Experiences of self-monitoring: successes and struggles during treatment for weight loss.

Experiences of self-monitoring: successes and struggles during treatment for weight loss.
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DOI:
10.1177/1049732309335395
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发表时间:
2009-06
影响因子:
3.2
通讯作者:
Ewing LJ
Ewing LJ
中科院分区:
医学2区
文献类型:
--
作者:
Burke LE;Swigart V;Warziski Turk M;Derro N;Ewing LJ

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我们采访了15名完成了行为减肥治疗研究的人,目的是探索参与者在使用纸质日记自我监控饮食时对自己的感觉、态度和行为的反思。使用恒定的比较和矩阵分析程序来分析访谈数据;然后将定性结果与关于个人坚持自我监控和减肥的描述性数字数据相结合。研究确定了三类自我监控经验:(A)纪律严明--高度坚持自我监控、高度减肥、积极进取的人;(B)错失联系的人--中度坚持、中等至低度减肥、没有将自我监控融入日常生活的人;(C)支持度下降的--坚持性差、体重控制不佳、受到共存负面因素不利影响的人。考虑到个体如何整合自我监控过程的不同,我们需要考虑个性化的自我监控策略,以提高遵从性。
We interviewed 15 individuals who completed a behavioral weight loss treatment study with the aim of exploring participants’ reflections on their feelings, attitudes and behaviors while using a paper diary to self-monitor their diet. Constant comparative and matrix analysis procedures were used to analyze interview data; the qualitative results were then interfaced with descriptive numerical data on individuals’ adherence to self-monitoring and weight loss. Three categories of self-monitoring experience were identified (a) Well-Disciplined – those who had high adherence to self-monitoring, high weight loss and a “can do” positive approach, (b) Missing the Connection – those who had moderate adherence, moderate to low weight loss, and an “it’s an assignment” approach without integrating self-monitoring into every day life, and (c) Diminished Support – those who had poor adherence, poor weight control, and were adversely affected by co-existing negative factors. Given the variations in how individuals integrated the process of self-monitoring, we need to consider individualizing self-monitoring strategies to improve adherence.
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