“I’m Not Satiety Without Rice”: Phenomenological Study of Barrier and Weight Loss Efforts in Home Settings
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Abstract
Background: The prevalence of obesity around the world is quite high. Obesity management takes a long time and is highly disciplined. This can increase the noncompliance to obesity treatment. Family is a support system that can help obesity management. The study was to explored family experiences regarding the efforts and barriers to obesity management in a home setting. Methods: This study used a descriptive phenomenological research design. The seventh family who lived in Depok City were selected using purposive sampling. Inclusion criteria include 1) having family members who are overweight/obese, 2) obese family members who do not have comorbid diseases, 3) participants who do not have a chronic disease A semi-structured interview was used to collect data. The data analysis used Colaizzi’s method. Results: Four themes emerged, including 1) nutrition management efforts, 2) weight loss efforts, 3) unhealthy nutritional behavior patterns, 4) desire to achieve normal conditions. Conclusion: Family plays an important role in obesity management in the home setting. Nurses can optimize the family by providing support for positive efforts that have been made. Family counseling is needed to reduce perceived barriers.
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How to Cite
Rohayati, R., Wiarsih, W., & Nursasi, A. (2023). “I’m Not Satiety Without Rice”: Phenomenological Study of Barrier and Weight Loss Efforts in Home Settings. Unnes Journal of Public Health, 12(1), 61-70. https://doi.org/10.15294/ujph.v12i1.48661
References
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Álvarez-García, D., García, T. and Núñez, J. C. (2015) ‘Predictors of school bullying perpetration in adolescence: A systematic review’, Aggression and Violent Behavior. Elsevier, 23, pp. 126–136.
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Anggraeni, A. S., Sukartini, T. and Kristiawati, K. (2017) ‘Consumption of Fruit and Vegetable with Risk of Obesity in School-age Children’, Jurnal Ners, 12(1), pp. 27–32. doi: 10.20473/jn.v12i1.3448.
Attard, S. M. et al. (2013) ‘Longitudinal trajectories of BMI and cardiovascular disease risk: The national longitudinal study of adolescent health’, Obesity. Department of Nutrition, Gillings School of Global Public Health and School of Medicine, University of North Carolina at Chapel Hill, 123 West Franklin Street, Chapel Hill, North Carolina at Chapel Hill, USA.: Wiley-Blackwell, 21(11), pp. 2180–2188. doi: 10.1002/oby.20569.
Badan Penelitian dan Pengembangan Kesehatan (2019) Laporan Provinsi Jawa Barat, Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.
Berge, J. M. et al. (2013) ‘Family functioning: associations with weight status, eating behaviors, and physical activity in adolescents’, Journal of adolescent health. Elsevier, 52(3), pp. 351–357.
Bisogni, C. A. et al. (2012) ‘How People Interpret Healthy Eating: Contributions of Qualitative Research’, Journal of Nutrition Education and Behavior. Elsevier Inc., 44(4), pp. 282–301. doi: 10.1016/j.jneb.2011.11.009.
Brian, R. L. (2011) ‘The Experiences of Living with Excess Weight as an Adolescent: Everyday Life and Healthcare Encounters’. Available at: http://rave.ohiolink.edu/etdc/view?acc_num=kent1300370920 (Accessed: 16 January 2017).
Buleheck, G. et al. (2016) Nursing Interventions Classification (NIC). 5th edn. Philadelpia: Elsevier.
Carrard, I. and Kruseman, M. (2016) ‘Qualitative analysis of the role of self-weighing as a strategy of weight control for weight-loss maintainers in comparison with a normal, stable weight group’, Appetite, 105, pp. 604–610. doi: 10.1016/j.appet.2016.06.035.
Cullen, A. J. et al. (2017) ‘A qualitative study of overweight and obese Australians’ views of food addiction’, Appetite, 115, pp. 62–70. doi: https://doi.org/10.1016/j.appet.2017.02.013.
Dixon, A. E. and Peters, U. (2018) ‘The effect of obesity on lung function’, Expert review of respiratory medicine. Taylor & Francis, 12(9), pp. 755–767.
Elizondo-Montemayor, L. et al. (2017) ‘Gynecologic and Obstetric Consequences of Obesity in Adolescent Girls’, Journal of Pediatric and Adolescent Gynecology. Elsevier Ltd, 30(2), pp. 156–168. doi: 10.1016/j.jpag.2016.02.007.
