Amankwaa, I., Nelson, K., Rook, M., & Hales, C. (2022). Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data. BMC Geriatrics, 22(1). Retrieved March 29, 2024, from http://dx.doi.org/https://doi.org/10.1186/s12877-021-02696-8
Abstract: Undertakes a retrospective review of nursing home residents' data obtained from the NZ International Residential Assessment Instrument national dataset, 2015-2018. Includes 198,790 aged care residents, calculating weight in kilograms divided by height in metres squared. Defines multi-morbidity as the presence of 2 or more health conditions. Measures the risk of disability by a self-performance scale. Highlights an inverse relationship between activities of daily living (ADL) and BMI.
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Hales, C., Amankwaa, I., Gray, L., & Rook, H. (2020). Providing care for older adults with extreme obesity in aged residential care facilities: an environmental scan. Nursing Praxis in New Zealand, 36(3). Retrieved March 29, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.012
Abstract: Reports findings of an environmental scan undertaken as part of a larger study s to assess the current state of bariatric (extreme obesity) services within aged
residential care (ARC). Identifies bariatric-resident needs, and gaps in service provision to inform policy and service development.
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Jarden, A. J. (2018). Before-school check nurses' experiences of motivational interviewing during the weight-related referral process : an interpretive phenomenological study. Master's thesis, University of Canterbury, Christchurch. Retrieved March 29, 2024, from http://hdl.handle.net/10092/16678
Abstract: Investigates nurses' experiences of weight-related conversations with whanau, and their level of understanding and application of motivational interviewing, during the Before-School Check programme to identify 95% of high-weight children. Uses a questionnaire focussed on competencies in conjunction with recorded interviews concentrated on process-oriented accounts of the referral process.
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Hales, C., Curran, N., & Vries, K. de. (2018). Morbidly obese patients' experiences of mobility during hospitalisation. Nursing Praxis in New Zealand, 34(1). Retrieved March 29, 2024, from www.nursingpraxis.org
Abstract: Examines the mobility experiences and needs of morbidly-obese patients before and during hospital admission. Undertakes semi-structured interviews with seven morbidly obese patients. Identifies two categories of mobility problems: 'compromised pre-existing mobility', with a subcategory of 'accessing services prior to admission' and 'mobilisation difficulties during hospitalisation', with a subcategory of 'dissonance between dependency and need for assistance'. Recommends bariatric-care pathways for the morbidly-obese patient.
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Gibbison, B. (2010). Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010.
Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities.
Four major themes emerged:
- “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results)
- Routines were also important in supporting the changed behaviours
- What's it worth to me
- Valuing the achievements associated with lesser weight was seen as another important factor of success
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