. Implications include stress assessment of students and stress management education for students. Nursing faculty must educate students about possible causes of stress and provide ample ways to reduce stress by leading a healthier lifestyle. Nursing students and nursing faculty should lead a life of a health practitioner.School of Nursing
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Norder-Pietrzak, Michelle Marie. "Perceived body image : selected lifestyle practices and their relationship to physical self-esteem /." Connect to online version, 1993. http://minds.wisconsin.edu/handle/1793/38884.
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Eader, Natalie D. "Family Practices And Perceived Importance Of Healthy Lifestyle Behaviors In Parents Of Adolescents." The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1228314371.
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Hoskin, Pauline Loretta Arnott, and University of Lethbridge Faculty of Education. "The health of nurses : their subjective well-being, lifestyle/preventive practices and goals for health." Thesis, Lethbridge, Alta : University of Lethbridge, Faculty of Education, 1987, 1987. http://hdl.handle.net/10133/18.
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Although promotion of health and healthy lifestyles are accepted tasks of registered nurses, the assessment of nurses' own health and health behaviours has rarely been assessed. In this study questionnaire responses from 59 female registered nurses and interviews with ten nurses employed full-time in south-west Alberta were analyzed. The questionnaire consisted of items taken and adapted from the Canada Health Survey (Health & Welfare Canada, 1981) on subjective well-being (Affect Balance Scale and Health Opinion Survey) and certain lifestyle practices (pap test, breast examination, alcohol consumption, cigarette smoking and seat belt use). A question on leisure time physical activity was take from Godin, Jobin and Bouillon (1986). Questions assessing self-reported immune status and perception of self as a health role model for others were designed by the researcher. Data from the questionnaires were described in narrative, frequency counts and percentages. Comparisons were made among responses in various parts of the questionnaire as well as with the results of the Canada Health Survey. Interview questions designed by the researcher assessed the ways in which the nurse participants thought about health and their goals for health; transcribed interview responses were categorized according to themes; further interpretation was done on three main themes (maintenance of health as a goal, perceived lack of nurses' self-care and nurses' expectations of themselves). The nurses' scores on the Affect Balance Scale and the Health Opinion Survey place them toward the positive end of a positive-negative continuum of subjective well-being (Okun, Stock, Haring & Witter, 1984). Comparison of the participants' responses regarding lifestyle and preventive practices with the Canada Health Survey suggests that these nurses had relatively adequate health practices with the possible exception of participation in vigorous physical activity. A majority of the participants perceived themselves as role models of health, particularly non-smokers and those with post-RN education. The ten interviewed nurses generally gave maintenance of health as their primary present and future goal for health. Lack of self-care was associated by participants with nurses' and women's traditional concern for others before themselves. The participants seemed to have generally high expectations for themselves and other nurses. This descriptive and exploratory study may provide a baseline for future study of nurses' health, an indication of areas for health promotion programs for nurses and a discussion point for nurses to continue to assess their own health and the factors affecting their own health and goals for health.x, 149 p. ; 28 cm
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Burrill, Elizabeth. "Health conception, family health work and health-promoting lifestyle practices in Latin American Mennonite families." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0010/MQ30781.pdf.
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Dibble, William Flint. "The Archaeology of Food in Athens: The Development of an Athenian Urban Lifestyle." University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1274209972.
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Dawson, Eva Charlotte Ratliff. "The relationship of stress levels to wellness practices among community college presidents." [Johnson City, Tenn. : East Tennessee State University], 2004. http://etd-submit.etsu.edu/etd/theses/available/etd-0306104-115820/unrestricted/DawsonE032504f.pdf.
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Thesis (Ed. D.)--East Tennessee State University, 2004.Title from electronic submission form. ETSU ETD database URN: etd-0306104-115820. Includes bibliographical references. Also available via Internet at the UMI web site.
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Creel, James R. "The religious beliefs, moral beliefs, and lifestyle practices of the high school students who attend Berean Academy." Theological Research Exchange Network (TREN), 1999. http://www.tren.com.
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Haycock, Lynne. ""The measure of the man ...?!" : men aged 18-24 : health, food, lifestyle practices and constructions of masculinity." Thesis, University of Huddersfield, 2014. http://eprints.hud.ac.uk/id/eprint/23705/.
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This thesis aims to critically explore how young men aged 18-24 construct ‘health’ in terms of their knowledge, beliefs and behaviours and to examine what influence these factors may have on their own lifestyle practices, particularly, but not exclusively, in relation to food and how this informs their masculine identity. Statistics suggest that as a group young men are the worst at ‘following’ health promotion guidelines and as such are ‘positioning’ themselves as being at risk of developing certain illnesses and diseases such as cancer and diabetes as a result of this non-conformance. Men’s diets are often portrayed as being unhealthy; high in meat content and low in consumption of fruit and vegetables. Furthermore men’s health is often viewed in opposition to women’s and inequalities in health between men and women are often put down to man’s pursuit of hegemonic masculinity. This thesis will argue that statistics alone do not tell the whole picture as men are not a homogenous group, with differences in sexual orientation, class and age, to name but a few. Therefore to help understand the health behaviours of young men better their voices need to be listened to. This thesis will seek to understand the impact health promotion messages as well as other ‘educational’ sources such as the media, have upon the knowledge, health beliefs and behaviours of young men and if these ‘messages’ help or hinder their participation in such. This thesis draws upon qualitative data to investigate how food and health are understood and negotiated by young men as part of their lived experiences and will take a thematic approach to data analysis. The key findings suggest that the young men involved in this research had a good knowledge of what are considered healthy behaviours however these were not necessarily the ones they followed. The men were interested in their health albeit in a way of bodily appearance, particularly in respect of fatness, and presentation of an acceptable masculine physique rather than in reducing their susceptibility to illness and disease. Food for the participants was not something to be consumed in order to sustain a ‘healthy’ blood pressure for example but was something which they used as part of their physical activity regime to help build muscle and ‘keep in shape’. This was particularly important when the body was considered to be under the judgemental ‘gaze’ of others therefore being on holiday and having a ‘holiday body’ was where the display of an acceptable masculine physique was considered essential.
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Leung, Suet-fan Lydia. "Lifestyle practices and perceived health in Hong Kong Chinese : a cross-sectional and a longitudinal study from 1999 to 2001 /." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/b39724190.
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Maart, Lana Catherine. "Knowledge, attitudes and practices related to lifestyle factors among childbearing women in the West Coast/Winelands health district." Thesis, University of the Western Cape, 1990. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5520_1207815219.
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Many of the known risk factors associated with low birth weight, such as socio-economic status, ethnicity, genetic makeup, and obstetric history, are not within a women's immediate control. However, there are many things that a woman can do to improve her chances of having a normal healthy child. Lifestyle behaviours, such as cigarette smoking, nutrition and the use of alcohol, play an important role in determining the growth of the fetus. The aim of this study was to establish the knowledge, attitudes and practices related to lifestyle factors such as alcohol use, smoking and nutrition among childbearing women and health care workers on the farms in Stellenbosch and Vredendal.
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Kokab, Farina. "Understanding health beliefs and lifestyle practices in relation to social support in the Pakistani community, West Midlands, UK." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6860/.
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South Asians, specifically Pakistanis, living in areas of socio-economic deprivation across the UK, have an elevated risk of cardiovascular disease (CVD). The purpose of this research was to explore how social networks function as a source of support and information (social capital) in creating lifestyles associated with CVD prevention in a migrant, minority-ethnic Pakistani population. Semi-structured qualitative interviews were carried out using an interview guide and the convoy model diagram to elicit participant’s responses on social networks, community interactions and lifestyle choices (diet and exercise). A total of 42 participants across three migrant generations, diverse educational and occupational backgrounds, men and women aged 18 years and above participated. Framework analysis was used to analyse transcripts and organise codes, themes and categories. Findings distinguished a diverse narrative amongst men and women with regards to making lifestyle choices and gaining access to social support within or outside of the Pakistani community. Conclusively, engagement beyond familiar community contexts could provide greater or novel sources of support and information for pursuing (at times) non-traditional, healthier lifestyles. Understanding shifting perceptions of health in relation to religion, culture and ethnic-identity could provide primary care practitioners with a better understanding of how to treat high-risk patients.
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Ikombele, Botomwito. "Knowledge, attitudes and practices regarding lifestyle modifications among type 2 diabetic patients attending Mamelodi Hospital, Pretoria, South Africa." Thesis, University of Limpopo (Medunsa Campus), 2011. http://hdl.handle.net/10386/699.
