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ONE SIZE FITS NONE:
THEORIZING WEIGHT MANAGEMENT IN THE EVERYDAY LIVES OF
ADULTS WITH SERIOUS MENTAL ILLNESS
by
Abbey Lynn Marterella
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(OCCUPATIONAL SCIENCE)
August 2010
Copyright 2010 Abbey Lynn Marterella
Object Description
| Title | One size fits none: theorizing weight management in the everyday lives of adults with serious mental illness |
| Author | Marterella, Abbey Lynn |
| Author email | marterel@usc.edu; abbey.marterella@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Occupational Science |
| School | School of Dentistry |
| Date defended/completed | 2010-05-10 |
| Date submitted | 2010 |
| Restricted until | Restricted until 05 Aug. 2012. |
| Date published | 2012-08-05 |
| Advisor (committee chair) | Jackson, Jeanne M. |
| Advisor (committee member) |
Clark, Florence A. Neville-Jan, Ann Brekke, John |
| Abstract | Weight management problems pose a grave threat to the health and well-being of adults with serious mental illness. In fact, overweight and obesity rates for this population are estimated to be up to twice that of the general populace. Despite the urgent need to address this issue, few studies have been undertaken to develop effective interventions tailored to the specific life circumstances implicated in the poor weight management of this group.; The present study constituted a first step for the future development of an intervention designed to enable better weight management in adults with serious mental illness. Using an overarching disability studies conceptual framework, I employed qualitative research methods to discern the complexity of life circumstances and factors that influenced weight management difficulties for these individuals. I reasoned that by developing a detailed understanding of the particular dilemmas these adults had in managing their weight in everyday life, I would subsequently be able to develop an effective intervention approach. Fourteen participants engaged in focus group interviews with a subset of four participants taking part in individual semi-structured interviews and activity visits. On the basis of data generated, four overarching domains of concern related to weight management emerged, including: (a) addressing physical health issues, (b) maintaining psychological well-being and managing stigma, (c) engaging in valued activities and connecting with others, and (d) providing for everyday needs. Additionally, eleven interrelated subdomains were identified through which the problem areas could be redressed.; This four-pronged typology with its associated subdomains provides a data-driven conceptual foundation for the future development of a Lifestyle Redesign® weight management intervention for adults with serious mental illness. The findings revealed that macro-level sociopolitical and socioeconomic factors permeated the weight management experiences of this population. As such, it became clear that the intervention approach to be developed must incorporate system change strategies relative to the lifestyle domains that comprised the typology. |
| Keyword | community mental health; lifestyle redesign intervention; mental illness; qualitative research; weight management |
| Geographic subject (country) | USA |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m3302 |
| Contributing entity | University of Southern California |
| Rights | Marterella, Abbey Lynn |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-Marterella-3498 |
| Archival file | uscthesesreloadpub_Volume35/etd-Marterella-3498.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | ONE SIZE FITS NONE: THEORIZING WEIGHT MANAGEMENT IN THE EVERYDAY LIVES OF ADULTS WITH SERIOUS MENTAL ILLNESS by Abbey Lynn Marterella A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (OCCUPATIONAL SCIENCE) August 2010 Copyright 2010 Abbey Lynn Marterella |
