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It's therefore essential that more of us realise that, with the right advice and support, working together, we can achieve the weight we want and beat our addiction to food. There, according to news accounts at the time, King lost about 50 pounds over several months and had adopted better eating and exercise habits.
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He was returned to his mother's care in , with the expectation that the county would continue to monitor him. But King says his mother almost immediately fled the state with both of her sons, moving them to Georgia, where they knew no one. There, King remembers, he and his brother "fell into a hole," becoming involved with drugs and guns and bad people. The lifestyle seemed so much better than what we were doing. But King's brother was protective. And while they ran with that crowd, King remembers his brother never really let him become fully entrenched with them.
After about two years, King's brother remained in Georgia for a few months, while King and his mother returned to Northeast Ohio, this time to Euclid. We have a particular interest in phenomenology, in existential and situated meanings of weight loss as a human phenomenon. Severity of weight problems size, co-morbidities and sustainability of weight loss is important for health and in clinical encounters, and therefore provides an important context for studying successful weight loss. All researchers participated in planning the study, read transcripts, engaged in reflective dialogues about materials and contributed to writing this article.
Three authors E. The first author conducted five interviews and one follow-up interview, practised reflective writing and drafted this manuscript.
We sought experiences from persons who previously had a body weight categorized as severe obesity according to Body Mass Index BMI and currently had a body weight below severe obesity. People who had undergone weight loss surgery were not included. Results of long-term post-surgery experience studies, in particular that having bariatric surgery involves becoming a patient who needs medical care and follow-up, spurred interest in what long-term weight loss maintenance was like outside the context of surgery. We recruited participants with the assistance of experienced family physicians and weight loss experts in well-established commercial programmes.
Ten people volunteered to participate. They were 8 women and 2 men aged between 27 and 59 with a median age of The sampling strategy in this study is thus purposive Malterud, The number and variation of participants was sufficient to produce a rich experiential material van Manen, Table I presents the characteristic of the participant group. Participants got written information about the study, its background, aims and specific information about interviews.
Information was given by letter and telephone, and repeated in interviews. We conducted 10 in-depth interviews and 1 follow-up interview with a participant whom we asked to elaborate the first interview. All interviews were audio-recorded and transcribed verbatim for analyses. We aimed to obtain experiences as lived through, rather than views and readymade opinions van Manen, To create an atmosphere for attentive and open dialogues about what it is like to lose weight and maintain weight loss for the long term, participant and interviewer agreed on a suitable interview setting.
We used a quiet space where interruptions could be avoided. Some preferred to be interviewed in a meeting room close to where they live or work, and others invited the interviewer into their homes. Interviews began by breaking the ice, making space and taking place; for example, by finding a good way to sit, getting coffee and so on. The interviewer repeated the purpose and our interest in what it is like to engage in weight loss and weight loss maintenance for years after severe obesity.
To make participants familiar with the interview situation and get contact, the researcher began each interview by collecting background information on age, education, employment and family situation, current weight, height and weight loss. Following this introduction, interviews centred on five topics: a The personal weight-journey; b Own body; c Habits and practices to maintain current weight; d Social life; and e Health and a good life.
Do you remember a particular event? Can you give an example? The participants grasped this opportunity to talk about weight loss experiences, and follow-up questions were not always needed. As there is a cultural interest in weight loss and strategies, healthy habits and practices, we concentrated on experiential accounts.
We prepared to facilitate concrete and detailed descriptions and not to encourage stories told several times before. Preparations were useful in the interviews and were central to obtaining sufficiently rich experiential material. In-depth interviews provided possible experiences of weight loss for us to reflect on, interpret and write from van Manen, Analysis was inspired by phenomenological methodology as described by van Manen , Researchers read transcripts, wrote reflective notes and engaged in reflective dialogues about each interview and the whole material.
We aimed to grasp and describe a core meaning, an essential structure of sustained weight loss after severe obesity. Reflective dialogues included searching for and creating eidetic phrasings to capture and express the heart of the phenomenon. This way of approaching the textual material is termed holistic reading van Manen, The first author continued the analysis by reading reflective notes already produced, rereading each interview and writing drafts.