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Thesis (M Med (Family Medicine) -- University of Limpopo, 2011.Introduction The burden of type 2 diabetes mellitus continues to rise and constitutes a real threat especially in the developing world. As for most non-communicable diseases, change of behavior and adoption of healthy lifestyle habits help to prevent and slow down the increase of type 2 diabetes mellitus. Aim of the Study To establish the knowledge, attitudes and practices regarding lifestyle modifications among type 2 diabetic patients attending the diabetic clinic at Mamelodi hospital. Methods: This cross sectional study describes the knowledge, attitudes and practices regarding lifestyle modifications (KAP) among 217 type 2 diabetes mellitus patients attending Mamelodi Hospital, Pretoria, Republic of South Africa. A face-to-face interview using a structured questionnaire was carried out for data collection. Socio-demographic characteristics of the participants and anthropometric measurements were obtained and the body mass index (8MI) of participants were determined. The Knowledge, attitude and practice of participants were assessed. 2 Results: Majority of participants were female 176(81.1 %), while male were 41 (18.9%). This amounted to a female to male ratio of 4:1. Most participants were in the age group 51-60 years 93(42.9%). Majority of them had low level of education 108(49.5%) and low income 206(94.9%). Majority of participants were obese 153(71 %) with more female diabetic patients being obese 120 (78.4%) than male 33 (21.6%). 15 participants (14 females and 1 male) were morbidly obese (BMI~40kg/m2). 108 participants (49.5%) did not have a formal education. No respondent had good knowledge and 92.6% of respondents had poor knowledge of the benefits of exercise, weight loss and healthy diet. Majority of respondents (97.7%) had bad practices in relation to lifestyle modifications. Nevertheless, majority of them (84.3%) had positive attitudes toward lifestyle modifications. Significant positive correlation (r= 0.170, p=0.012) was found between the global knowledge level and attitude level alone, whereas there was no significant correlation found between the global knowledge level and practice level as well as the attitude level and practice level. Conclusion: In conclusion, despite positive attitudes of participants toward healthy lifestyle habits, the knowledge and practices regarding lifestyle modifications among type 2 diabetes mellitus patients attending Mamelodi Hospital were generally low. Nevertheless the positive attitudes of participants should be encouraged and the implementation of a lifestyle intervention program will help improve the knowledge and practices of type 2 diabetes mellitus patients attending Mamelodi Hospital for the better management and control of this current pandemic of type 2 diabetes mellitus.
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Chipinduro, Joseph. "Assessment of healthy lifestyle practices in type 2 diabetes patients and association with glycated haemoglobin levels in Harare, Zimbabwe." University of the Western Cape, 2018. http://hdl.handle.net/11394/6912.
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Magister Public Health - MPHIntroduction: The control of type 2 diabetes mellitus (T2DM) is pivoted on adherence to a healthy lifestyle (healthy diet, physical activity and non-smoking). Zimbabwe reports a high burden of T2DM related complications suggesting an increased inability by patients to control their blood glucose levels. This study, therefore, sought to describe the healthy lifestyle practices of T2DM patients in Harare, Zimbabwe and associate these practices with their glycated haemoglobin (HBA1C) levels, a marker for the control of diabetes. Methodology: A descriptive cross-sectional study was done. Participants were T2DM patients who were 18 years and older from two tertiary hospital diabetes clinics in Harare. Data collection was done using a structured questionnaire which was interviewer-administered along with height, weight and HBA1C measurements. Descriptive statistics were used to describe the study populations. Chi square test was used to calculate statistically significant associations between healthy lifestyle behaviours and demographics or HBA1C levels at the significant level of 0.05%.
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Leung, Suet-fan Lydia, and 梁雪芬. "Lifestyle practices and perceived health in Hong Kong Chinese: a cross-sectional and a longitudinal studyfrom 1999 to 2001." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724190.
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Karuguti, M. Wallace. "Medical doctors physical activity patterns and their advice about chronic diseases of lifestyle risk reduction in Tanzania." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9314_1363781272.
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Chronic diseases of lifestyle (CDL) are on a raising trend in the world regardless of age, economic class or geographical location of a population. The mortality rate associated with CDL is alarmingly among the highest globally. Tanzania is not exempted from this development. Literature indicates that physical activity is a health practice that can prevent CDL. It is recommended that medical practitioners should hold the responsibility of counselling patients on physical activity. Some studies outside Africa found an association between doctors&rsquo
physical activity patterns and their counselling practices on the same. This study therefore sought to establish whether physical inactivity among medical
doctors in Tanzania significantly influenced their counselling practices on physical activity. A cross sectional quantitative survey at the Muhimbili National Hospital and Muhimbili Orthopedic Institute was conducted to derive the required information. A self administered structured questionnaire was voluntarily answered by 144 medical doctors. The Statistical Package for Social Sciences (SPSS) version 17 was used for data capturing and analysis. Descriptive statistics were employed to summarize data and was expressed as means, standard deviation, frequencies and percentages. The students&rsquo
t-test was used to compare mean physical activity between different groups. Furthermore students&rsquo
t-test and analysis of variance tests were used to examine association between different variables. Chisquare tests were used to test for associations between categorical variables. Alpha level was set at p<
0.05. Most of the participants in this study were sedentary in their leisure time and only active at work. When their quality of
physical activity counselling was assessed, the majority of them were found to be poor physical activity counsellors. A significant association was found between physical activity and age, as well as physical activity and counselling practice (p<
0.05). Participants mostly informed their patients about the intensity and duration of exercising more than any other idea of physical activity such as types of exercises, issuing of a written prescription and planning for a follow up. Lack of knowledge and experience about details of physical activity were reasons offered for failure to counsel. Participants also reported the inconvenience of physical activity facility&rsquo
s schedules, fatigue and tiredness to be their
barriers to physical activity participation. Doctors in Tanzania lacked personal initiative to participate in physical activity and consequently lacked the motivation to counsel.
Measures around enhancing this health practice should be enhanced by all stakeholders including medical doctors, physiotherapists and patients. The need for short term and
long term training in matters related to physical activity are therefore necessary among the practicing doctors and those undergoing training in medical schools. Physiotherapists who are trained in movement science can offer valuable advice/information to medical doctors to ensure that medical doctors acquire physical activity prescription and
counselling knowledge. Collaboration between stakeholders in campaigning against sedentary lifestyles should be enhanced. Further reasons for failure to counsel, hindrances to physical activity participation and modern approaches to counselling should be explored.
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Monteith, Bonnie. "The relationships among mother's resilience, family health work, and mother's health-promoting lifestyle practices in families with pre-school children." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28623.pdf.
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West, Amanda Jayne. ""But you didn't think what you were doing was risky" : the role of risk in mediating the identities and practices of rock climbers." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/but-you-didnt-think-what-you-were-doing-was-risky-the-role-of-risk-in-mediating-the-identities-and-practices-of-rock-climbers(407bac21-1feb-40a2-a6e5-749e99846a05).html.
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This thesis examines the multiple meanings attached to risk by a small group of climbers based in the North of England. The study is anchored, empirically in sustained observational fieldwork, and in-depth interviews with adult subjects (9 females aged 22-77, 14 males aged 20-70). In completing this thesis, I believe I have made an original contribution to knowledge in three areas. In re-imagining risk in climbing, I argue that climbers do not participate in climbing because of a desire to take risks, rather, they make every effort to assess, manage and control risks when climbing. In reconceptualising risk in climbing, I present a conceptual model derived from the interviewees’ accounts of risk. This model situates risk in climbing with risk in everyday life. The basis of my third original contribution to knowledge lies in the relationship between risk and identity. The interviewees differentiated between safe and unsafe climbers through reference to embodied climbing practices. The way a climber in this study assessed and managed risk marked them as a safe climber or conversely an unsafe climber. Furthermore, the data revealed both a gendered and an age-related dimension to the relationship between risk and identity. The desire to retain the identity of a climber over time was so strong that older climbers reported modifying their practices to sustain their status as a member of the insider group. In addition, the female interviewees described how perceived family responsibilities mediated membership of the insider group, and their identity as a safe and qualified climber. The female climbers in this study described how such responsibilities led them, like older climbers, to draw back from the edge. These findings have implications beyond the sport of rock climbing and its participants. This research has the potential to inform and enhance our appreciation of risk in other lifestyle sports and moreover, whilst there is a tendency to distinguish between lifestyle and traditional sports, there may be some application of the account of risk presented here to an exploration of risk in traditional sports. The arguments presented in this study also contribute to an understanding or risk more generally. A key conclusion from this study is that risk is best understood where the meanings attached to it are derived from individuals’ everyday lived experience and relatedly where risk is situated within the broadest context of their lives. Finally, the data reported here suggests that risk activities and risk-taking should be explored in relation to an individual’s perceived identity and crucially, the significance of risk for the construction of that identity.
