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[{"key": "dc.contributor.advisor", "value": "Kasila, Kirsti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Aaltonen, Hanna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-10-08T05:37:55Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-10-08T05:37:55Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/72070", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "El\u00e4m\u00e4ntapasairaudet, kuten ylipaino, on yksi yhteiskuntamme merkitt\u00e4vimmist\u00e4 terveysongelmista. El\u00e4m\u00e4ntapamuutosinterventioilla saadaan harvoin aikaan pysyv\u00e4\u00e4 painonpudotusta, koska el\u00e4m\u00e4ntapamuutos on pitk\u00e4kestoinen ja moniulotteinen prosessi. El\u00e4m\u00e4ntapamuutoksen tutkiminen subjektiivisesta n\u00e4k\u00f6kulmasta k\u00e4sin voi auttaa ymm\u00e4rt\u00e4m\u00e4\u00e4n paremmin el\u00e4m\u00e4ntapamuutosta sis\u00e4isen\u00e4 prosessina ja kokemuksena. T\u00e4m\u00e4n tutkimuksen l\u00e4hestymistapa on narratiivinen eli kerronnallinen. El\u00e4m\u00e4ntavat n\u00e4hd\u00e4\u00e4n tutkimuksessa tapoina el\u00e4\u00e4 ja olla olemassa. El\u00e4m\u00e4ntapamuutosta tarkastellaan yksil\u00f6n sis\u00e4isen\u00e4 muutoksena siin\u00e4, kuinka kertoja organisoi kokemustaan toiminnan ja kertomuksen vuorovaikutuksessa. Tutkimuksen tarkoituksena oli tarkastella el\u00e4m\u00e4ntapamuutosta kertojan sis\u00e4isen tarinan muutosten kautta eli muutoksena tavassa kertoa tarinaa \u201dmin\u00e4st\u00e4\u201d. N\u00e4it\u00e4 muutoksia analysoitiin toimijuuden kehittymisen avulla. Lis\u00e4ksi tarkasteltiin sit\u00e4, miten arvot ja hyv\u00e4ksyminen n\u00e4ytt\u00e4ytyv\u00e4t el\u00e4m\u00e4ntapamuutoksen prosessissa.\nTutkimus on osa Jyv\u00e4skyl\u00e4n yliopiston ja Keski-Suomen sairaanhoitopiirin toteuttamaa 24 kuukautta kest\u00e4v\u00e4\u00e4 Muutosmatka-tutkimushanketta, joka on hyv\u00e4ksymis- ja omistautumisterapiaan perustuva el\u00e4m\u00e4ntapamuutosinterventio. Tutkimuksen aineistona olivat yhden osallistujan p\u00e4iv\u00e4kirjatyyppiset viikkoteht\u00e4v\u00e4t intervention ensimm\u00e4isen vuoden ajalta. \nTutkimuksen tulokset osoittivat, ett\u00e4 el\u00e4m\u00e4ntapamuutos rakentui uudelleenmuotoillun sis\u00e4isen tarinan, kertomuksen ja toiminnan vuorovaikutuksessa. Sis\u00e4isen tarinan uudelleenmuotoilu alkoi koetusta arvoristiriidasta. T\u00e4m\u00e4 johti arvoty\u00f6skentelyyn eli arvojen uudelleenmuotoiluun. Kun arvol\u00e4ht\u00f6inen toiminta oli konkreettisesti mahdollista el\u00e4v\u00e4n el\u00e4m\u00e4n toiminnassa, kerrottiin sis\u00e4inen tarina koherenttina. Hyv\u00e4ksymisen prosessi edisti sis\u00e4isen tarinan uudelleenmuotoilua, koska se auttoi luopumaan toiminnan tavoitteesta, jota ei ollut mahdollista toteuttaa.\nTulosten perusteella el\u00e4m\u00e4ntapamuutosinterventioiden tulisi vahvistaa el\u00e4m\u00e4ntapamuutosta tekev\u00e4n toimijuuden kokemusta ja tukea oman toimijuuden tunnistamisen taitoja. Tutkimuksen tuloksista voidaan todeta, ett\u00e4 interventio, joka mahdollistaa tarinalliset prosessit tarjoaa rikkaan alustan sis\u00e4isen tarinan uudelleenmuotoilulle ja voi edist\u00e4\u00e4 el\u00e4m\u00e4ntapamuutoksen prosessia. Tutkimuksesta nousee esille tarve ymm\u00e4rt\u00e4\u00e4 el\u00e4m\u00e4ntapamuutosta tekev\u00e4 ihminen kehollis-seksuaalisena olentona. Min\u00e4n ja kehon yhteyden l\u00f6ytymist\u00e4 el\u00e4m\u00e4ntapamuutoksessa voisi tukea suoraan t\u00e4h\u00e4n suhteeseen kohdistuvilla interventioilla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lifestyle diseases, such as overweight are one the prevalent health-problems. Lifestyle change interventions are unlikely to yield sustainable weight-loss since lifestyle change is a long-term and multifaceted process. To develop lifestyle interventions, investigating lifestyle change from subjective perspective can be helpful to better understand the experience of lifestyle change as an inner process.\nTheoretical framework of the study is based on the narrative approach and according to the narrative methodology lifestyles are seen as ways of being and existing. In this study lifestyle change was approached focusing on how personal experience of the transaction between the living of action and the story was organized by the narrator. The purpose of the study was to examine lifestyle change through changes in the inner narrative, meaning a new way of telling the story of the \u201cself\u201d. These changes were analyzed as a development in the experienced agency. Additionally, the purpose of the study was to explore the meaning of values and acceptance in this change process.\nThe study is part of a larger 24-month lifestyle intervention based on Acceptance and Commitment Therapy (ACT) and conducted by University of Jyv\u00e4skyl\u00e4 and Central Finland Health Care District. The data in the study was formed by one participant\u2019s diary-like online logbook for the first year of the intervention.\nThe results show that the lifestyle change was constructed in the interaction of the inner-narrative, the story and the living of action. Reformulating the inner narrative initiated from a recognized value conflict. This created a need to reformulate values. When value-driven action was actualized in the living of action, the inner narrative was told as coherent. The process of acceptance enhanced reformulating of the inner narrative by helping to let go of goals of action that were not possible to actualize. \nThis study suggests that lifestyle change interventions should reinforce the experience of agency and promote skills to recognize one\u2019s agency. The results of the study show that an intervention enabling narrative processes could enhance reformulating the inner narrative and could promote lifestyle change process. Based on the findings of this study there is a need to understand a person living a lifestyle change as embodied and sexual being. The connection between \u201cthe self\u201c and the body could be supported with intervention targeting on this relationship and creating the experience of agency in the body.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-10-08T05:37:55Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-10-08T05:37:55Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "71", "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": "sis\u00e4inen tarina", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "el\u00e4m\u00e4ntapamuutos", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "El\u00e4m\u00e4ntapamuutoksen sis\u00e4inen tarina", "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-202010086127", "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": 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