Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Journal for Specialists in Pediatric Nursing, 1997
purpose. To review the potential use and application of coping-skills training in teaching adoles... more purpose. To review the potential use and application of coping-skills training in teaching adolescents effective ways of managing the stressors related to living with diabetes mellitus.population. Adolescents ages 13 to 20 with insulin-dependent diabetes mellitus who are participating in the research project, “Nursing Intervention to Implement DCCT Therapy in Youth” at Yale University School of Nursing.conclusions. Teaching adolescents with diabetes mellitus to use appropriate coping skills may help them cope with the day-to-day management of the illness and aid in long-term adaptation.practice implications. Research has suggested that the use of effective coping skills may aid in healthy long-term adaptation to diabetes mellitus. Thus, nurses caring for adolescents with this illness should teach and be role models for these effective coping strategies.
ABSTRACT: Type 2 diabetes is increasing among youth, with minority youth at highest risk. This pr... more ABSTRACT: Type 2 diabetes is increasing among youth, with minority youth at highest risk. This preliminary study tested the feasibility of a school-based program to prevent type 2 diabetes in youth at risk. Forty-one participants (age 12.6 ± 1.1 years; 63% female, 51% African American, 44% Hispanic, and 5% Caucasian) were randomly assigned to one of two groups. Both the experimental and control groups received nutrition education and exercise training. The experimental group also received coping skills training. Data collected included body mass index (BMI), insulin resistance, dietary intake (24-Hour Food Recall), self-efficacy (Health Behavior Questionnaire), activity (Revised Godin-Shepard Activity Survey), and parents' health promoting behaviors (Health Promoting Lifestyle Profile III). At baseline BMI ranged from 27 to 53 (M=36.2 ± 6.0), and 95% (n = 39) demonstrated insulin resistance or pre-diabetes on an oral glucose tolerance test. After 12 months, the experimental group showed trends in improved usual food choices (p = .1) and increased dietary knowledge (p = .3). They also demonstrated lower glucose (p = .07) and insulin levels (p = .2). Experimental group parents demonstrated improved health responsibility (p = .03), healthier nutrition choices (p = .05), improved stress management skills (p = .05), increased activity (p = .2), and increased spirituality (p = .2). Data suggest a school-based program tailored to multiethnic youth may prove successful in helping these youth increase activity, improve nutrition status, and stabilize glucose and insulin metabolism, and also may be effective in changing parent health behavior.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify... more Aim. The aim of this paper is to explore the evolution of the concept of obesity and to identify variations in its meaning and use from the perspectives of healthcare professionals and Black Americans, Caucasian Americans, and Latino Americans.Background. Obesity constitutes an emerging global healthcare epidemic. Little convergence is found between the meaning and use of the concept of obesity by healthcare professionals and those they are trying to serve. This lack of convergence points to the need for exploration of the assumptions, use and various meanings associated with this important concept.Method. The analysis included 20 papers from 18 research studies from the fields of nursing, psychology, epidemiology, medicine, and sociology. Caron and Bowers’ dimensional analysis method guided the analysis.Results. Eight dimensions were identified: objective measure, attractiveness, sexual desirability, health, body image, strength or goodness, self-esteem, and social acceptability. Substantial differences in assumptions, use, and meanings of this concept were found within and between the perspectives studied. However, there were insufficient data to fully assess use and meaning of the concept of obesity from the Latino American perspective.Conclusion. This analysis contributes to the development of an understanding of the meaning and use of the concept of obesity within varied socio-cultural contexts as well as from a healthcare perspective. Culture was found to play a significant role in how obesity is understood by the individual.
Journal for Specialists in Pediatric Nursing, 1997
purpose. To review the potential use and application of coping-skills training in teaching adoles... more purpose. To review the potential use and application of coping-skills training in teaching adolescents effective ways of managing the stressors related to living with diabetes mellitus.population. Adolescents ages 13 to 20 with insulin-dependent diabetes mellitus who are participating in the research project, “Nursing Intervention to Implement DCCT Therapy in Youth” at Yale University School of Nursing.conclusions. Teaching adolescents with diabetes mellitus to use appropriate coping skills may help them cope with the day-to-day management of the illness and aid in long-term adaptation.practice implications. Research has suggested that the use of effective coping skills may aid in healthy long-term adaptation to diabetes mellitus. Thus, nurses caring for adolescents with this illness should teach and be role models for these effective coping strategies.
ABSTRACT: Type 2 diabetes is increasing among youth, with minority youth at highest risk. This pr... more ABSTRACT: Type 2 diabetes is increasing among youth, with minority youth at highest risk. This preliminary study tested the feasibility of a school-based program to prevent type 2 diabetes in youth at risk. Forty-one participants (age 12.6 ± 1.1 years; 63% female, 51% African American, 44% Hispanic, and 5% Caucasian) were randomly assigned to one of two groups. Both the experimental and control groups received nutrition education and exercise training. The experimental group also received coping skills training. Data collected included body mass index (BMI), insulin resistance, dietary intake (24-Hour Food Recall), self-efficacy (Health Behavior Questionnaire), activity (Revised Godin-Shepard Activity Survey), and parents' health promoting behaviors (Health Promoting Lifestyle Profile III). At baseline BMI ranged from 27 to 53 (M=36.2 ± 6.0), and 95% (n = 39) demonstrated insulin resistance or pre-diabetes on an oral glucose tolerance test. After 12 months, the experimental group showed trends in improved usual food choices (p = .1) and increased dietary knowledge (p = .3). They also demonstrated lower glucose (p = .07) and insulin levels (p = .2). Experimental group parents demonstrated improved health responsibility (p = .03), healthier nutrition choices (p = .05), improved stress management skills (p = .05), increased activity (p = .2), and increased spirituality (p = .2). Data suggest a school-based program tailored to multiethnic youth may prove successful in helping these youth increase activity, improve nutrition status, and stabilize glucose and insulin metabolism, and also may be effective in changing parent health behavior.
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