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Al, Zuhaibi Khalid. "Impact of dietary practices and physical activity on obesity and overweight in Omani adults and effectiveness of lifestyle interventions using smart phone applications." Thesis, University of Nottingham, 2018. http://eprints.nottingham.ac.uk/49559/.
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Overweight and obesity in Oman have increased dramatically in recent years and are associated with increases in cardiovascular disease and diabetes. This project explored the food choices, dietary intake and physical activity of Omani adults. The effectiveness of smartphone apps on physical activity behaviours in Omani adults was also investigated. In study 1, a survey was conducted on 500 healthy adults living in Oman during the period from December 2013 to April 2014. Eligible participants completed questionnaires, specifically designed for this study and administrated by trained health educators in all governorates in Oman. 55% of the population studied were either overweight or obese (particularly those over 30y of age). BMI was significantly (p < 0.05) affected by gender and age group but not by residential area (urban vs rural). Dietary analysis indicated a high consumption of ‘fast food’ but total energy intakes failed to explain the high incidence of obesity. However, the questionnaire indicated a high level of physical inactivity within the population. Study 2, implemented in two phases, aimed to investigate the efficacy of three smartphones apps (MapMyFitness, Lose it, and Pacer) on improving physical activity in Omani male and female adults. Phase1 studied male and female Omani citizens living in the UK while phase 2 specifically investigated females living in Oman. Both phases showed significant increases in physical activity amongst the participants though, due to the short period of intervention (4 weeks), this was associated with only modest changes in BMI. The prevalence of overweight and obesity amongst adults highlights the need for intervention strategies, targeting unhealthy lifestyle behaviours, to curb the prevalence of NCDs in Oman. Smartphone apps, represent potential tool to facilitate changes in lifestyle factors associated with the high prevalence obesity in Omani adults. Key words: Obesity, physical activity, energy intake, MapMyFitness, Lose it, Pacer, Oman.
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Carstens, Maryke. "The association between glycaemic control and lifestyle habits in adults with Type 2 Diabetes Mellitus attending selected private health care practices in Thabazimbi, Limpopo Province." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85796.
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Thesis (MNutr)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Introduction: Intensive lifestyle intervention in people with Type 2 Diabetes Mellitus (T2DM) is associated with weight loss, significant reductions in HbA1c% and a reduction in cardiovascular disease risk factors. Small towns unfortunately experience a deficit of dieticians, thus limiting access to lifestyle intervention. Furthermore, a limited number of South African studies have evaluated the effect of dietary habits, anthropometric status, activity level (AL) and dietician-led medical nutrition therapy (MNT) on glycaemic control in patients with T2DM. This study thus aimed to identify the association between glycaemic control and lifestyle habits in adults with T2DM living in Thabazimbi. The role of the dietician with regard to optimal glycaemic control was also investigated with great interest. Methods: Individuals (>18 years) with T2DM who had a recent HbA1c test result and no acute infection/illness were included in the study over a 7 month recruitment period. Weight, height and waist circumference were measured, AL and dietetic contact evaluated, and dietary habits assessed by means of a structured questionnaire. Six home-measured post-prandial glucose (PPG) measurements and HbA1c% were used to evaluate glycaemic control. Results: A total of 62 (59.7% males) patients were included. The mean age was 60.13 ±10.85 years and mean T2DM disease duration was 121 ±96.56 months. Only 6.45% of participants had a normal Body Mass Index classification. Most (90.32%) participants had a substantially increased waist circumference (WC). Half of the participants had a sedentary/low AL, whilst 48.39% had an active/moderately active AL. Almost all (95%) participants indicated it was necessary for persons with DM to consult a dietician for MNT, however only 63% of participants actually consulted one. Mean dietary compliance was 74.53 ±10.93%. The average HbA1c% and PPG of participants were respectively 7.50 ±1.62% and 8.90 ±3.21mmol/l. A significant negative association (r=-0.31; p=0.02) was found between HbA1c% and percentage dietary compliance. The number of dietetic sessions completed and average PPG were also significantly [(r=0.40; p=0.001), (r=-0.34; p=0.01)] associated with percentage dietary compliance. In turn PPG had a significant positive (r=0.30; p=0.02) association with DM disease duration. Both the good HbA1c and good PPG control groups had significantly (p=0.01, p=0.04) better dietary habits than the poor HbA1c and PPG control groups. When compared to the poor PPG group, the good PPG group made significantly (p=0.04) better dietary decisions with regard to the main meal’s carbohydrate quality and quantity. Body Mass Index, WC, AL and extent of dietetic contact didn’t play a significant role in the glycaemic classification (good vs. poor) of participants. Conclusion: The longer T2DM is present, the worse PPG control becomes. Optimal dietary habits play a significant positive role in both the long- and short term glycaemic control of people with T2DM in Thabazimbi. The choice and portion size of the main meal’s carbohydrates has been identified to be the most important dietary role-player in the glycaemic control of this study population. This study also shows that if individuals with DM spend enough time with a dietician, it could potentially contribute to better dietary compliance and subsequent better glycaemic control.
AFRIKAANSE OPSOMMING: Inleiding: Intensiewe leefstyl intervensie onder diegene met Tipe 2 Diabetes Mellitus (T2DM) word geassosieer met gewigsverlies, beduidende verlaging in HbA1c% asook ’n vermindering in verskeie kardiovaskulêre-siekte risiko faktore. Plattelandse dorpies beleef egter ’n tekort aan dieetkundiges, wat gevolglik toegang tot leefstyl intervensie beperk. Daar is ook ’n beperkte hoeveelheid Suid-Afrikaanse studies wat die impak van eetgewoontes, antropometriese status, aktiwiteitsvlak en dieetkundige-begeleide dieetterapie op glisemiese beheer in T2DM pasiënte evalueer. Die doel van die studie was dus om die verband tussen glisemiese beheer en leefstyl gewoontes in volwassenes met T2DM in Thabazimbi te bepaal. Die rol van die dieetkundige met betrekking tot optimale glisemiese beheer was ook met groot belangstelling nagevors. Metodes: Diegene (>18 jaar) met T2DM wat oor ’n onlangse HbA1c toets uitslag beskik het en nie enige akute siektes/infeksie gehad het nie, is oor ’n 7 maande werwingsperiode ingesluit. Gewig, lengte en middel-omtrek was gemeet, aktiwiteitsvlak en dieetkundig-kontak bepaal, en eetgewoontes geassesseer m.b.v. ’n gestruktueerde vraelys. Ses tuis-bepaalde na-ete bloedsuiker lesings en HbA1c% was gebruik om glisemiese beheer te evalueer. Resultate: Twee-en-sestig (59.7% mans) pasiënte het aan die studie deelgeneem. Die gemiddelde ouderdom was 60.13 ±10.85 jaar en die gemiddelde T2DM duurte 121 ±96.56 maande. Slegs 6.45% van die deelnemers het ’n gesonde Liggaam-Massa-Indeks gehad. Meeste (90.32%) deelnemers se middel-omtrek was ook ruimskoots verhoog. Die helfte van die deelnemers het ’n passiewe/lae aktiwiteitsvlak gehad, terwyl 48.39% ’n aktief/matig-aktiewe aktiwiteitsvlak gerapporteer het. Amper al (95%) die deelnemers het aangedui dat mense met T2DM ’n dieetkundige moet raadpleeg vir dieetterapie. Slegs 63% van die deelnemers het egter werklik ’n dieetkundige vir diabetes dieetterapie geraadpleeg. Gemiddelde dieet-gehoorsaamheid was 74.53 ±10.93% en die gemiddelde HbA1c % en na-ete bloedsuiker vlakke van deelnemers was onderskeidelik 7.50 ±1.62% en 8.90 ±3.21mmol/l. Daar was ’n beduidende negatiewe verband (r=-0.31; p=0.02) tussen HbA1c % en persentasie dieet-gehoorsaamheid. ’n Beduidende verband was ook tussen persentasie dieet-gehoorsaamheid en die hoeveelheid voltooide dieetterapie sessies (r=0.40; p=0.001) asook die gemiddelde na-ete bloedglukose vlak (r=-0.34; p=0.01) geïdentifiseer. Na-ete bloedglukose het ook ’n beduidende positiewe (r=0.30; p=0.02) verband met die duurte van diabetes getoon. Beide die goeie HbA1c en goeie na-ete glukose groepe het beduidend (p=0.01, p=0.04) beter eetgewoontes as die swak HbA1c en swak na-ete glukose groepe gehad. Die goeie na-ete glukose groep het veral beduidend (p=0.04) beter dieet keuses m.b.t die hoofmaal se koolhidraat kwaliteit en kwantiteit gemaak. Lengte-Massa-Indeks, middel-omtrek, aktiwiteitsvlak en die mate van dieetkundige kontak het nie ’n beduidende rol in die glisemiese klassifikasie (goed teenoor swak) van deelnemers gespeel nie. Gevolgtrekking: Na-ete bloedsuiker beheer word al hoe slegter hoe langer T2DM teenwoordig is. Optimale eetgewoontes speel ’n beduidende positiewe rol in beide die lang- en kort-termyn glisemiese beheer van mense met T2DM in Thabazimbi. Die keuse en porsie grootte van die hoofmaal se koolhidrate blyk die belangrikste dieet rolspeler in die glisemiese beheer van die studie populasie te wees. Die studie dui ook aan dat as mense met T2DM genoeg tyd saam met ’n dieetkundige deurbring, dit moontlik kan bydra tot beter dieet-gehoorsaamheid en gevolglik beter glisemiese beheer.
