Skip to main content
Top
Published in: BMC Primary Care 1/2015

Open Access 01-12-2015 | Research article

Previous experiences and emotional baggage as barriers to lifestyle change - a qualitative study of Norwegian Healthy Life Centre participants

Authors: Ingrid S Følling, Marit Solbjør, Anne-S Helvik

Published in: BMC Primary Care | Issue 1/2015

Login to get access

Abstract

Background

Changing lifestyle is challenging and difficult. The Norwegian Directorate of Health recommends that all municipalities establish Healthy Life Centres targeted to people with lifestyle issues. Little is known about the background, experiences and reflections of participants. More information is needed about participants to shape effective lifestyle interventions with lasting effect. This study explores how participants in a lifestyle intervention programme describe previous life experiences in relation to changing lifestyle.

Methods

Semi-structured qualitative in-depth interviews were performed with 23 participants (16 women and 7 men) aged 18 – 70 years. The data were analysed using systematic text condensation searching for issues describing participants’ responses, and looking for the essence, aiming to share the basis of life-world experiences as valid knowledge.

Results

Participants identified two main themes: being stuck in old habits, and being burdened with emotional baggage from their previous negative experiences. Participants expressed a wish to change their lifestyles, but were unable to act in accordance with the health knowledge they possessed. Previous experiences with lifestyle change kept them from initiating attempts without professional assistance. Participants also described being burdened by an emotional baggage with problems from childhood and/or with family, work and social life issues. Respondents said that they felt that emotional baggage was an important explanation for why they were stuck in old habits and that conversely, being stuck in old habits added load to their already emotional baggage and made it heavier.