Farahmand, M. et al. (2015) ‘What are the main barriers to healthy eating among families? A qualitative exploration of perceptions and experiences of Tehranian men’, Appetite, 89, pp. 291–297. doi: 10.1016/j.appet.2015.02.025.
Furler, J. et al. (2016) ‘Identifying Risk for Diabetes in Adolescence (IRDA): A pilot study in general practice.’, Australian family physician, 45(8), pp. 582–586.
Gillespie, J. et al. (2015) ‘Parents as the start of the solution: A social marketing approach to understanding triggers and barriers to entering a childhood weight management service’, Journal of Human Nutrition and Dietetics, 28(s1), pp. 83–92. doi: 10.1111/jhn.12237.
Health Research and Development Agency (2018) National Report Basic Health Research (Riskesdas) 2018,. Jakarta: Ministry of Health.
Kristina, A. and Huriah, T. (2020) ‘Program pencegahan obesitas anak dengan perlibatan peran keluarga: Literature Review’, Jurnal Keperawatan Muhammadiyah, 5(2).
Lawrence, V. et al. (2013) Practical Manual of Clinical Obesity. Somerset, UNKNOWN: Wiley. Available at: http://ebookcentral.proquest.com/lib/indonesiau-ebooks/detail.action?docID=1161326.
Ng, M. et al. (2014) ‘Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013’, The Lancet, 384(9945), pp. 766–781. doi: 10.1016/S0140-6736(14)60460-8.
Van Ostrand, G. (2015) Why some women eat too much: A qualitative study of food-dependent women. Walden University.
Perry, R. A. et al. (2016) ‘Facilitators and Barriers to the Achievement of Healthy Lifestyle Goals: Qualitative Findings From Australian Parents Enrolled in the PEACH Child Weight Management Program’, Journal of Nutrition Education and Behavior. Elsevier Inc., 49(1), pp. 43-52.e1. doi: 10.1016/j.jneb.2016.08.018.
Polit, D. F. and Beck, C. T. (2014) Essentials of Nursing Research Seventh Edition Appraising Evidence for Nursing Practice, Lippincott Williams & Wilkins.
Ranjani, H. et al. (2016) ‘Epidemiology of childhood overweight & obesity in India: A systematic review’, The Indian Journal of Medical Research. India: Medknow Publications & Media Pvt Ltd, 143(2), pp. 160–174. doi: 10.4103/0971-5916.180203.
Rinkuniene, E. et al. (2015) ‘The prevalence of dislipidemia and its relation to other risk factors: A nationwide survey of Lithuania’, Clinical Lipidology, 10(3), pp. 219–225. doi: 10.2217/clp.15.16.
Rogerson, D., Soltani, H. and Copeland, R. (2016) ‘The weight-loss experience : a qualitative exploration’, BMC Public Health. BMC Public Health, pp. 1–13. doi: 10.1186/s12889-016-3045-6.
Rohayati, Wiarsih, W. and Nursasi, A. Y. (2019) ‘Perspektif caregiver dalam merawat keluarga dengan obesitas: studi fenomenologi’, Jurnal Mitra Kesehatan, 2(1), pp. 37–49.
Rylatt, L. and Cartwright, T. (2016) ‘Parental feeding behaviour and motivations regarding pre-school age children: A thematic synthesis of qualitative studies’, Appetite. Elsevier Ltd, 99, pp. 285–297. doi: 10.1016/j.appet.2015.12.017.
Ryoo, J.-H. et al. (2017) ‘Evaluating the risk of hypertension according to the metabolic health status stratified by degree of obesity’, Journal of the American Society of Hypertension. Elsevier, 11(1), pp. 20–27.
Sherwood, N. E. et al. (2013) ‘NET-Works: Linking families, communities and primary care to prevent obesity in preschool-age children’, Contemporary Clinical Trials, 36(2), pp. 544–554. doi: 10.1016/j.cct.2013.09.015.
Shosha, G. (2012) ‘Employment of Colaizzi’S Strategy in Descriptive Phenomenology: a Reflection of a Researcher’, European Scientific Journal, 8(27), pp. 31–43. doi: 10.1093/cid/cir626.
Skelton, J. A. et al. (2012) ‘Where are family theories in family-based obesity treatment?: conceptualizing the study of families in pediatric weight management.’, International journal of obesity (2005), 36(7), pp. 891–900. doi: 10.1038/ijo.2012.56.
