Body talk

First published in International Therapist (Issue 36, October 2011), the membership journal of the Federation of Holistic TherapistsA critical evaluation of the spa, beauty and massage industry's approach towards promoting body esteem. Suggestions for practitioners and managers to build supportive body based environments and communication practises are give

The business of the body

N/

Teaching in higher education: working without a map

This study explored the complexity of working and teaching within one English post -1992 university from the perspectives of thirteen members of academic staff. Work relationships, work load and perception of the management’s support of teaching were investigated via semi-structured interviews. Interviews were transcribed and analysed using interpretative phenomenological analysis (IPA) as a theoretical framework. This method offered a way to analyse and interpret the experiences of lecturers working in Higher Education by maintaining a focus on the academics’ own words. Previous research using IPA has been established within health and counselling fields (Smith et al, 2009) and its use within educational settings is emergent (Creanor, Trinder, Gowan et al, 2008; Biggerstaff and Thompson, 2008). The academics interviewed mostly entered higher education with no formal teacher training and many found their initial time in the role to be stressful and poorly managed. Support mechanisms (induction, mentoring, team teaching, teacher training courses) were described as being areas that could all be improved. The dramatic metaphorical language used to describe their entry into the HE system vividly depicted these challenges. The capturing of this highly expressive language offered new insight into understanding the lives of lecturing staff. Participants expressed their working lives with multiple references to the language of war, battle and struggle. Aspects of both vulnerability and tenacity were present in the findings, with the responses to challenges being expressed in both positive and negative ways. Most participants found that the levels of university bureaucracy impeded their teaching effectiveness; they battled with time management and felt tension between the levels of control, audit and freedom within their roles. This was somewhat ameliorated by the satisfaction they gained from teaching their students. The majority described students as consumers who were increasingly demanding and had varied abilities which created challenges for the lecturers. Traditional HE lecture-based techniques were perceived to be less effective in engaging students and most participants actively tried new methods of teaching, despite having little knowledge of theoretical aspects of learning to support this work. Few had experienced formal observation mechanisms and there were mixed responses about the level of support they received from their colleagues around teaching and its associated administrative tasks. The interviewed academics did not perceive that teaching was overtly valued by their superiors as their efforts remained largely unrecognised by those in senior management. Insights into the complex lives of the lecturers gave the researcher scope to create initiatives to promote positive change and make recommendations to senior management that could foster further improvements. In light of the data collected, the induction processes were changed to include more consistent mentoring, peer teaching observation groups (peer learning circles) were coordinated and staff development was organised to facilitate enhanced support for lecturers

How to deliver an effective senior exercise class

In a time when people are living longer and more active lifestyles, we propose that we may be selling many of our seniors short by oversimplifying the design of group exercise classes. This article suggests ways of delivering effective senior exercise classes incorporating functional movement and sound conditioning principles applied to the older adult population.Funding for the interventions that this article was based on was provided in part by Carolina Meadows CCRC, Chapel Hill, NC, US

Thresholds of size: An interpretative phenomenological analysis of childhood messages around food, body, health and weight.

This study explores the lived experiences of non-dieting, middle-aged Western women classified as ‘overweight’ or ‘obese’ on BMI charts. Qualitative research that has focused on non-weight loss experiences with this population has been rare. This study aims to allow their experiences to be heard within the mainstream health literature. Four women from aged 40-55 were interviewed about their early messages and experiences around food, body, health and weight. An interpretative phenomenological analysis was conducted. Three themes were identified: 1) family culture and body norms 2) thresholds of size and 3) action and outcome. Participants identified a range of influences upon their early body appraisal, with parents, extended family, peers and community members contributing to their understanding of what constituted as an acceptable size. The impact upon their sense of identity and emotional wellbeing is discussed. This study contributes to the role of the modelling and messages around size and value given by important others and the psychological ramifications these can have over time.n/

The accordian and the deep bowl of spaghetti: Eight researchers' experiences of using IPA as a methodology

