Dissecting the Obesogenic Environment of a Psychiatric Setting: Client Perspectives
Publication: Canadian Journal of Community Mental Health
29 October 2013
Abstract
This qualitative study asked individuals with schizophrenia to identify environmental factors in a psychiatric facility that influence their diet, physical activity, and ultimately weight. Participants took photographs of environmental elements they perceived to be obesogenic within the hospital and then participated in a semi-structured interview during which they were asked about the identified environmental elements. The Analysis Grid for Environments Linked to Obesity (ANGELO) framework was used for the analysis of data. Participants recommended individual and environmental approaches to address obesity. The ANGELO framework is a useful tool for identifying obesogenic factors, a process that can inform environmental interventions in psychiatric settings.
Résumé
Cette étude qualitative demande aux individus schizophrènes d'identifier, dans un centre psychiatrique, les facteurs environnementaux influent sur leur régime alimentaire, leur activité physique et, finalement, leur poids. Les participants et participantes ont photographié les éléments environnementaux à l'hôpital qui selon leur perception favorisaient l'obésité. Ils ont ensuite participé à un entretien semi-structuré discutant des éléments identifiés. Le cadre de la grille d'analyse pour les environnements liés à l'obésité (ANGELO) a été utilisé pour l'analyse de données. Les participants et participantes ont proposé des approches individuelles et environnementales pour combattre l'obésité. Le cadre ANGELO, outil utile pour l'identification de facteurs obésogènes, peut guider les interventions environnementales en milieu psychiatrique.
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References
Allison D. B., Mentore J. L., Heo M., Chandler L. P., Cappelleri J. C., Infante M. C., and Weiden P. J. Antipsychotic-induced weight gain: A comprehensive research synthesis American Journal of Psychiatry 1999 156 11 1686 -1699
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Braun V. and Clarke V. Using thematic analysis in psychology Qualitative Research in Psychology 2006 3 2 77 -101
Brown S., Birtwistle J., Roe L., and Thompson C. The unhealthy lifestyle of people with schizophrenia Psychological Medicine 1999 29 3 697 -701
Burton E. and Medcalf R. Accessing experiences through “photo-voice”: Children's perceptions of motivations and barriers towards physical activity participation in rural and urban environments Journal of Qualitative Research in Sports Studies 2011 5 1 19 -36
Cohn T., Grant S., and Faulkner G. Schizophrenia and obesity: Addressing obesogenic environments in mental health settings Schizophrenia Research 2010 121 1 277 -278
Cohn T., Prud'homme D., Streiner D., Kameh H., and Remington G. Characterizing coronary heart disease risk in chronic schizophrenia: High prevalence of the metabolic syndrome Canadian Journal of Psychiatry 2004 49 11 753 -760
Cormac I., Martin D., and Ferriter M. Improving the physical health of long-stay psychiatric patients Advances in Psychiatric Treatment 2004 10 2 107 -115
Engel G. L. The need for a new medical model: A challenge for biomedicine Science 1977 196 4286 129 -136
Faulkner G. and Cohn T. A. Pharmacologic and nonpharmacologic strategies for weight gain and metabolic disturbance in patients treated with antipsychotic medications Canadian Journal of Psychiatry 2006 51 8 502 -511
Faulkner G., Gorczynski P., and Cohn T. Psychiatric illness and obesity: Recognizing the “Obesogenic” nature of an inpatient psychiatric setting Psychiatric Services 2009 60 4 538 -541
Freedhoff Y. and Stevenson R. Frying up hospital cafeteria food Canadian Medical Association Journal 2008 179 3 213
Haglund K., van der Meiden E., von Knorring L., and von Essen L. Psychiatric care behind locked doors: A study regarding the frequency of and the reasons for locked psychiatric wards in Sweden Journal of Psychiatric and Mental Health Nursing 2007 14 1 49 -54
Hennekens C. H., Hennekens A. R., Hollar D., and Casey D. E. Schizophrenia and increased risks of cardiovascular disease American Heart Journal 2005 150 6 1115 -1121
Hergenrather K. C., Rhodes S. D., Cowan C. A., Bardhoshi G., and Pula S. Photovoice as community-based participatory research: A qualitative review American Journal of Health Behavior 2009 33 6 686 -698
Israel B. A., Schulz A. J., Parker E. A., and Becker A. B. Review of community-based research: Assessing partnership approaches to improve public health Annual Review of Public Health 1998 19 173 -202
Laursen T. M., Munk-Olsen T., and Vestergaard M. Life expectancy and cardiovascular mortality in persons with schizophrenia Current Opinion in Psychiatry 2012 25 2 83 -88
Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
McLeroy K. R., Bibeau D., Steckler A., and Glanz K. An ecological perspective on health promotion programs Health Education Quarterly 1988 15 4 351 -377
Owen N., Sugiyama T., Eakin E. E., Gardiner P. A., Tremblay M. S., and Sallis J. F. Adults’ sedentary behavior determinants and interventions American Journal of Preventive Medicine 2011 41 2 189 -196
Reed D. B. and Chenault H. J. Reconstructing the hospital food environment to address the obesity epidemic Topics in Clinical Nutrition 2010 25 3 236 -243
Sallis J. F., Cervero R. B., Ascher W., Henderson K. A., Kraft M. K., and Kerr J. An ecological approach to creating active living communities Annual Review of Public Health 2006 27 297 -322
Sallis, J. F., & Owen, N. (2002). Ecological models of health behavior. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 462-484). San Francisco, CA: Jossey-Bass.
Statistics Canada and Canadian Institute for Health Information. (2011). Overweight and obese adults (self-reported), 2010 Fact Sheet. In Health Indicators (Cat. No. 82-221-X), Ottawa, ON: Statistics Canada.
Stephenson L. My community, my voice: Rural older adults speak through photography Journal of Extension 2012 50 1 1FEA 7 Retrieved from http://www.joe.org/joe/2012february/a7.php
Swinburn B., Egger G., and Raza F. Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity Preventive Medicine 1999 29 6 Part1 563 -570
Taylor S. E., Repetti R. L., and Seeman T. Health psychology: What is an unhealthy environment and how does it get under the skin? Annual Review of Psychology 1997 48 411 -447
Thomas S. L., Lewis S., Hyde J., Castle D., and Komesaroff P. The solution needs to be complex.” Obese adults’ attitudes about the effectiveness of individual and population based interventions for obesity BMC Public Health 2010 10 420
Wang C. and Burris M. A. Photovoice: Concept, methodology, and use for participatory needs assessment Health Education & Behavior 1997 24 3 369 -387
Wang C., Kun Yi W., Wen Tao Z., and Carovano K. Photovoice as a participatory health promotion strategy Health Promotion International 1998 13 1 75 -86
Weiss S. M., Malone R. E., Merighi J. R., and Benner P. Economism, efficiency, and the moral ecology of good nursing practice Canadian Journal of Nursing Research 2009 41 1 340 -365
Zhang C., Rexrode K. M., van Dam R. M., Li T. Y., and Hu F. B. Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality Circulation 2008 117 1658 -1667
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Canadian Journal of Community Mental Health
Volume 32 • Number 3 • September 2013
Pages: 51 - 68
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Version of record online: 29 October 2013
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GorczynskiPaul, FaulknerGuy, and CohnTony. 2013. Dissecting the Obesogenic Environment of a Psychiatric Setting: Client Perspectives. Canadian Journal of Community Mental Health.
32(3): 51-68. https://doi.org/10.7870/cjcmh-2013-024
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