Conclusions

Behavioural change can be hard to perform as psychological distress from life baggage can influence the ability to change. The study participants’ experience of being stuck in old habits and having substantial emotional baggage raises questions as to whether or not Healthy Life Centres are able to help participants who need to make a lifestyle change.
Literature
6.
go back to reference Nandi A, Glymor M, Subramanian SV. Association among socioeconomic status, health behaviors, and all-cause mortality in the United States. Epidemiology. 2014;2:170–7.CrossRef Nandi A, Glymor M, Subramanian SV. Association among socioeconomic status, health behaviors, and all-cause mortality in the United States. Epidemiology. 2014;2:170–7.CrossRef
8.
go back to reference The Look Ahead Research Group. Cardiovascular effects of Intensive Lifestyle Intervention in Type 2 Diabetes. N Engl J Med. 2013;369:145–54.CrossRefPubMedCentral The Look Ahead Research Group. Cardiovascular effects of Intensive Lifestyle Intervention in Type 2 Diabetes. N Engl J Med. 2013;369:145–54.CrossRefPubMedCentral
9.
go back to reference Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, et al. Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes. JAMA. 2012;308(23):2489–96.CrossRefPubMedPubMedCentral Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, et al. Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes. JAMA. 2012;308(23):2489–96.CrossRefPubMedPubMedCentral
10.
go back to reference Lerdal A, Celius EH, Pedersen G. Prescribed exercise: a prospective study of health related quality of life and physical fitness among participants in an officially sponsored municipal physical training program. J Phys Act Health. 2013;10(7):1016–23.CrossRefPubMed Lerdal A, Celius EH, Pedersen G. Prescribed exercise: a prospective study of health related quality of life and physical fitness among participants in an officially sponsored municipal physical training program. J Phys Act Health. 2013;10(7):1016–23.CrossRefPubMed
11.
go back to reference Kallings LVLM, Hellenius ML, Stahle A. Physical activity on prescription in primary health care: a follow-up of physical activity level and quality of life. Scand J Med Sci Sports. 2008;18(2):154–61.CrossRefPubMed Kallings LVLM, Hellenius ML, Stahle A. Physical activity on prescription in primary health care: a follow-up of physical activity level and quality of life. Scand J Med Sci Sports. 2008;18(2):154–61.CrossRefPubMed
12.
go back to reference Sorensen J, Sørensen JB, Skovgaard T, Bredahl T, Puggaard L. Exercise on prescription: changes in physical activity and health-related quality of life in five Danish programme. Eur J Public Health. 2011;21(1):56–62.CrossRefPubMed Sorensen J, Sørensen JB, Skovgaard T, Bredahl T, Puggaard L. Exercise on prescription: changes in physical activity and health-related quality of life in five Danish programme. Eur J Public Health. 2011;21(1):56–62.CrossRefPubMed
13.
go back to reference Murray J, Craig CL, Honey S, House A. A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change. BMC Cardiovasc Disord. 2012;12:120.CrossRefPubMedPubMedCentral Murray J, Craig CL, Honey S, House A. A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change. BMC Cardiovasc Disord. 2012;12:120.CrossRefPubMedPubMedCentral
14.
go back to reference Armitage CJ. Is there utility in the transtheoretical model. Br J Helath Psychol. 2009;14:195–210.CrossRef Armitage CJ. Is there utility in the transtheoretical model. Br J Helath Psychol. 2009;14:195–210.CrossRef
15.
go back to reference Azjen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef Azjen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
16.
go back to reference Proschaska JO. System of psychotherapy: A transtheoretical analysis. Homewood, IL: Dorsey Press; 1984. Proschaska JO. System of psychotherapy: A transtheoretical analysis. Homewood, IL: Dorsey Press; 1984.
17.
go back to reference Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer Publishing Company Inc; 1984. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York: Springer Publishing Company Inc; 1984.
18.
go back to reference Noar SM. A health educators guide to theories of health behavior. Int Q Community Health Educ. 2006;24:75–92.CrossRef Noar SM. A health educators guide to theories of health behavior. Int Q Community Health Educ. 2006;24:75–92.CrossRef
19.
go back to reference Summerskill WSM, Pope C. ‘I saw the panic rise in her eyes, and evidence based medicine went out the door’:an explanatory qualitative study of the barriers to secondary prevention of coronary heart disease. Fam Pract. 2002;19(6):605–10.CrossRefPubMed Summerskill WSM, Pope C. ‘I saw the panic rise in her eyes, and evidence based medicine went out the door’:an explanatory qualitative study of the barriers to secondary prevention of coronary heart disease. Fam Pract. 2002;19(6):605–10.CrossRefPubMed
21.
go back to reference Bandura A. Social cognitive theory and exercise of control over HIV infection. In: DIClemente RJ, Peterson JL, editors. Preventing AIDS: theories and methods of behavioral interventions. New York: Plenum; 1994. p. 25–59.CrossRef Bandura A. Social cognitive theory and exercise of control over HIV infection. In: DIClemente RJ, Peterson JL, editors. Preventing AIDS: theories and methods of behavioral interventions. New York: Plenum; 1994. p. 25–59.CrossRef
22.
go back to reference Ezzy D. Qualitative Interviewing as an Embodied Emotional Performance. Qual Inq. 2010;16:163.CrossRef Ezzy D. Qualitative Interviewing as an Embodied Emotional Performance. Qual Inq. 2010;16:163.CrossRef
23.
go back to reference Giorgi A. The descriptive phenomenological method in psychology:a modified Husserlian approach. Pittsburgh: Duquesne University Press; 2009. Giorgi A. The descriptive phenomenological method in psychology:a modified Husserlian approach. Pittsburgh: Duquesne University Press; 2009.
24.
go back to reference Kvale S, Brinkmann S. Interviews- Learning the Craft of Qualitative Reasearch Interviewing. Thousand Oaks: SAGE Publications. 2009. Kvale S, Brinkmann S. Interviews- Learning the Craft of Qualitative Reasearch Interviewing. Thousand Oaks: SAGE Publications. 2009.
25.
go back to reference Shai I, Stampfer M. Weight-loss diets-can you keep it off? Am J Clin Nutr. 2008;88:1185–6.PubMed Shai I, Stampfer M. Weight-loss diets-can you keep it off? Am J Clin Nutr. 2008;88:1185–6.PubMed
26.
go back to reference Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the atkins, ornish, weight watchers, and zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA. 2005;293:43–53.CrossRefPubMed Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the atkins, ornish, weight watchers, and zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA. 2005;293:43–53.CrossRefPubMed
