1. Initiating Self-Management of Lifestyle-Related Chronic Disease Resulting from Unhealthy Weight: Identifying Thoughts and Actions through Phenomenology
- Author
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Law, Victor Wai-Tung, Boverie, Patricia, Kravitz, Leonard, Torrez, Diana Jean, Lee, Celeste, Law, Victor Wai-Tung, Boverie, Patricia, Kravitz, Leonard, Torrez, Diana Jean, and Lee, Celeste
- Subjects
- transformative learning theory
- Abstract
A heuristic phenomenological approach drew out participants identified factors that initiated self-management of unhealthy weight-related chronic diseases; resulting in severity attenuation of current chronic disease(s) and lowered risk of comorbidity development. Prior to this study, there have been three omissions relating to older individuals who have unhealthy weight-related chronic diseases. First, direct first-person narratives of the process to self-management have not been reported. Second, the self-identification of the initiating factors leading to self-management has not been found in scholarly literature. Finally, cognitive reflection, an activity that results in paradigmatic shifts in adult behaviors has not been discussed from the first-person perspective (Cranton, 2006; Taylor, 2009; Taylor & Cranton, 2012). Narratives of 10 participants resulted in understanding the challenges of managing chronic health conditions and factors associated with self-management, from these first-person perspectives. Two themes of factors that initiated the self-management process were developed, emanating from each participant's conscious acknowledgment and acceptance of responsibility. The themes identified were (a) acknowledgment of the significant, 'last straw' diagnosis and (b) conscientiously accepting physical limitations resulting from respective chronic disease(s). It has been important to acknowledge the need for such a study from societal and personal perspectives. First, because individuals are living longer, the risk of developing chronic diseases such as hypertension, type-2 diabetes, cardiovascular disease is further enhanced if the individual has unhealthy weight (Ginsberg & MacCallum, 2009; Morrell, Lofgren, Burke, & Reilly, 2012). Voluntary lifestyle choices of poor nutrition and lack of routine physical activity significantly contribute to the etiology of unhealthy weight, while healthy weight can significantly reduce this risk and sustain and increase
- Published
- 2016