Crynodeb
Objectives
Healthy lifestyle change improves outcomes in coronary heart disease (CHD), but is rarely sustained. To better understand barriers to lifestyle change, we examined couples’ talk of engaging with lifestyle advice after one partner receives a diagnosis of CHD.
Design
A longitudinal qualitative design, in which a poststructuralist discourse analysis was performed on 35 interviews, conducted with 22 heterosexual British people in a long term relationship. The interviews occurred over three months after one partner was referred to a cardiac rehabilitation programme designed to support lifestyle change.
Results
Couples understood their health as a shared practice underpinned by an ideological framework of healthism, creating a form of ‘relational healthism’. Practicing relational healthism was not straightforward because the practices of surveillance, control, and discipline related to healthism often contravened relationship norms of support, acceptance and respect for the other’s autonomy. Couples struggled to resolve this tension, dynamically adopting, resisting, and occasionally transforming discourses of health and love in ways that worked for and against engagement in lifestyle change.
Conclusion
In foregrounding the discursive and relational contexts of behavioural change engagement, we show the considerable complexity for couples, including costs related to engagement with lifestyle advice.
Healthy lifestyle change improves outcomes in coronary heart disease (CHD), but is rarely sustained. To better understand barriers to lifestyle change, we examined couples’ talk of engaging with lifestyle advice after one partner receives a diagnosis of CHD.
Design
A longitudinal qualitative design, in which a poststructuralist discourse analysis was performed on 35 interviews, conducted with 22 heterosexual British people in a long term relationship. The interviews occurred over three months after one partner was referred to a cardiac rehabilitation programme designed to support lifestyle change.
Results
Couples understood their health as a shared practice underpinned by an ideological framework of healthism, creating a form of ‘relational healthism’. Practicing relational healthism was not straightforward because the practices of surveillance, control, and discipline related to healthism often contravened relationship norms of support, acceptance and respect for the other’s autonomy. Couples struggled to resolve this tension, dynamically adopting, resisting, and occasionally transforming discourses of health and love in ways that worked for and against engagement in lifestyle change.
Conclusion
In foregrounding the discursive and relational contexts of behavioural change engagement, we show the considerable complexity for couples, including costs related to engagement with lifestyle advice.
Iaith wreiddiol | Saesneg |
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Tudalennau (o-i) | 1606-1622 |
Nifer y tudalennau | 17 |
Cyfnodolyn | Psychology and Health |
Cyfrol | 38 |
Rhif cyhoeddi | 12 |
Dyddiad ar-lein cynnar | 21 Chwef 2022 |
Dynodwyr Gwrthrych Digidol (DOIs) | |
Statws | Cyhoeddwyd - 2023 |
Ôl bys
Gweld gwybodaeth am bynciau ymchwil 'Love and lifestyle: How ‘relational healthism’ structures couples’ talk of engagement with lifestyle advice associated with a new diagnosis of coronary heart disease'. Gyda’i gilydd, maen nhw’n ffurfio ôl bys unigryw.Proffiliau
Setiau Data
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Couples' management of lifestyle change after diagnosis with coronary heart disease (CHD)
Robson, M., Prifysgol Aberystwyth | Aberystwyth University, 11 Mai 2021
Dangosydd eitem ddigidol (DOI): 10.20391/fd33f764-ffd6-45ea-9cf0-528a1c335fac
Set ddata
Ffeil
Y Wasg / Y Cyfryngau
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Researchers from Aberystwyth University Detail New Studies and Findings in the Area of Heart Disease (Love and Lifestyle: How 'relational Healthism' Structures Couples' Talk of Engagement With Lifestyle Advice Associated With a New Diagnosis of ...)
04 Rhag 2023
1 eitem o Sylw ar y cyfryngau
Y Wasg / Cyfryngau: Sylw yn y cyfryngau