Since 1996 Interpretative Phenomenological Analysis (IPA) has grown rapidly and been applied in areas outside its initial “home” of health psychology. However, explorations of its application from a researcher's perspective are scarce. This paper provides reflections on the experiences of eight individual researchers using IPA in diverse disciplinary fields and cultures. The research studies were conducted in the USA, Malaysia, Australia, New Zealand, Ireland and the UK by researchers with backgrounds in business management, consumer behaviour, mental health nursing, nurse education, applied linguistics, clinical psychology, health and education. They variously explored media awareness, employee commitment, disengagement from mental health services, in-vitro fertilisation treatment, student nurses' experience of child protection, second language acquisition in a university context, the male experience of spinal cord injury and academics experience of working in higher education and women’s experiences of body size and health practices. By bringing together intercultural, interdisciplinary experiences of using IPA, the paper discusses perceived strengths and weaknesses of IPA

'Do you mean I'm not whole?: Exploring the role of support in womens experiences of mastectomy without reconstruction

This study explores the role of others in supporting younger women who opt not to reconstruct their breast post-mastectomy. Semi-structured interviews were conducted with six women diagnosed with breast cancer in their 30s/40s. The women lived in England, had been diagnosed a minimum of 5 years previously and had undergone unilateral mastectomy. An interpretative phenomenological analysis revealed three themes: Assuring the self: ‘I’ll love you whatever’, Challenging the self: ‘Do you mean I’m not whole?’ and Accepting the self: ‘I’ve come out the other side’. The women’s experiences of positive support and challenges to their sense of self are discussed.N/

Younger women’s experiences of deciding against delayed breast reconstruction post-mastectomy following breast cancer: An interpretative phenomenological analysis

Most women do not reconstruct their breast(s) post-mastectomy. The experiences of younger women who maintain this decision, although important to understand, are largely absent in the research literature. This interview-based study uses interpretative phenomenological analysis to explore the experiences of six women, diagnosed with primary breast cancer in their 30s/40s, who decided against delayed reconstruction. Findings reported here focus on one superordinate theme (decision-making) from a larger analysis, illustrating that the women’s drive to survive clearly influenced their initial decision-making process. Their tenacity in maintaining their decision is highlighted, despite non-reconstruction sometimes being presented negatively by medical teams. Patient-centred support recommendations are made

Digital Interventions Supporting Self-care in People With Type 2 Diabetes Across Greater Manchester (Greater Manchester Diabetes My Way):Protocol for a Mixed Methods Evaluation

BACKGROUND: Type 2 Diabetes (T2D) is common, with a prevalence of approximately 7% of the population in the United Kingdom. The quality of T2D care is inconsistent across the United Kingdom, and Greater Manchester (GM) does not currently achieve the National Institute for Health and Care Excellence treatment targets. Barriers to delivery of care include low attendance and poor engagement with local T2D interventions, which tend to consist of programs of education delivered in traditional, face-to-face clinical settings. Thus, a flexible approach to T2D management that is accessible to people from different backgrounds and communities is needed. Diabetes My Way (DMW) is a digital platform that offers a comprehensive self-management and educational program that should be accessible to a wide range of people through mobile apps and websites. Building on evidence generated by a Scotland-wide pilot study, DMW is being rolled out and tested across GM. OBJECTIVE: The overarching objectives are to assess whether DMW improves outcomes for patients with T2D in the GM area, to explore the acceptability of the DMW intervention to stakeholders, and to assess the cost-effectiveness of the intervention. METHODS: A mixed methods approach will be used. We will take a census approach to recruitment in that all eligible participants in GM will be invited to participate. The primary outcomes will be intervention-related changes compared with changes observed in a matched group of controls, and the secondary outcomes will be within-person intervention-related changes. The cost-effectiveness analysis will focus on obtaining reliable estimates of how each intervention affects risk factors such as HbA1c and costs across population groups. Qualitative data will be collected via semistructured interviews and focus groups and organized using template analysis. RESULTS: As of May 10, 2021, a total of 316 participants have been recruited for the quantitative study and have successfully enrolled. A total of 278 participants attempted to register but did not have appropriate permissions set by the general practitioners to gain access to their data. In total, 10 participants have been recruited for the qualitative study (7 practitioners and 3 patients). An extension to recruitment has been granted for the quantitative element of the research, and analysis should be complete by December 2022. Recruitment and analysis for the qualitative study should be complete by December 2021. CONCLUSIONS: The findings from this study can be used both to develop the DMW system and improve accessibility and usability in more deprived populations generally, thus improving equity in access to support for T2D self-management. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/2623