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Kriek, Louise. "Using South African food companies’ nutrition strategies and consumer knowledge, attitudes and practices pertaining to nutrition information, to develop guidelines for the promotion of the prevention of chronic diseases of lifestyle." Thesis, Stellenbosch : University Stellenbosch, 2009. http://hdl.handle.net/10019.1/4605.
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Thesis (MNutr (Interdisciplinary Health Sciences. Human Nutrition))--University of Stellenbosch, 2009.Embargo expiry date: 2010-07-31 plt 2010
ENGLISH ABSTRACT: The prevalence of chronic diseases of lifestyle such as cardiovascular disease, cancer, type 2 diabetes mellitus and obesity are increasing worldwide due to changes in lifestyle patterns, including changes in the food consumption patterns of consumers. There are numerous players who need to be involved in addressing current lifestyle patterns and in encouraging positive behaviour change. Food companies have a role in evaluating the composition of the products that they offer, as well as in educating consumers with regard to healthy eating practices through both the on-pack information that they supply and in their nutrition strategies and programmes. The main objective of the study was to investigate the nutrition strategies that food companies in South Africa use to communicate with the consumers and to compare it with the knowledge, attitudes and practices of the consumers towards the nutrition information that they receive. The secondary objective was to develop guidelines for food companies in their promotion of the prevention of chronic diseases of lifestyle. Methodology The study population consisted of a sample of 7 food companies operating in South Africa and a sample of 230 South African consumers. Data were collected through test questionnaires aimed at each specific study population. The data were analysed statistically for each study population and the data between the two study populations were compared. Results Most food companies that participated stated that they have a nutrition strategy which outlines their consumer communication policy, but none of these were made available to the researcher. Seventy-one percent of the food companies also indicated that they address chronic diseases of lifestyle in their nutrition strategies, with cardiovascular disease being the main focus. The medium used most frequently by food companies for nutrition education of the consumer is the food label. The majority of food companies agree that they do have a responsibility towards the education of the consumer, but stated that it is not solely their responsibility. Ninety-six percent of consumers read (always or sometimes) the labels of food products when making a purchase. The older the consumer, the more unlikely they are to read the ingredients statement on the label. Consumers are most concerned with cardiovascular disease when purchasing food products. Ninety-five percent of consumers agreed that food companies have a responsibility towards them with regard to nutrition education. The consumers indicated that they prefer food labels and television as the medium for nutrition education, but that they trust doctors and nutritionists the most to relay nutrition messages. Conclusion Consumer education on the prevention of chronic diseases of lifestyle is essential if the behaviour change, necessary to address their rising prevalence, is to become a part of consumers’ lifestyles. Food companies should be actively involved with consumer education pertaining to healthy eating and healthy lifestyle habits. Communication with regard to nutrition education is critical and should be consistent with an integrated approach involving all the role players including the food industry, the Department of Health (DOH) and the Department of Education (DOE).
AFRIKAANSE OPSOMMING: Die prevalensie van kroniese lewensstyl siektes soos hartvatsiektes, kanker, tipe 2 diabetes mellitus en vetsug is wêreldwyd aan die toeneem weens ’n verandering in die lewenstyl van verbruikers wat ’n weer ‘n verandering in eetgewoontes teweeg bring. Daar is verskeie rolspelers betrokke wat ’n bydrae kan lewer om die huidige lewensstyl patrone van verbruikers aan te spreek en om positiewe gedragsveranderinge te bevorder. Voedselmaatskappye speel ‘n tweeledige rol: deur die samestelling van voedselprodukte wat hulle versprei te evalueer, en deur die verbruiker op te voed oor gesonde eetgewoontes. Maatskappye se voedingstrategieë en programme, asook die verpakking van produkte, kan gebruik word om voedingsinligting te verskaf. Die studie se hoof doelwit was om die voedingstrategieё te ondersoek wat deur voedselmaatskappye in Suid Afrika gebruik word en om dit te vergelyk met die kennis, houding en praktyke van die verbruiker teenoor voedingsinligting wat hulle ontvang. Die sekondêre doelwit was om riglyne vir voedselmaatskappye te ontwikkel ter ondersteuning van die maatskappye se inisiatiewe om kroniese lewensstyl siektes te voorkom. Metodologie Die studiepopulasie het bestaan uit ’n steekproef van 7 voedselmaatskappye wat in Suid Afrika werksaam is en ‘n steekproef van 230 Suid Afrikaanse verbruikers. Data is ingesamel deur twee uitgetoetsde vraelyste te gebruik wat spesifiek geteiken was vir elke studie populasie. Die data is statisties geanaliseer vir elke studie populasie en die studie populasies is ook met mekaar vergelyk. Resultate Die meeste voedselmaatskappye wat deelgeneem het aan die studie verklaar dat hulle ‘n voedingstrategie het wat die wyse waarop daar met die verbruiker kommunikeer word uitstippel, nogtans was geeneen van die voedingstrategieë beskikbaar gestel aan die navorser nie. Een en sewentig persent van die voedselmaatskappye het ook aangedui dat kroniese lewensstyl siektes aangespreek word in hul voedingstrategieë en dat daar gefokus word op hartvatsiektes. Voedselmaatskappye gee voorkeur aan die voedseletiket as medium vir voedingvoorligting aan die verbruiker. Die meeste voedselmaatskappye het saamgestem dat hul wel ‘n verantwoordelikheid het teenoor die verbruiker ten opsigte van voedingvoorligting, maar beskou dit nie as uitsluitlik hul verantwoordelikheid nie. Ses en negentig persent van die verbruikers lees voedsel etikette (altyd of soms) wanneer hul aankope doen. Dit blyk dat die ouer verbruiker minder geneig is om die bestanddelelys te lees. Verbruikers is oorwegend bekommerd oor hartvatsiektes wanneer hulle voedselaankope doen. Vyf en negentig persent van die verbruikers stem saam dat voedselmaatskappye ‘n verantwoordelikheid het teenoor verbruikers ten opsigte van voedingvoorligting. Die verbruikers gee voorkeur aan die voedsel etiket en televisie as mediums vir voedingvoorligting, maar hul vertrou meestal op dokters en voedingkundiges om die voedingboodskappe oor te dra. Gevolgtrekking Om gedragsverandering by verbruikers mee te bring met die oog daarop om die toename in kroniese lewensstyl siektes aan te spreek, is dit essensiëel om die verbruiker toe te rus met die nodige kennis oor die voorkoming van kroniese lewenstyl siektes. Voedselmaatskappye behoort aktief betrokke wees by verbruiker opvoeding oor gesonde leef- en eetgewoontes. Kommunikasie ten opsigte van voedingvoorligting moet konsekwent wees en ‘n geїntegreerde benadering moet deur alle rolspelers gevolg word, insluitende voedselmaatskappye, die Departement Gesondheid en die Onderwysdepartement.
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Guerreiro, Ana Daniela da Silva. "“Estamos em processo de transição” Experiências de famílias de consumidores éticos portugueses: uma etnografia dos valores, práticas e discursos de estilos de vida autoconscientes." Master's thesis, Instituto Superior de Ciências Sociais e Políticas, 2019. http://hdl.handle.net/10400.5/18471.
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Dissertação de Mestrado em AntropologiaEste trabalho foca as experiências de famílias de consumidores éticos portugueses, mais especificamente as suas práticas, discursos e valores, e tem por base uma pesquisa etnográfica, durante a qual se procurou entender o quotidiano destas famílias, os valores e significados que as mesmas atribuem ao consumo. Ao longo da pesquisa também se procurou identificar os serviços e bens que são classificados como éticos pelas famílias e como estas colocam os seus discursos em prática durante o ato de compra, o que revelou-se um desafio constante, bem como perceber posicionamentos políticos e ações públicas levados a cabo por estas pessoas no despertar de outros indivíduos para um estilo de vida mais consciente. No final, a investigação aponta para a ideia que ser consumidor ético é um desafio e uma negociação constante, sendo que todos os participantes da pesquisa revelaram sentirem-se em processo de transição, não entendendo o consumo ético como uma condição fechada e valorizando cada alteração que realizam no seu quotidiano por mais pequena que ela seja.
