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Abstract

Aims: To evaluate the association between descriptions of the stage of change in weight management (using pictures as vignettes) and the changes in the restriction of amount of food and body weight. The goal is to develop counselling methods for helping people to change their lifestyles. Methods: A total of 74 people at high risk of type 2 diabetes participated in six months of group counselling. The data were collected through questionnaires and video-recordings at the beginning and the end of the counselling process, and were analyzed using both deductive content analysis and statistical analysis. Results: Most of the participants were at the contemplation stage at the beginning of the study, and nearly half were at the action stage at six months. There were associations between progression in the lifestyle change process, the restriction of food amount, and weight changes. Judging from this, the descriptions of the change process of weight management using pictures were well made, because the change process progressed in parallel with the changes in weight and restriction of the amount of food eaten. Conclusions: Assessing the stages of change in weight management by using pictures as vignettes is easy to carry out, and feasible. The descriptions of the stages of change were parallel with the changes in restriction of food and changes in weight.

Keywords

Counselling nutrition pictures stage of lifestyle change vignette

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References

Prochaska J. , DiClemente C. , Norcross J. In search of how people change. Am Psychol 1992;47:1102-14.

Harrison B. Seeing health and illness words - using visual methodologies in a sociology of health and illness: a methodological review . Sociology of Health & Illness 2002 ;24: 856-72.

Hughes R. , Huby M. The application of vignettes in social and nursing research. JAN 2001;37:382-6.

Riley R. , Manias E. The uses of photography in clinical nursing practise and research: a literature review. JAN 2004;48: 397-405.

Gilles V. , Harden A. , Johnson K. , Reavey P. , Strange V. , Willig C. Painting pictures of embodied experience: the use of nonverbal data production for the study of embodiment. Qualit Res Psychol 2005;2:199-212.

http://www.diabetes.fi/files/1100/Type2diabetesRiskTest_.jpg (accessed 15 May 2008).

Lindström J. , Tuomilehto J. The Diabetes Risk Score. A practical tool to predict type 2 diabetes risk. Diabetes Care 2003;26:725-31.

Lindström J. , Ilanne- Parikka P. , Peltonen M. , Aunola S. , Ericson J. , Hemiö K. , et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006;368:1673-79.

Tuomilehto J. , Lindström J. , Peltonen M. , Eriksson JG , Valle T. , Hämäläinen H. , et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001;344: 1343-50.

10.

Halkola U. 2006. Spectrokortit. Available from: http://www.spectrovisio.net/tuotteet.html (accessed 14 January 2008).

11.

Karlson J. , Persson L-O. , Sjöström L. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish obese subjects (SOS) study. Int J Obes 2000;24:1715-25.

12.

Polit D. , Beck C. Nursing research. Principles and methods, 7th edn. Philadelphia: Lippincott ; 2004.

13.

Jackson R. , Asimakopoulou K. , Scamell A. Assessment of the transtheoretical model as used by dietitians in promoting physical activity in people with type 2 diabetes . J Hum Nutr Diet 2007;20:27-36.

14.

Plotnicoff R. , Brunet S. , Courneya K. , Spence J. , Birkett N. , Marcus B. , et al. The efficacy of stage-matched and standard public health materials for promoting physical activity in the workplace: the physical activity workplace study (PAWS). Am J Health Promot 2007;21:501-9.

15.

Pfeffer I. , Altermann D. Initiation of physical exercise. An intervention study based on the transtheoretical model. Int J Sport Psychol 2008;39:41-58.

16.

Martins RK , McNeil DW Review of motivational interviewing in promoting health behaviors. Clin Psychol Rev 2009;29:283-93.

17.

Whittemore R. , Bak PS , Melkus G. , Grey M. Promoting lifestyle change in the prevention and management of type 2 diabetes. JAANP 2003 ;15:341-9.

18.

Riebe D. , Blissner B. , Greene G. , Galdwell M. , Ruggiero L. , Stillwell KM , et al. Long-term maintenance of exercise and healthy eating behaviors in overweight adults. Prev Med 2005;40:769-78.

19.

Bodenheimer T. , Handley M. Goal-setting for behaviour change in primary care: an exploration and status report. Patient Educ Counsel 2009;76:174-80.

20.

Alahuhta M. , Korkiakangas E. , Jokelainen T. , Husman P. , Kyngäs H. , Laitinen J. Miten tyypin 2 diabeteksen riskihenkilöt kuvaavat elintapamuutostaan ja painonhallintaansa? [How do subjects at risk of type 2 diabetes describe their lifestyle change and weight management?] . Sosiaalilääketieteellinen aikakauslehti [Journal of Social Medicine 2009;46:148-58.

21.

Samuels J. Breaking the ethnographer’s frames: reflections on the use of photo elicitation in understanding Sri Lankan monastic culture . ABS 2004;47:1528-50.

22.

Hurworth R. , Clark E. , Martin J. , Thomsen S. The use of photo-interviewing: tree examples from health evaluation and research. EJA 2005 ;4:52-62.

23.

Frith H. , Harcourt D. Using photographs to capture women’s experiences of chemotherapy: reflecting on the method. Qual Health Res 2007;17:1340-50.

24.

Rapport P. , Wainwright G. , Elwyn F. 2005. ‘‘Of the edgelands’’: broadening the scope of qualitative methodology. Medical Humanities 2005;31:37-42.

25.

Keller C. , Fleury J. , Perez A. , Ainsworth B. , Vaughan L. Using visual methods to uncover context. Qual Health Res 2008;18:428-36.

26.

Finckenor M. , Byard-Bredbenner C. Putting the transtheoretical model into practice with type 2 diabetes mellitus patients. Topics Clin Nutr 2000;15:44-58.

27.

de Nooijer J. , van Assema P. , De Vet E. , Brug J.

How stable are stages of change for nutrition behaviors in the Netherlands?

Health Promot Int 2005;20:27-32.

28.

Ma J. , Betts N. , Horacek T. , Georgiou C. , White A. Assign stages of change for fruit and vegetable in young adults: a combination of traditional staging algorithms and food-frequency questionnaires. Health Educ Res 2003;18:224-36.

29.

Povey R. , Conner M. , Sparks P. , James R. , Shephead R. A critical examination of the application of the Transtheoretical Model’s stages of change to dietary behaviours. Health Educ Res 1999;14:641-51.

Using pictures as vignettes to assess stages of change in weight management

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