27.
go back to reference Hansen NV, Brændgaard P, Hjørnholm C, la Cour S. Qualitative research building real-life interventions: user-involving development of a mindfulness-based lifestyle change support program for overweight citizens. Eur J Clin Nutr. 2014;68(10):1129–33.CrossRefPubMed Hansen NV, Brændgaard P, Hjørnholm C, la Cour S. Qualitative research building real-life interventions: user-involving development of a mindfulness-based lifestyle change support program for overweight citizens. Eur J Clin Nutr. 2014;68(10):1129–33.CrossRefPubMed
28.
go back to reference Rise MB, Pellerud A, Rygg LØ, Steinsbekk A. Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self-Management Educations: A Qualitative Study. Plos One. 2013;8(5):e64009.CrossRefPubMedPubMedCentral Rise MB, Pellerud A, Rygg LØ, Steinsbekk A. Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self-Management Educations: A Qualitative Study. Plos One. 2013;8(5):e64009.CrossRefPubMedPubMedCentral
29.
go back to reference Thomas SL, Hyde J, Karunaratne A, Kausman R, Komesaroff PA. “They all work…when you stick to them”: A qualitative investigation of dieting, weight loss, and physical exercise, in obese individuals. Nutr J. 2008;7:34.CrossRefPubMedPubMedCentral Thomas SL, Hyde J, Karunaratne A, Kausman R, Komesaroff PA. “They all work…when you stick to them”: A qualitative investigation of dieting, weight loss, and physical exercise, in obese individuals. Nutr J. 2008;7:34.CrossRefPubMedPubMedCentral
30.
go back to reference Prochaska DODC. Stages and processes of self-change and smoking: Towards an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.CrossRefPubMed Prochaska DODC. Stages and processes of self-change and smoking: Towards an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.CrossRefPubMed
31.
go back to reference Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education, Theory, Research, and Practice. San Fransisco: Jossey Bass; 2008. p. 100–1. Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education, Theory, Research, and Practice. San Fransisco: Jossey Bass; 2008. p. 100–1.
32.
go back to reference Sodlerlund A, Fischer A, Johansson T. Physical activity, diet and behaviour modification in the treatment of overweight and obese adults: a systematic review. Perspect Public Health. 2009;129:132–42.CrossRefPubMed Sodlerlund A, Fischer A, Johansson T. Physical activity, diet and behaviour modification in the treatment of overweight and obese adults: a systematic review. Perspect Public Health. 2009;129:132–42.CrossRefPubMed
34.
go back to reference Felitti VJ, Anda R, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14:245–58.CrossRefPubMed Felitti VJ, Anda R, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14:245–58.CrossRefPubMed
35.
go back to reference Thomas C, Hyppönen E, Power C. Obesity and type 2 diabetes risk in midadult life: the role of childhood adversity. Pediatrics. 2008;121:1240–9.CrossRef Thomas C, Hyppönen E, Power C. Obesity and type 2 diabetes risk in midadult life: the role of childhood adversity. Pediatrics. 2008;121:1240–9.CrossRef
36.
go back to reference Williamson DF, Thompson T, Anda RF, Dietz WH, Felitti V. Body weight and obesity in adults and self-reported abuse in childhood. Int J Obes Relat Metab Disord. 2002;26:1075–82.CrossRefPubMed Williamson DF, Thompson T, Anda RF, Dietz WH, Felitti V. Body weight and obesity in adults and self-reported abuse in childhood. Int J Obes Relat Metab Disord. 2002;26:1075–82.CrossRefPubMed
37.
go back to reference Wildes JE, Kalarchian M, Marcus MD, Levine MD, Courcoulas AP. Childhood maltreatment and psychiatric morbidity in bariatric surgery candidates. Obes Surg. 2008;18:306–13.CrossRefPubMedPubMedCentral Wildes JE, Kalarchian M, Marcus MD, Levine MD, Courcoulas AP. Childhood maltreatment and psychiatric morbidity in bariatric surgery candidates. Obes Surg. 2008;18:306–13.CrossRefPubMedPubMedCentral
38.
go back to reference Hemmingsson E, Johansson K, Reynisdottir S. Effects of childhood abuse on adult obesity: a systematic review and meta-analysis. Obes Rev. 2014;11:882–93.CrossRef Hemmingsson E, Johansson K, Reynisdottir S. Effects of childhood abuse on adult obesity: a systematic review and meta-analysis. Obes Rev. 2014;11:882–93.CrossRef
39.
go back to reference Hemmingsson E. A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention. Obes Rev. 2014;15:769–79.CrossRefPubMed Hemmingsson E. A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention. Obes Rev. 2014;15:769–79.CrossRefPubMed
40.
go back to reference Bandura A. Self-efficacy: toward a unifying theory of behaviour change. Psychol Rev. 1977;84:191–215.CrossRefPubMed Bandura A. Self-efficacy: toward a unifying theory of behaviour change. Psychol Rev. 1977;84:191–215.CrossRefPubMed
41.
go back to reference Eisenbergera NI, Taylor S, Gableb SL, Hilmertc CJ, Liebermanb MD. Neural pathways link social support to attenuated neuroendocrine stress responses. NeuroImage. 2007;35(4):1601–12.CrossRef Eisenbergera NI, Taylor S, Gableb SL, Hilmertc CJ, Liebermanb MD. Neural pathways link social support to attenuated neuroendocrine stress responses. NeuroImage. 2007;35(4):1601–12.CrossRef
42.
go back to reference Lyubomirsky S, King L, Diener E. The benefits of frequent positive affect: does happiness lead to success? Psychol Bull. 2005;131(5):803–55.CrossRefPubMed Lyubomirsky S, King L, Diener E. The benefits of frequent positive affect: does happiness lead to success? Psychol Bull. 2005;131(5):803–55.CrossRefPubMed
43.
go back to reference Reblin M, Uchino BN. Social and emotional support andt its implication for health. Curr Opin Psychiatry. 2008;2:201–5.CrossRef Reblin M, Uchino BN. Social and emotional support andt its implication for health. Curr Opin Psychiatry. 2008;2:201–5.CrossRef
44.
go back to reference DePue JD, Clark MM, Ruggiero L, Medeiros ML, Pera Jr V. Maintenance of weight loss: a needs assessment. Obes Res. 1995;3:241–8.CrossRefPubMed DePue JD, Clark MM, Ruggiero L, Medeiros ML, Pera Jr V. Maintenance of weight loss: a needs assessment. Obes Res. 1995;3:241–8.CrossRefPubMed
45.
go back to reference Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass; 1987. Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass; 1987.
Metadata
Title
Previous experiences and emotional baggage as barriers to lifestyle change - a qualitative study of Norwegian Healthy Life Centre participants
Authors
Ingrid S Følling
Marit Solbjør
Anne-S Helvik
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2015
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-015-0292-z

Other articles of this Issue 1/2015

BMC Primary Care 1/2015 Go to the issue