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Transforming Health Experience and Action through Shifting the Narrative on Obesity in Primary Care Encounters

机译:通过在初级保健遭遇中转移叙述对叙事的叙述转变健康经验和行动

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摘要

We sought to understand the impact of primary care conversations about obesity on people’s everyday life health experience and practices. Using a dialogic narrative perspective, we examined key moments in three very different clinical encounters, the patients’ journals, and follow-up interviews over several weeks. We trace how people living with obesity negotiate narrative alternatives that are offered during clinical dialogue to transform their own narrative and experience of obesity and self. Findings provide pragmatic insights into how providers can play a significant role in shifting narratives about obesity and self and how such co-constructed narratives translate into change and tangible health outcomes in people’s lives.
机译:我们试图了解初级护理对话对人民日常生活健康经验和实践的影响。 使用对话叙事的观点,我们在几周内检查了三个截然不同的临床遭遇,患者期刊和后续访谈的关键时刻。 我们追踪人们如何与肥胖症谈判谈判在临床对话中提供的叙述替代方案,以改变自己的叙述和肥胖和自我的经验。 调查结果提供了务实的见解,提供商如何在转移肥胖和自我的叙述中发挥重要作用以及这种共同构建的叙述如何转化为人们生活中的变化和有形的健康成果。

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