|Center for Occupation & Lifestyle Redesign|
|Lifestyle Redesign Class at 'the Center"|
The Lifestyle Redesign methodology has 4 key components originally developed in the Well Elderly study.
- didactic material
- peer support (often group work)
- occupational self analysis
- direct experience
Some clients begin the process having repeatedly failed to lose weight in the past and are pessimistic about their prospect of doing any better this time. The intervention aims to allow them to develop a sense of self efficacy initially, often in small stages, so that they can continue to set clear, progressive goals. Others attend as a requirement of their insurance company in preparation for having bariatric surgery and may have low motivation as they believe that surgery will provide a 'magic solution', or even fear that if they lose weight they may be refused surgery. Here the OT takes an educational approach, to allow clients to understand that even with the surgery they will need modified eating habits to ensure a successful outcome in the longer term and to cope with the very restricted regime for the first few months post surgery.
Camille referred to a paper we will be looking at in more detail later that investigates the elements of successful weight loss. There are complex issues involved that are linked to behaviours developed over a lifetime and therefore closely entwined in daily occupation. If weight loss interventions are situated in the context of the complexities of daily life routines - OT's area of expertise- this can help to ensure successful and sustained weight loss. In this model the keys to success are:
- habit training
- occupational self analysis, or considering the link between 'doing' and eating
- healthier habits are embedded into the real fabric of everyday life
|Feed back from The End of Overeating...|
We covered a large amount of readings for this class and divided these up to give a 5 minute synopsis each. I had 6 chapters from a book I would highly recommend:
Kessler, David. (2009). The end of overeating: Taking control of the insatiable American appetite. NY: Rodale.
It's fascinating. It talks about what the food industry does to make food highly palatable and constantly available, how this has changed the way we respond to it, and how we can regain control.