This research focuses on the experiences of families of ethical consumers in Portugal, more precisely on their practices, discourses and values. It was based in an ethnographic research aimed to understand the daily life of these families, namely the values and meanings they attribute to consumption. This research also intended to identify the services and goods classified as ethical by these families and to understand how ethical consumers put their discourses into practice during their acts of consumption, which has proved a constant challenge. Political positions and public actions carried out by these people were also explored as way of arousing another people’s interest in pursuing a more conscious lifestyle. In the end, this research points out to the idea that being a ethical consumer implies a constant challenge and negotiation, in the sense that all participants declared that they felt themselves in a process of transition, not understanding ethical consumer as a closed condition and valuing every change they make in their daily lives however small it may be.
N/A
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Elster, Judi. "Healthy Lifestyle Practice Among Online Health Psychology Graduate Students." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7637.
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Research focused on health behaviors of online graduate students is sparse. Health psychology graduate training prepares individuals to share health information with others; the information may be more credible if they present a healthy appearance. The present study tested concepts from social cognitive theory (general perceived self-efficacy) and self-determination theory (autonomy, competence, and relatedness basic needs) to determine predictive value for graduate students’ engaging in health behaviors. Participants were 121 (29 health psychology group, 92 other programs group) online graduate students who lived in the United States and attended the same online university, recruited from multiple social media sources. The study used a static comparison quasi-experimental design to examine data from an online survey. Data were analyzed using Pearson correlation, chi-square tests for independence, independent samples t-tests, ANOVA, MANOVA, and binary logistic regression. The health behaviors did not differ between the two graduate student groups. General perceived self-efficacy, autonomy, relatedness, and competency mean scores did not predict engaging in health behaviors. A significant negative correlation for the total sample was found between autonomy and body mass index. Positive social change may result from research focused on the best means to encourage health psychologists to regularly engage in health behaviors to the extent of Centers for Disease Control and Prevention recommended levels. By internalizing and modeling good health, health psychologists will add credibility to their message and help to mitigate the connection between premature death from chronic disease due to lack of engaging in a voluntary healthy lifestyle.
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Cunha, Conceição Maria Oliveira da. "Empreendedorismo "estilo de vida": o caso dos pequenos negócios TER." Doctoral thesis, Universidade de Aveiro, 2016. http://hdl.handle.net/10773/17246.
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Doutoramento em TurismoElevadas expectativas têm vindo a ser colocadas no empreendedorismo e na criação de pequenas empresas como meio para a regeneração das economias de muitas zonas rurais. O turismo é um dos setores que pode contribuir, bem como beneficiar da dinâmica empreendedora que se conseguir criar nestes territórios. Ainda que os contributos económicos e sociais dos pequenos negócios de turismo em espaço rural sejam crescentemente estudados e reconhecidos, a atuação dos proprietários e gestores não está clara, em particular no que se refere ao fenómeno do empreendedorismo “estilo de vida”. O objetivo desta investigação é contribuir para um melhor entendimento dos empreendedores “estilo de vida”, do seu perfil, das suas motivações e, particularmente, da forma como atuam na gestão dos seus pequenos negócios, visando igualmente uma compreensão das consequências do seu modo de gestão ao nível do sucesso empresarial. Para a concretização deste objetivo optou-se por realizar um estudo qualitativo, de profundidade, com recurso ao estudo de caso suportado por uma revisão prévia da literatura. Este estudo foi aplicado no Alto Alentejo, região rural do interior sul de Portugal, a qual, embora apresentando algumas características de ruralidade remota, possui um potencial turístico relevante. Foram entrevistados oito empreendedores, proprietários e gestores de pequenos negócios de alojamento localizados em áreas rurais. As entrevistas foram complementadas com dados obtidos em outras fontes, nomeadamente, entrevistas a turistas hospedados nos empreendimentos, observação direta e documentação variada. Recorreu-se a uma análise de conteúdo para o tratamento da informação recolhida, adotando-se uma abordagem categorial na sistematização dos dados, tendo por base os referenciais teóricos mais relevantes. Os resultados obtidos permitiram identificar padrões que indiciam comportamentos diferenciados nas práticas de gestão por parte de um grupo de empreendedores claramente conotados com características “estilo de vida”. Estes empreendedores apresentam, também, níveis superiores de satisfação com o negócio e com a opção de vida que tomaram, o que, aparentemente, contribui para o sucesso dos seus empreendimentos.
High expectations have been placed on entrepreneurship and on small businesses as a means of regeneration of many rural economies. Tourism is one of the sectors that can contribute to, and benefit from, the entrepreneurial dynamics created in these territories. Although the economic and social contributions of small rural tourism businesses are increasingly studied and recognized, the role of the owners / managers is not clear, particularly regarding “lifestyle” entrepreneurship. The aim of this research is to contribute to a better understanding of “lifestyle” entrepreneurs, their profile, their motivations and, mainly, their business management practices, also including an understanding of the consequences of the way of management on business success. To accomplish this objective, the decision was to undertake a qualitative in-depth research, using the case study which was supported by a previous literature review. This study was conducted in the Alto Alentejo region, a rural region in the southern inner part of Portugal which, regardless of some characteristics of remote rurality, has significant tourism potential. Eight entrepreneurs, owners and managers of small tourism accommodation units in rural areas, were interviewed. The interviews were complemented with data from other sources, namely interviews with guests, direct observation and diverse documentation. The collected data was processed adopting a categorical approach. A content analysis was performed, taking into account the most relevant theoretical frameworks previously reviewed. The results obtained allowed to identity patterns, which indicate different behaviors in management practices within a group of entrepreneurs clearly associated to “lifestyle” characteristics. These entrepreneurs also demonstrated higher levels of satisfaction with their business and life choices, which apparently contributes to the success of their endeavors.
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Jeon, Jin. "Television, race and national identity : a study of South Africa's lifestyle programme Top billing." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/11637.
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Includes bibliographical references (leaves 81-93).This thesis is an in-depth investigation into the weekly lifestyle/magazine programme Top Billing, aired on SABC3 (South African Broadcasting Corporation) – primarily in South Africa and in other surrounding African nations – to a total of over 6 million viewers. In its eighteenth year on South African television, Top Billing has entered the domestic lives of its viewers weekly, and has markedly become one of the country’s longest-running lifestyle and entertainment programmes. This study investigates the various meanings and pleasures that loyal viewers of Top Billing make of the programme, and how these "meanings" relate to their identities as middle class South Africans. Categorised as the "lifestyle" programme, it arguably has significant effects on the lifestyle and lives of its viewers. Studies on the "lifestyle" programme genre, especially in context to contemporary television studies, has not been widely written about. Further, as there is growing interest and a need for ethnographic and audience studies on the impact of television, particularly in Africa, this study thoroughly examines Top Billing in situ - in a media-saturated, post-modern, post-apartheid society in South Africa, while simultaneously locating the study in a larger, cross-disciplinary landscape. Since "meanings" are a cultural and social formation, the study examines the concept of "ideology" as a site of struggle; a place for the negotiation of race, gender, and other identities. The study brings to the fore the hegemonic ideology projected and "re-presented" by Top Billing, by taking an in-depth look at the makeup of the programme – both externally and internally, its relationship with its broadcaster and other social markers of society, and its audience. Through the use of content analysis, in-depth interviews and ethnography, this thesis examines issues of imbalanced representation of race and class, and the effects of commercialisation which take toll on the media landscape today. By further investigating the signifying role of the media and the ways in which Top Billing is constructed, the study determines ways in which identity is informed by Top Billing.
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Walker, Zoe Alice Katherine. "The effects on health and health behaviour of inviting adolescents to a consultation within the general practice setting." Thesis, University of Hertfordshire, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366036.
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Danielsson, Martin. "Digitala distinktioner : klass och kontinuitet i unga mäns vardagliga mediepraktiker." Doctoral thesis, Högskolan i Halmstad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-24372.
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This dissertation explores how social class matters in young men’s everyday relationship to digital media. The aim is to contribute to the existing knowledge about how young people incorporate digital media in their everyday lives by focusing on the structural premises of this process. It also presents an empirically grounded critique of popular ideas about young people as a “digital generation”, about the internet as a socially transformative force, and about class as an increasingly redundant category. The empirical material consists of qualitative interviews with 34 young men (16-19 years) from different class backgrounds, upper secondary schools and study programmes. Drawing on the conceptual tools of Pierre Bourdieu, three classes are constructed: the “cultural capital rich”, the “upwardly mobile”, and the “cultural capital poor”. The analysis shows that class, through the workings of habitus, structures the young men’s relationship to school and future aspirations. This also engenders class-distinctive ways of conceiving leisure and digital media use. Through their class habitus and taste, the young men tend to orient themselves and navigate in different ways in what they perceive as a space of digital goods and practices, endowed with different symbolic value in school and society. The “cultural capital rich” are drawn to-wards practices capable of yielding symbolic profit in the field of education and beyond, whereas the other classes gravitate towards the “illegitimate” digital culture but deal with this different ways. These findings indicate that there are social and cultural continuities at play within recent technological changes. They also expose the structural differences hidden by sweeping statements about young people as a “digital generation”. Finally, they show that class, contrary to popular beliefs about “the death of class”, still represents a pertinent analytical category.
