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[{"key": "dc.contributor.advisor", "value": "Kasila, Kirsti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Laine, Mareena", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-05-08T08:33:37Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-05-08T08:33:37Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/63817", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lasten ylipaino on Suomessa yleist\u00e4 ja se on riskitekij\u00e4 monille sairauksille. Elintapainterventioista on jo tunnistettu joitakin vaikuttavia piirteit\u00e4, kuten intervention pitk\u00e4 kesto ja vanhempien osallistuminen interventioon. Lis\u00e4\u00e4 tietoa toimivan intervention rakentamiseksi kuitenkin tarvitaan. Erityisesti tieto vaikuttavista k\u00e4ytt\u00e4ytymisen muutostekniikoista on v\u00e4h\u00e4ist\u00e4.\n\nT\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 hyv\u00e4n intervention piirteit\u00e4 lasten ylipainon hoidossa. Tutkimus suoritettiin tapaustutkimuksena, joka koostui systemaattisesta kirjallisuuskatsauksesta sek\u00e4 empiirisest\u00e4 tutkimuksesta. Tutkimus kohdistettiin perhel\u00e4ht\u00f6isiin elintapainterventioihin. Kirjallisuuskatsauksen aineiston muodostivat 11 artikkelia elintapainterventioista. N\u00e4ist\u00e4 selvitettiin k\u00e4ytt\u00e4ytymisen muutostekniikoita, jotka ovat yhteydess\u00e4 lasten ruokavalion laadun ja fyysisen aktiivisuuden m\u00e4\u00e4r\u00e4n muutoksiin. Tutkimuksen empiirinen aineisto ker\u00e4ttiin ryhm\u00e4muotoisesta elintapainterventiosta, joka kesti 8 viikkoa. Sen materiaalit perustuivat terveysk\u00e4ytt\u00e4ytymisen muutoksen prosessimalliin. Aineisto muodostui nelj\u00e4n ohjaajan haastatteluista, kuuden perheen kirjoittamista p\u00e4iv\u00e4kirjamateriaaleista sek\u00e4 kolmen perheen haastatteluista. Perheet kirjoittivat p\u00e4iv\u00e4kirjaa intervention aikana ja haastattelut toteutettiin kolme kuukautta intervention p\u00e4\u00e4ttymisen j\u00e4lkeen. Haastattelut olivat puolistrukturoituja. Koko aineisto analysoitiin aineistol\u00e4ht\u00f6isell\u00e4 sis\u00e4ll\u00f6nanalyysill\u00e4. Aineistosta tarkasteltiin perheiden ja ohjaajien n\u00e4kemyksi\u00e4 ja kokemuksia hyv\u00e4n intervention piirteist\u00e4 ja intervention haasteista.\n\nSystemaattisen katsauksen perusteella perhel\u00e4ht\u00f6isiss\u00e4 elintapainterventioissa toistuvat pitk\u00e4lti samat k\u00e4ytt\u00e4ytymisen muutostekniikat. Katsauksen perusteella keskeisi\u00e4 sis\u00e4lt\u00f6j\u00e4 k\u00e4ytt\u00e4ytymisen muuttamiseksi ovat k\u00e4ytt\u00e4ytymisen harjoittelu, k\u00e4ytt\u00e4ytymisen demonstrointi, ongelmanratkaisu ja tieto k\u00e4ytt\u00e4ytymisen seurauksista. Empiiristen tulosten mukaan tutkimukseen osallistuneet perheet olivat tyytyv\u00e4isi\u00e4 toteutettuun interventioon. Sek\u00e4 perheet ett\u00e4 ohjaajat kokivat keskustelun ja arjen l\u00e4heisyyden t\u00e4rkeiksi. Vanhemmille t\u00e4rke\u00e4\u00e4 oli erityisesti yhdess\u00e4olo lasten ja ryhm\u00e4n j\u00e4senten kanssa. Haasteita koettiin ryhm\u00e4\u00e4n rekrytoinnissa, perheiden motivaation her\u00e4tt\u00e4misess\u00e4 ja vahvistamisessa sek\u00e4 tavoitteiden asettamisessa. Perheiden voimavarojen v\u00e4h\u00e4isyys n\u00e4htiin haasteena ryhm\u00e4\u00e4n osallistumiselle ja siit\u00e4 hy\u00f6tymiselle.\n\nOhjattu liikunta, tiedonanto ja ongelmanratkaisutaitojen kehitt\u00e4minen vaikuttavat hy\u00f6dyllisilt\u00e4 sis\u00e4ll\u00f6ilt\u00e4 lasten ylipainon hoitointerventioissa. My\u00f6s perhel\u00e4ht\u00f6isyys ja ryhm\u00e4muotoisuus vaikuttavat toimivilta piirteilt\u00e4. T\u00e4ss\u00e4 tarkasteltu interventio voisi hy\u00f6ty\u00e4 terveysk\u00e4ytt\u00e4ytymisen muutoksen prosessimallin vahvemmasta roolista. T\u00e4m\u00e4n tapaustutkimuksen tuloksia voidaan hy\u00f6dynt\u00e4\u00e4 lasten ylipainon hoitointerventioiden suunnittelussa ja kehitt\u00e4misess\u00e4. Interventiot tulisi toteuttaa ryhm\u00e4ss\u00e4 perhel\u00e4ht\u00f6isesti. Lis\u00e4ksi niiden tulisi sis\u00e4lt\u00e4\u00e4 ohjattua liikuntaa, tiedonantoa ja mahdollisuuksia ongelmanratkaisutaitojen kehitt\u00e4miseen. Interventioiden raportoinnin olisi syyt\u00e4 olla tarkempaa, jotta vaikuttavia k\u00e4ytt\u00e4ytymisen muutostekniikoita voidaan luotettavammin arvioida. N\u00e4iden tulosten vahvistamiseksi tarvitaan tutkimusta interventioista, jotka on toteutettu samankaltaisissa olosuhteissa mutta yhdistellen erilaisia k\u00e4ytt\u00e4ytymisen muutostekniikoita. Lis\u00e4\u00e4 tietoa tarvitaan my\u00f6s ryhm\u00e4muotoisuuden ja perhel\u00e4ht\u00f6isyyden merkityksist\u00e4 k\u00e4ytt\u00e4ytymisen muutosprosesseissa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Childhood overweight is common in Finland and it is risk factor for many diseases. Some important characteristics of behavior change interventions have already been identified e.g., long duration and parental participation. However, more information is needed in order to plan effective interventions. Especially knowledge on effective behavior change techniques is scarce.