Soeliman, F. A. and Azadbakht, L. (2014) ‘Weight loss maintenance: A review on dietary related strategies’, Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. Wolters Kluwer--Medknow Publications, 19(3), p. 268.
Speziale, H. S., Streubert, H. J. and Carpenter, D. R. (2011) Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins.
Stanhope, K. L. (2016) ‘Sugar consumption, metabolic disease and obesity: The state of the controversy’, Critical Reviews in Clinical Laboratory Sciences. Taylor & Francis, 53(1), pp. 52–67. doi: 10.3109/10408363.2015.1084990.
Storfer-Isser, A. and Musher-Eizenman, D. (2013) ‘Measuring parent time scarcity and fatigue as barriers to meal planning and preparation: quantitative scale development’, Journal of nutrition education and behavior. Elsevier, 45(2), pp. 176–182.
Sugondo (2014) ‘Obesitas’, in Aru, AB; Setiyohadi, B, Alwi, I; Simadibrata, M; Setiati, S. (ed.) Buku ajar ilmu penyakit dalam. V. Jakarta: FK UI.
Suprawoto, D. N. et al. (2019) ‘“Fat Kids Are Adorable”: The Experiences of Mothers Caring for Overweight Children in Indonesia’, Comprehensive Child and Adolescent Nursing. Taylor & Francis, 42(sup1), pp. 226–233. doi: 10.1080/24694193.2019.1594454.
Sweeting, H. et al. (2016) ‘“Now I care”: a qualitative study of how overweight adolescents managed their weight in the transition to adulthood’, BMJ Open. BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group, 6(11), p. e010774. doi: 10.1136/bmjopen-2015-010774.
Taillie, L. S. and Poti, J. M. (2017) ‘Associations of Cooking With Dietary Intake and Obesity Among Supplemental Nutrition Assistance Program Participants.’, American Journal of Preventive Medicine. Elsevier, 52(2), pp. S151–S160. doi: 10.1016/j.amepre.2016.08.021.
Tremmel, M. et al. (2017) ‘Economic Burden of Obesity: A Systematic Literature Review’, International Journal of Environmental Research and Public Health . doi: 10.3390/ijerph14040435.
Wills, W. J. and Lawton, J. (2015) ‘Attitudes to weight and weight management in the early teenage years: A qualitative study of parental perceptions and views’, Health Expectations, 18(5), pp. 775–783. doi: 10.1111/hex.12182.
World Health Organization (2014) Global status report on noncommunicable diseases 2014. World Health Organization.
Wulansari, A., Martianto, D. and Baliwati, Y. F. (2016) ‘Estimasi Kerugian Ekonomi Akibat Obesitas’, 11(2), pp. 159–168.
Almeida, J. De et al. (2016) ‘A qualitative study of the role of food in family relationships : An insight into the families of Brazilian obese adolescents using photo elicitation’, Appetite. Elsevier Ltd, 96, pp. 539–545. doi: 10.1016/j.appet.2015.10.023.
Álvarez-García, D., García, T. and Núñez, J. C. (2015) ‘Predictors of school bullying perpetration in adolescence: A systematic review’, Aggression and Violent Behavior. Elsevier, 23, pp. 126–136.
Amarya, S., Singh, K. and Sabharwal, M. (2014) ‘Health consequences of obesity in the elderly’, Journal of Clinical Gerontology and Geriatrics. Elsevier Taiwan LLC, 5(3), pp. 63–67. doi: 10.1016/j.jcgg.2014.01.004.
Anggraeni, A. S., Sukartini, T. and Kristiawati, K. (2017) ‘Consumption of Fruit and Vegetable with Risk of Obesity in School-age Children’, Jurnal Ners, 12(1), pp. 27–32. doi: 10.20473/jn.v12i1.3448.
Attard, S. M. et al. (2013) ‘Longitudinal trajectories of BMI and cardiovascular disease risk: The national longitudinal study of adolescent health’, Obesity. Department of Nutrition, Gillings School of Global Public Health and School of Medicine, University of North Carolina at Chapel Hill, 123 West Franklin Street, Chapel Hill, North Carolina at Chapel Hill, USA.: Wiley-Blackwell, 21(11), pp. 2180–2188. doi: 10.1002/oby.20569.
Badan Penelitian dan Pengembangan Kesehatan (2019) Laporan Provinsi Jawa Barat, Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.
Berge, J. M. et al. (2013) ‘Family functioning: associations with weight status, eating behaviors, and physical activity in adolescents’, Journal of adolescent health. Elsevier, 52(3), pp. 351–357.