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Matecki, Sandra. "Circular Economy in the Informal Tourism Sector : An Exploratory Study on Gotlands Peer-To-Peer Accommodations." Thesis, Uppsala universitet, Institutionen för samhällsbyggnad och industriell teknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-416663.
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This exploratory study aimed to investigate how private tourist accommodation owners on Gotland perceive, value and act upon sustainability. The overall aim of the research was to examine their actions in the context of circular economy, to see if they share municipalities visions of becoming a sustainable society. A qualitative method, with semi-structured interviews and a online content research based on their accommodation offers was conducted. Challenges and value conflicts of owners were identified. This research concludes that awareness of entrepreneurial practices, knowledge and collaboration are needed to overcome challenges that these owners encounter and help foster sustainable development. This study offers ideas for future research.
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Leber, Brett. "Practice-oriented Design for Lifestyle Change: Trialling as a Means of Enabling Transition." Research Showcase @ CMU, 2014. http://repository.cmu.edu/theses/62.
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Over time, our lifestyles accrete habits and become more rigid. Major life events tend to provide opportunities for reflection and change, but are infrequent. When looking at a problem like commuting — the health, environmental, and economic effects of the majority of commuters driving alone — we tend to see big yet difficult solutions: changes in infrastructure and policy (like more convenient bus routes, more separate bike paths, and more expensive gas), it is often argued, will convince us to try something else. But other ways of enabling lifestyle change are possible. This thesis is an exploration of the potential for small-scale, design-enabled experimentation in daily life to lead to change — not only in incremental behaviors but in more significant practices (recognizable, routinized patterns of behavior, embodied in the things we do and say — ways of commuting, for instance). By drawing on social practice theory, recent work on practice-oriented design, and service design, I explored how trialling different ways of commuting can enable practice transition — from driving alone to biking, walking, carpooling, or taking public transit. The output of this work was two complementary service offerings, one of which I evaluated within the context of a local organization, as well as the furthering of a dialogue on what it means to perform practice-oriented design.
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Taylor, Lisa. "From lifestyle media to lived practice : an ethnography of class, gender and ordinary gardening." Thesis, University of Wolverhampton, 2004. http://hdl.handle.net/2436/88297.
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Bonnier, Thérèce. "Building Low Carbon Lifestyles : A qualitative study of the built environment’s potential to encourage low carbon lifestyles." Thesis, KTH, Hållbar utveckling, miljövetenskap och teknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-212937.
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With over half of the world’s population living in urban settlements and an ongoing urbanization, cities today offer a unique opportunity to tackle climate change. Emissions of greenhouse gases derive from all products and services used, and in Sweden the average inhabitant emit 7 tons of greenhouse gases in carbon dioxide equivalents every year from privately acquired products and services, calculated from a consumption perspective. Long-term climate goals, and international climate agreements sets a limit of 1-2 tons. Lifestyle changes are important to achieve sustainable development, but planning practices today generally do not try to influence citizens’ consumption, and is presumed cannot affect inhabitants’ consumption of food, clothes, electronics, furniture, etc. This thesis investigates how planning and the built environment can practically encourage more sustainable consumption patterns, and which of these practices would be suitable to implement in the current sustainability project of Norra Kymlinge. The study concludes that sustainable consumption patterns could be encouraged in Norra Kymlinge through: collaborative living, sharing infrastructure, green leases, food production, personal measurement, and semi self-built apartments. For future research, more quantitative studies on the topic are suggested.
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Cockrell, Brittany B. "Mindfulness and authentic creativity developing a healthy lifestyle." Honors in the Major Thesis, University of Central Florida, 2011. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/362.
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The contemporary society of the United States of America is becoming an increasingly stressful environment to live in. Our rapid advances and developments in virtual, electronic, and high-speed technology have led us to a lifestyle that operates more quickly. However, our attachment to such a face-paced lifestyle has unfortunately led us towards an increasingly stressful lifestyle. This research focuses on identifying our current society's perceptual outlook and illustrating how the practice of mindfulness can help reduce the anxieties, struggles, and mental flaws which cloud our perception. The intent of this thesis is to show how the practice of mindfulness is beneficial towards our mental health. The practice of mindfulness originated within the Buddhist tradition and has evolved into a new area of interest in the fields of mental health, psychology, philosophy, and humanities. Also, the connection between the practice of mindfulness, and the practice of authentic creativity, as demonstrated in playing the piano, is illuminated within this research. Authentic creativity thus serves as an enlightening metaphor for the elusive practice of mindfulness, and creates a more vivid understanding of the concept of mindfulness. For this thesis I have conducted a literature review in the areas of philosophy, religion, aesthetics and cognitive science. Also, I am actively participating in my research by personally practicing mindfulness and piano. Part of my methodology involves critical thinking on the personal level as I am writing journal entries about my views and thoughts concerning these processes.B.A.
Bachelors
Arts and Humanities
Humanities
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Wichasin, Pimmada. "A study of Thai women as health tour participants in relation to lifestyle and leisure practice." Thesis, Bournemouth University, 2007. http://eprints.bournemouth.ac.uk/13018/.
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The main aim of this research study was to explore the participation of Thai women in domestic health tours, more specifically the 'preventative' type of health tour. The aim of this kind of tour is to encourage the participants to change their lifestyle to healthier ones, in part so that they can prevent illness or, in some cases, lessen the effects of an existing illness. The research investigated the respondents' participation in these tours both in relation to their leisure patterns and lifestyles and to their adoption of a healthy lifestyle. In order to achieve the overall aim and objectives of this research, an extensive review of the literature supported the primary research study which involved a participant observation study of a commercially-organised preventative health tour. Subsequently, two sets of interviews were undertaken with Thai female health tour participants with the second set being undertaken three years after the first series. The primary data obtained were rigorously analysed both qualitatively and quantitatively to determine the range of socio-demographic and other factors which determine the leisure patterns and practices of Thai women, their participation in health tours, and their adoption of healthy lifestyles. The results clearly demonstrated that age was the most important determinant of leisure choices, practices and patterns of the respondents the majority of whom were drawn from the upper middle and upper classes of Thai society. In terms of their adoption of a healthy lifestyle experience, age was also the key determinant. In addition, the data obtained from the first series of interviews were analysed both qualitatively and quantitatively to investigate the existence of demonstrable groupings of health tour participants. According to the qualitative data analysis, it suggested the existence of five such groups while the quantitatively-based cluster analysis indicated the existence of three groupings. The comparability and credibility of these groups are discussed and a random sample of the five qualitatively-determined groups were interviewed a second time, primarily to investigate their adherence to, adoption or rejection of a healthy lifestyle. The results of the first and second series of the interviews demonstrated that health tour participation led to the adoption of a healthy lifestyle for slightly less than half of the respondents. The results of this study indicate that, contrary to what may have been anticipated, the factors that influence and determine the leisure and lifestyle practices and choices of Thai women living in major urban environments show many similarities with those in Western society although the underlying cultural milieu is founded on different cultural foundations.
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Lindbäck, Isabelle. "Planning for Sustainability : Are sustainable neighbourhoods creating sustainable lifestyles?" Thesis, KTH, Urbana och regionala studier, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-298537.
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The impact of unsustainable human actions has grown to become the most significant underlying factor of current environmental problems, which stresses the need for a large-scale transformative change in our modern ways of living. Sustainable development has emerged to become the primary framework to reduce climate impact, and sustainable neighbourhoods have become a highly sought out and desirable policy goal. However, there exists a concern that contemporary spatial planning policies and strategies appear to be inadequate to achieve the transformative lifestyle change needed due to their primary adoption of an ecological modernisation agenda. With this notion and by examining the ongoing urban development project Täby Park in Täby municipality is the aim of this thesis to investigate to what extent and how a more environmentally sustainable way of living can be met through (supporting) contemporary spatial planning and design policies, strategies, and its physical manifestation in the built environment. For this has a theoretical framework rooted in social and behavioural science been adopted to understand the relationship between sustainable lifestyles and influencing factors. The empirical material is based on conducted interviews with residents, public and private actors, a questionnaire, and a site visit. The findings of this study show that the development of Täby Park is primarily rooted in an approach of behavioural-economics, which in large has translated to an ecological modernisation agenda. Overall, it can be concluded that a more environmentally sustainable way of living can to a certain extent be met through the applied policies and strategies in Täby Park. Although the residents perceive that factors rooted in rational reasoning hold the most significant impact on their adoption of more environmentally sustainable actions in their everyday life, do the findings illustrate that the residents generally deviate from rational reasoning of decision-making. This illustrates that the desired sustainability vision cannot be modelled after generic assumptions of behavioural-economics.