\n\nThe purpose of this thesis was to examine good intervention characteristics in treating childhood overweight. The research was a case study which consisted of a systematic literature review and an empirical study. This study focused on family-based behavior change interventions. The data of the review was collected using a systematic search and 11 behavior change interventions were found. Behavior change techniques associated with a change in children\u2019s diet or physical activity were examined. The empirical data of this study was collected from an 8-week group-based behavior change intervention. The materials used in the intervention were based on Health Action Process Approach. The data included interviews with four instructors and three families and six diaries written by the families. Families wrote the diary during the interventions and interviews were conducted three months after the intervention. The interviews were semi-structured and all the data was analyzed with data driven qualitative content analysis. Analysis focused on perceptions and experiences of the families and the instructors on good intervention characteristics and its challenges.\n\nBased on the systematic review mostly same behavior change techniques are used in different family-based behavior change interventions. Key contents in order to change behavior seem to be behavioral practice, demonstration of the behavior, problem solving and information about consequences. Based on the empirical data families were satisfied with the intervention. Both families and instructors felt that conversation and closeness with everyday life were important characteristics. Being together with their children and with other group members was important for the parents. Challenges were encountered with the participant recruitment process, wakening and strengthening the motivation of the families and goal setting. Low mental resources of the families were seen as a challenge for participation and benefiting from the intervention.\n\nStructured physical activity, education and development of problem solving skills seem useful contents in interventions for treating childhood overweight. In addition family- and group-based intervention designs and physical activity and diet as contents seem functional. The intervention examined in the empirical part of this study could benefit from a stronger integration of Health Action Process Approach. The results of this case study are particularly useful in planning and developing behavior change interventions for overweight children. Interventions should be group- and family-based. In addition they should include structured physical activity, education and possibilities to develop problem solving skills. There is a need for more accurate reporting of the interventions in order to evaluate effective behavior change techniques more reliably. Interventions implemented in similar conditions but using different behavior change techniques are needed to confirm these results. More knowledge is also needed about the significance of group- and family-based practices in the behavior change processes.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-05-08T08:33:37Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-05-08T08:33:37Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "95", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "perhel\u00e4ht\u00f6isyys", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "elintapainterventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "k\u00e4ytt\u00e4ytymisen muutostekniikka", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Millainen on hyv\u00e4 interventio? : tapaustutkimus ylipainoisten lasten perhel\u00e4ht\u00f6isest\u00e4 elintapainterventiosta", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201905082483", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "business", "language": "", "element": "contractresearch", "qualifier": "initiative", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50411", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kokemukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "elintavat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lapset (ik\u00e4ryhm\u00e4t)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen aktiivisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventiohoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "perheet (ryhm\u00e4t)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ylipaino", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ruokavaliot", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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