Bisogni, C. A. et al. (2012) ‘How People Interpret Healthy Eating: Contributions of Qualitative Research’, Journal of Nutrition Education and Behavior. Elsevier Inc., 44(4), pp. 282–301. doi: 10.1016/j.jneb.2011.11.009.
Brian, R. L. (2011) ‘The Experiences of Living with Excess Weight as an Adolescent: Everyday Life and Healthcare Encounters’. Available at: http://rave.ohiolink.edu/etdc/view?acc_num=kent1300370920 (Accessed: 16 January 2017).
Buleheck, G. et al. (2016) Nursing Interventions Classification (NIC). 5th edn. Philadelpia: Elsevier.
Carrard, I. and Kruseman, M. (2016) ‘Qualitative analysis of the role of self-weighing as a strategy of weight control for weight-loss maintainers in comparison with a normal, stable weight group’, Appetite, 105, pp. 604–610. doi: 10.1016/j.appet.2016.06.035.
Cullen, A. J. et al. (2017) ‘A qualitative study of overweight and obese Australians’ views of food addiction’, Appetite, 115, pp. 62–70. doi: https://doi.org/10.1016/j.appet.2017.02.013.
Dixon, A. E. and Peters, U. (2018) ‘The effect of obesity on lung function’, Expert review of respiratory medicine. Taylor & Francis, 12(9), pp. 755–767.
Elizondo-Montemayor, L. et al. (2017) ‘Gynecologic and Obstetric Consequences of Obesity in Adolescent Girls’, Journal of Pediatric and Adolescent Gynecology. Elsevier Ltd, 30(2), pp. 156–168. doi: 10.1016/j.jpag.2016.02.007.
Farahmand, M. et al. (2015) ‘What are the main barriers to healthy eating among families? A qualitative exploration of perceptions and experiences of Tehranian men’, Appetite, 89, pp. 291–297. doi: 10.1016/j.appet.2015.02.025.
Furler, J. et al. (2016) ‘Identifying Risk for Diabetes in Adolescence (IRDA): A pilot study in general practice.’, Australian family physician, 45(8), pp. 582–586.
Gillespie, J. et al. (2015) ‘Parents as the start of the solution: A social marketing approach to understanding triggers and barriers to entering a childhood weight management service’, Journal of Human Nutrition and Dietetics, 28(s1), pp. 83–92. doi: 10.1111/jhn.12237.
Health Research and Development Agency (2018) National Report Basic Health Research (Riskesdas) 2018,. Jakarta: Ministry of Health.
Kristina, A. and Huriah, T. (2020) ‘Program pencegahan obesitas anak dengan perlibatan peran keluarga: Literature Review’, Jurnal Keperawatan Muhammadiyah, 5(2).
Lawrence, V. et al. (2013) Practical Manual of Clinical Obesity. Somerset, UNKNOWN: Wiley. Available at: http://ebookcentral.proquest.com/lib/indonesiau-ebooks/detail.action?docID=1161326.
Ng, M. et al. (2014) ‘Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013’, The Lancet, 384(9945), pp. 766–781. doi: 10.1016/S0140-6736(14)60460-8.
Van Ostrand, G. (2015) Why some women eat too much: A qualitative study of food-dependent women. Walden University.
Perry, R. A. et al. (2016) ‘Facilitators and Barriers to the Achievement of Healthy Lifestyle Goals: Qualitative Findings From Australian Parents Enrolled in the PEACH Child Weight Management Program’, Journal of Nutrition Education and Behavior. Elsevier Inc., 49(1), pp. 43-52.e1. doi: 10.1016/j.jneb.2016.08.018.
Polit, D. F. and Beck, C. T. (2014) Essentials of Nursing Research Seventh Edition Appraising Evidence for Nursing Practice, Lippincott Williams & Wilkins.
Ranjani, H. et al. (2016) ‘Epidemiology of childhood overweight & obesity in India: A systematic review’, The Indian Journal of Medical Research. India: Medknow Publications & Media Pvt Ltd, 143(2), pp. 160–174. doi: 10.4103/0971-5916.180203.
Rinkuniene, E. et al. (2015) ‘The prevalence of dislipidemia and its relation to other risk factors: A nationwide survey of Lithuania’, Clinical Lipidology, 10(3), pp. 219–225. doi: 10.2217/clp.15.16.