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Schanes, Karin, Stefan Giljum, and Edgar Hertwich. "Low carbon lifestyles: A framework to structure consumption strategies and options to reduce carbon footprints." Elsevier, 2016. http://dx.doi.org/10.1016/j.jclepro.2016.08.154.
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There are many opportunities for consumers to design their lives more sustainably. While a rapidly
growing body of literature has investigated how consumers can reduce carbon footprints in key con-
sumption areas, such as food, housing and mobility, an overall framework that allows structuring those
options across all consumption areas is still missing. Hence, this paper presents a novel and systematic
framework to identify improvement options that promote climate change mitigation and structure them
based on their primary mode of impact on GHG emissions. The framework targets consumer practices
and focuses on ambitious, but technically and socioeconomically feasible strategies for consumers to
lower their carbon footprint. Four major categories for reducing consumption-based emissions form the
basic framework, which are then subdivided into behavioural strategies and sub-strategies. The practical
application of the framework is illustrated by using food consumption as an example. Systematically
identifying improvement options can advance a holistic understanding of the range of behavioural
strategies targeting consumer choices that operate at different stages in the supply chain. It thus provides
a starting point for addressing critical questions related to the role of consumers in supporting climate
change mitigation. (authors' abstract)
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Gbala, James Walakerwon. "Association Between Diabetes/Chronic Disease Incidence and Lifestyle Factors Among African-Born Populations." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2260.
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Numerous studies have revealed that immigrants' health and well-being is challenged by an increased susceptibility to diabetes/chronic disease as they settle in the United States. This study investigated a potential association between the incidence of diabetes/chronic disease and various lifestyles factors among Sub-Saharan African immigrants and refugees. The lifestyle factors studied were sociodemographics, food practices and dietary habits, access to healthcare and insurance, acculturation, and the length of stay in the United States among these immigrants and refugees residing in Minnesota. The health belief and the socioecological models guided this study to improve understanding of Sub-Saharan African's health behavior and practices. This study was a cross-sectional, quantitative inquiry using data from 71 Sub-Saharan African-born individuals (36 women and 35 men) between 18 and 65 years of age who completed a modified Metro Adult Health Survey Questionnaire. Logistic regression analysis indicated that the participants' increased length of stay in the United States (B = .33, P = .02) was significantly associated with an increased incidence of diabetes/chronic disease. In contrast, participants' acculturation in the United States (B =.09, P =.41) was not significantly associated with the incidence of diabetes/chronic disease. The implication of this study is that immigrants have increased incidence of diabetes/chronic disease with an increasing length of stay in the United States. This study contributes to positive social change by providing knowledge of African immigrant health and incidence of chronic disease useful to public health educators, practitioners and other service providers who seek new direction in improving the health and health outcomes of African-born populations.
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Hemingway, Ann. "Women on a low income, understanding inequalities and coronary heart disease prevention : a lifestyle, practice and policy analysis." Thesis, University of Southampton, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430724.
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Kardakis, Therese. "Strengthening lifestyle interventions in primary health care : the challenge of change and implementation of guidelines in clinical practice." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-141323.
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Background: Lifestyle habits like tobacco use, hazardous use of alcohol, unhealthy eating habits and insufficient physical activity are risk factors for developing non-communicable diseases, which are the leading, global causes of death. Furthermore, ill health and chronic diseases are costly and put an increased burden on societies and health systems. In order to address this situation, governmental bodies and organizations’ have encouraged healthcare providers to reorient the focus of healthcare and undertake effective interventions that support patients to engage in healthy lifestyle habits. In Sweden, national clinical practice guidelines (CPGs) on lifestyle interventions were released in 2011. However, the challenges of changing clinical practice and introducing guidelines are well documented, and health interventions face particular difficulties. The overall purpose of this thesis is to contribute towards a better understanding of the complexities of shifting primary health care to become more health oriented, and to explore the implementation environment and its effect on lifestyle intervention CPGs. The specific aims are to investigate how implementation challenges were addressed during the guideline development process (Study I), to investigate several dimensions of readiness for implementing lifestyle intervention guidelines, including aspects of the intervention and the intervention context (Study II), to explore the extent to which health care professionals are working with lifestyle interventions in primary health care, and to describe and develop a baseline measure of professional knowledge, attitudes and perceived organizational support for lifestyle interventions (Study III), and to assess the progress of implementing lifestyle interventions in primary care settings, as well as investigate the uptake and usage of the CPGs in clinical practice (Study IV). Methods and results: Interviews were conducted with national guideline-developers (n=7). They were aware of numerous implementation challenges, and applied strategies and ways to address them during the guideline development process. The strategies adhered to four themes: (a) broad agreements and consensus about scope and purpose, (b) systematic and active involvement of stakeholders, (c) formalized and structured development procedures, and (d) openness and transparent development procedures. At the same time, the CPGs for lifestyle interventions challenged the development-model at the National Board of Health and Welfare (NBHW) because of their preventive and non-disease specific focus (I). A multiple case study was also conducted, using a mixed methods approach to gather data from key organizational individuals that were accountable for planning the implementation of CPGs (n=10), as well as health professionals and managers (n=340). Analysis of this data revealed that conditions for change were favorable in the two organizations that served as case studies, especially concerning change focus (health orientation) and the specific intervention (national guidelines on lifestyle interventions). Somewhat limited support was found for change and learning, and change format (national guidelines in general). Furthermore, factors in the outer context were found to influence the priority and timing of the intervention, as well as considerable inconsistencies across the professional groups (II). A cross-sectional study among physicians and nurses (n=315) in Swedish primary healthcare showed that healthcare professionals have a largely positive attitude and thorough overall knowledge of lifestyle intervention methods. However, both the level of knowledge and the involvement in patients’ lifestyle change, differed between professional groups. Organizational support like CPGs and the development of primary health care (PHC) collaborations with other stakeholders were identified as potential strategies for enhancing the implementation of lifestyle interventions in PHC (III). In addition to interviews and case studies, a longitudinal survey among health professionals (n=150; n=73) demonstrated that their use of methods to encourage patients to reduce or eliminate tobacco or alcohol use, had increased. The survey also indicated that nurses had increased the extent to which they addressed all four lifestyle habits. The progress of the implementation of CPGs on lifestyle interventions in PHC was somewhat limited, and important differences in physicians and nurses’ attitudes, as well as their use of the guidelines, were found (IV). Conclusions: Health orientation differs in many ways from more traditional fields in medicine. To strengthen the implementation of this very important (but not “urgent”) field in health care, it needs, first of all, to be prioritized at all levels! The results of the studies demonstrate relatively slow adoption of lifestyle intervention CPGs in clinical practice, and indicate room for improvement. The findings of this thesis can inform healthcare policy and research on further development of the health orientation perspective, as well as on the challenges of implementing CPGs on lifestyle interventions in primary care. In summary, this thesis presents important lessons learned regarding health orientation - from the development of CPGs in the field, via assessing healthcare organizations’ readiness to change and health professionals’ attitudes to methods to support patients with lifestyle changes.Bakgrund: Levnadsvanor som tobaksbruk, riskbruk av alkohol, ohälsosamma matvanor och otillräcklig fysisk aktivitet är riskfaktorer för att utveckla kroniska sjukdomar, vilka orsakar de flesta dödsfallen i världen. Ohälsa och dess följdsjukdomar utmanar också samhällen och hälsosystem världen över p.g.a. de höga kostnader som de medför. För att förbättra situationen så försöker regeringar och organisationer förändra hälso- och sjukvårdens perspektiv till att fokusera mer på hälsa och att arbeta med effektiva interventioner för att förebygga och att förändra människors ohälsosamma vanor. År 2011 i Sverige, publicerades nationella