Common Sense Models of Obesity: a Qualitative Investigation of Illness Representations.
Common Sense Models of Obesity: a Qualitative Investigation of Illness Representations.
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肥胖常识模型：疾病表征的定性调查。
DOI：
10.1007/s12529-022-10082-w
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发表时间：
2023
影响因子：
2.7
通讯作者：
Nevedal,AndreaL
中科院分区：
文献类型：
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作者：
Breland,JessicaY;Dawson,DariusB;Puran,Deloras;Mohankumar,Rakshitha;Maguen,Shira;Timko,Christine;Frayne,SusanM;Nevedal,AndreaL
背景常识模型提供了一个理解健康信念和行为的框架。它包括由五个领域（身份、原因、后果、时间线和控制/治愈）组成的疾病表征。虽然它被广泛使用，但很少应用于肥胖，但可以解释自我管理决策并为治疗提供信息。这项研究回答了以下问题：肥胖患者的疾病表现是什么？并检验了常识模型在肥胖背景下的效用。 方法 24 名肥胖参与者完成了半结构化电话访谈（12 名女性，12 名男性）。使用转录本/笔记的定向内容分析来了解五个疾病领域的肥胖疾病表征。评估了性别和种族/民族的潜在差异。结果参与者没有使用临床术语来讨论体重。参与者跨领域的经验是相互关联的。大多数人将相互作用的生命系统描述为导致体重问题的原因，并利用肥胖的负面后果将其视为健康威胁。每个领域都讨论了肥胖的控制/治疗。参与者关注健康和外表影响（前者对老年人最重要，后者对年轻人最重要）。与体重相关的时间表通常是长期的。女性更常描述负面的疾病表征和突发事件（例如怀孕）。没有按种族/民族确定任何模式。结论常识模型在肥胖的背景下是有用的。肥胖疾病的陈述强调了肥胖及其管理的复杂原因和后果。为了改善与体重相关的护理，研究人员和临床医生应该关注这些与肥胖的首选标签、肥胖最显着的后果以及监测变化的方法相关的信念。
BackgroundThe Common Sense Model provides a framework to understand health beliefs and behaviors. It includes illness representations comprised of five domains (identity, cause, consequences, timeline, and control/cure). While widely used, it is rarely applied to obesity, yet could explain self-management decisions and inform treatments. This study answered the question, what are patients’ illness representations of obesity?; and examined the Common Sense Model’s utility in the context of obesity.MethodsTwenty-four participants with obesity completed semi-structured phone interviews (12 women, 12 men). Directed content analysis of transcripts/notes was used to understand obesity illness representations across the five illness domains. Potential differences by gender and race/ethnicity were assessed.ResultsParticipants did not use clinical terms to discuss weight. Participants’ experiences across domains were interconnected. Most described interacting life systems ascausingweight problems and used negativeconsequencesof obesity toidentifyit as a health threat. Thecontrol/cureof obesity was discussed within every domain. Participants focused on health and appearanceconsequences(the former most salient to older, the latter most salient to younger adults). Weight-relatedtimelineswere generally chronic. Women more often described negative illness representations and episodiccauses(e.g., pregnancy). No patterns were identified by race/ethnicity.ConclusionsThe Common Sense Model is useful in the context of obesity. Obesity illness representations highlighted complex causes and consequences of obesity and its management. To improve weight-related care, researchers and clinicians should focus on these beliefs in relation to preferred labels for obesity, obesity’s most salient consequences, and ways of monitoring change.