Rogerson, D., Soltani, H. and Copeland, R. (2016) ‘The weight-loss experience : a qualitative exploration’, BMC Public Health. BMC Public Health, pp. 1–13. doi: 10.1186/s12889-016-3045-6.
Rohayati, Wiarsih, W. and Nursasi, A. Y. (2019) ‘Perspektif caregiver dalam merawat keluarga dengan obesitas: studi fenomenologi’, Jurnal Mitra Kesehatan, 2(1), pp. 37–49.
Rylatt, L. and Cartwright, T. (2016) ‘Parental feeding behaviour and motivations regarding pre-school age children: A thematic synthesis of qualitative studies’, Appetite. Elsevier Ltd, 99, pp. 285–297. doi: 10.1016/j.appet.2015.12.017.
Ryoo, J.-H. et al. (2017) ‘Evaluating the risk of hypertension according to the metabolic health status stratified by degree of obesity’, Journal of the American Society of Hypertension. Elsevier, 11(1), pp. 20–27.
Sherwood, N. E. et al. (2013) ‘NET-Works: Linking families, communities and primary care to prevent obesity in preschool-age children’, Contemporary Clinical Trials, 36(2), pp. 544–554. doi: 10.1016/j.cct.2013.09.015.
Shosha, G. (2012) ‘Employment of Colaizzi’S Strategy in Descriptive Phenomenology: a Reflection of a Researcher’, European Scientific Journal, 8(27), pp. 31–43. doi: 10.1093/cid/cir626.
Skelton, J. A. et al. (2012) ‘Where are family theories in family-based obesity treatment?: conceptualizing the study of families in pediatric weight management.’, International journal of obesity (2005), 36(7), pp. 891–900. doi: 10.1038/ijo.2012.56.
Soeliman, F. A. and Azadbakht, L. (2014) ‘Weight loss maintenance: A review on dietary related strategies’, Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. Wolters Kluwer--Medknow Publications, 19(3), p. 268.
Speziale, H. S., Streubert, H. J. and Carpenter, D. R. (2011) Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins.
Stanhope, K. L. (2016) ‘Sugar consumption, metabolic disease and obesity: The state of the controversy’, Critical Reviews in Clinical Laboratory Sciences. Taylor & Francis, 53(1), pp. 52–67. doi: 10.3109/10408363.2015.1084990.
Storfer-Isser, A. and Musher-Eizenman, D. (2013) ‘Measuring parent time scarcity and fatigue as barriers to meal planning and preparation: quantitative scale development’, Journal of nutrition education and behavior. Elsevier, 45(2), pp. 176–182.
Sugondo (2014) ‘Obesitas’, in Aru, AB; Setiyohadi, B, Alwi, I; Simadibrata, M; Setiati, S. (ed.) Buku ajar ilmu penyakit dalam. V. Jakarta: FK UI.
Suprawoto, D. N. et al. (2019) ‘“Fat Kids Are Adorable”: The Experiences of Mothers Caring for Overweight Children in Indonesia’, Comprehensive Child and Adolescent Nursing. Taylor & Francis, 42(sup1), pp. 226–233. doi: 10.1080/24694193.2019.1594454.
Sweeting, H. et al. (2016) ‘“Now I care”: a qualitative study of how overweight adolescents managed their weight in the transition to adulthood’, BMJ Open. BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group, 6(11), p. e010774. doi: 10.1136/bmjopen-2015-010774.
Taillie, L. S. and Poti, J. M. (2017) ‘Associations of Cooking With Dietary Intake and Obesity Among Supplemental Nutrition Assistance Program Participants.’, American Journal of Preventive Medicine. Elsevier, 52(2), pp. S151–S160. doi: 10.1016/j.amepre.2016.08.021.
Tremmel, M. et al. (2017) ‘Economic Burden of Obesity: A Systematic Literature Review’, International Journal of Environmental Research and Public Health . doi: 10.3390/ijerph14040435.
Wills, W. J. and Lawton, J. (2015) ‘Attitudes to weight and weight management in the early teenage years: A qualitative study of parental perceptions and views’, Health Expectations, 18(5), pp. 775–783. doi: 10.1111/hex.12182.
World Health Organization (2014) Global status report on noncommunicable diseases 2014. World Health Organization.
Wulansari, A., Martianto, D. and Baliwati, Y. F. (2016) ‘Estimasi Kerugian Ekonomi Akibat Obesitas’, 11(2), pp. 159–168.