kliniska riktlinjer för vårdens arbete med att förebygga sjukdom genom att stödja förändring av patienters ohälsosamma levnadsvanor. Det är dock välkänt hur svårt det är att förändra klinisk praxis och att introducera riktlinjer, och interventioner på området hälsa i sjukvården brottas med specifika utmaningar. Det övergripande syftet med den här avhandlingen har varit att bidra till en bättre förståelse av komplexiteten i att hälsoorientera primärvården, och att utforska förutsättningarna till att implementera kliniska riktlinjer för att stödja förändring av patienters levnadsvanor. De mer specifika syftena var: att (I) utforska hur implementeringsutmaningarna behandlades i utvecklingsprocessen av riktlinjerna ; att (II) undersöka dimensioner av beredskapen för förändring i primärvården för att implementera riktlinjerna om levnadsvanor inkluderande aspekter av interventionen själv samt kontexten ; att (III) utforska i vilken utsträckning hälsoprofessionerna arbetar med levnadsvanor i primärvården, och att beskriva deras kunskap, attityder och uppfattat organisatoriskt stöd för livsstilsinterventioner ; att (IV) i en två-årig uppföljning utvärdera utvecklingen av arbetet med levnadsvanor i primärvården, och användningen av de specifika nationella riktlinjerna för levnadsvanor. Metod och resultat: En intervjustudie med riktlinjeutvecklare på nationell nivå (n = 7) visade att många utmaningar för implementeringen av riktlinjerna identifierades och bemöttes under utvecklingsprocessen i fyra teman av strategier: breda överenskommelser och konsensus om inriktning och syfte, systematiskt och aktivt inkluderande av stakeholders, formaliserad och strukturerad utvecklingsprocess, öppenhet och insyn utvecklingsprocess. Samtidigt utmanade dock riktlinjerna om livsstilsinterventioner Socialstyrelsens utvecklingmodell p.g.a. deras förebyggande och icke sjukdomsspecifika fokus (I). En multipel fallstudie med nyckelpersoner ansvariga för implementeringen av riktlinjerna i sjukvårdsorganisationerna (n = 10) samt vårdpersonal och chefer (n = 340), visade på gynnsamma villkor för förändring i båda organisationerna rörande förändringsfokus (d.v.s. hälsoorientering) och den specifika interventionen (d.v.s. riktlinjer om metoder för att stödja förändring av ohälsosamma levnadsvanor). Stödet för förändring och lärande visade på något svagare resultat, likaså formen för förändringen d.v.s. nationella riktlinjer i allmänhet. Faktorer i den yttre kontexten visade sig kunna påverka prioritering av och optimalt val av tidpunkt för interventionen, likaså betydande skillnader i uppfattningar mellan yrkesgrupperna (II). En tvärsnittsstudie bland läkare och sjuksköterskor (n = 315) i primärvården visade att de har en positiv attityd och en god kunskapsnivå om metoder för livsstilsförändring. Både kunskapsnivå och i vilken utsträckning man arbetar med patienters livsstil skiljer sig mellan yrkesgrupper. Organisatoriskt stöd som nationella riktlinjer och utvecklandet av primärvårdens samarbete med intressenter i närområdet identifierades som viktigt för att förbättra arbetet med livsstil interventioner (III). En longitudinell undersökning bland vårdpersonal visade att användning av metoder för att förändra patientens vanor beträffande tobaksbruk och riskbruk av alkohol har ökat över tid, och att sjuksköterskorna arbetar i högre utsträckning med alla fyra levnadsvanorna än i tidigare. Implementeringen av de nationella riktlinjerna för levnadsvanor hade inte kommit så långt vid det andra mättillfället, och stora skillnader visade sig i hur läkare och sköterskor ser på riktlinjer och i vilken utsträckning de använder dem (IV). Slutsats: Hälsofrämjande och prevention skiljer sig på många sätt från mer traditionella fält inom medicinen. För att stärka implementeringen av det här viktiga (men ej akuta) fältet i hälso- och sjukvården, så måste det först av allt prioriteras på alla nivåer! Resultatet visar på ett svagt upptag av riktlinjerna för livsstilsinterventioner i klinisk praxis, och lämnar utrymme till förbättring. Aspekter av resultatet som presenteras i avhandlingen kan vägleda fortsatt utveckling och implementering av hälsoorientering och riktlinjer för livsstilsinterventioner inom primärvården, samt användas för att påverka policy, praxis och framtida forskning. Det gäller framför allt aspekter av utveckling av nationella riktlinjer på området; hälso- och sjukvårdsorganisationernas beredskap till förändring; hälsoprofessionernas attityder, kunskap och i vilken utsträckning de arbetar med livsstilsinterventioner och riktlinjer.
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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.Ph. D.
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Ohnmar, Aung Pimpawan Boonmongkon. "Life styles, sexuality and cultural beliefs related to unsafe sexual practices among youth in Peri-Urban Yangon, Myanmar /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4637982.pdf.
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Patterson, Andrea M. "Evaluating The Effects of an Educational Lifestyle Modification Intervention on Blood Pressure in Adults With Prehypertension." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/496.
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The purpose of this project was to evaluate the effectiveness of an educational lifestyle modification (LM) intervention on blood pressure (BP) among adults with prehypertension. Prehypertension is a precursor to hypertension (HTN) and is a public epidemic in the United States. Approximately 68 million (31%) U.S. adult’s aged ≥18 years have hypertension. Hypertension can cause significant target organ damage, lead to coronary heart disease, heart failure, stroke, and kidney failure. Early identification and the primary treatment of persons with prehypertension with LM have the potential to minimize the progression and delay the onset of comorbidities associated with hypertension. This quality improvement project retrospectively reviewed changes in blood pressure for a small sample (n=5) of patients diagnosed with prehypertension who received education about modifying lifestyle behaviors according to nationally accepted clinical practice guidelines. Blood pressure measurements were extracted from the medical record beginning at the time of the education through a three month period. Descriptive data indicates that all five patients had a decrease in systolic and diastolic blood pressure. The median systolic blood pressure at baseline was 129 mmHg decreasing to 121 mmHg at end of study period. The median diastolic blood pressure was 86 mmHg decreasing to 76 mmHg. Integration of lifestyle modification education and subsequent blood pressure monitoring during a routine primary care visit is feasible and may help motivate patients to implement changes and subsequently reduce blood pressure. Future studies should include identifying strategies for improving patient participation.
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Jacobik, Guilherme Santinho 1972. "Crianças e suas práticas socioculturais matemáticas : entre contextos escolares e extraescolares." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/319161.
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Orientador: Antonio MiguelTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Educação
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Resumo: Esta pesquisa empreendeu compreender como práticas culturais nem sempre legitimadas pela escola podem influenciar as práticas matemáticas escolares ou, de outro modo, como os diversos modos de vida das crianças são observados pela escola. Fez-se uso dos conceitos de aprendizagem situada e de comunidade de prática (LAVE; CHAIKLIN, 2001; LAVE; WENGER, 2002; entre outros) para travar um diálogo com os encontros e desencontros, congruências e incongruências da relação dos alunos com a cultura matemática escolar e a cultura e as formas de vida extraescolares. Realizamos pesquisa de campo que fez uso de entrevistas semiestruturadas e sessões interativas com coordenadores, professoras, alunos e pais, membros de duas comunidades de prática, escolas municipais de ensino fundamental de São Paulo (1º ano). Analisou a vivência doméstica que intermedeia outras práticas matemáticas associadas ao núcleo familiar, como as lições escolares para se fazer em casa e o papel (positivo e negativo) da mediação ou não por pessoas mais experientes; também a participação das crianças em situações/práticas de jogos regrados, ensinados ou não pela escola e a utilização de dinheiro nas práticas domésticas e escolares. Em suma, buscou travar diálogos entre formas de conhecimento e aprendizagem matemática em diferentes contextos de atividade humana, sobretudo, os contextos familiares e os escolares. De nosso diálogo com os colaboradores e outras fontes referenciais deixamos um rastro vasto e interessante de possibilidades de reflexão acerca do diálogo vida na escola, vida familiar comunitária e cultura matemática
Abstract: This research was undertaken to understand how cultural practice, not always recognized as legitimate by the school, can influence school mathematical practice or otherwise, as various lifestyles of children are observed by the school. There was use of concepts related to situated learning and community of practice (LAVE; CHAIKLIN, 2001; LAVE; WENGER, 2002; among others) to establish a connection with the agreements and disagreements, congruencies and inconsistencies of the relationship of students with school mathematics culture, culture in general and the extracurricular lifestyles. It analyzed the domestic experience that intermediates other mathematical practices associated to family¿s kernel, as homeworks and the role (positive and negative) of the mediation or not by more experienced people; it also assessed the participation of children in ruled games practice/situation, taught or not by the school, and the use of money in the household and school practice. In short, it aimed to establish a link between forms of knowledge and learning mathematics in different context of human activity, especially, in the family and school context
Doutorado
Ensino e Práticas Culturais
Doutor em Educação
50
Theron, Petria Magdalena. "Equipping Christians living in an "unequally yoked" context : a practical theological study / Petria Magdalena Theron." Thesis, North-West University, 2008. http://hdl.handle.net/10394/2104.
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