{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/20324"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/20324","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Psychological factors and physical outcomes in patients with chronic diseases of lifestyle","abstract":"INTRODUCTION: Chronic diseases of lifestyle (CDL) are a major cause of global morbidity and mortality. Although CDL are largely preventable and treatable through adopting and maintaining healthy lifestyle behaviours, CDL rehabilitation programmes remain an underutilised resource. Behaviour modification is thus complex, and requires a collaborative approach between psychologists and medical clinicians involved in the management of CDL. This thesis examined the role of psychological factors in the management of patients with CDL who participated in a comprehensive lifestyle intervention (CLI) programme. METHODS: An explanatory mixed methods design was used to describe the CLI experience. These included an initial clinical audit of 308 patients commencing and completing a twelve week CLI programme to test associations of psychological, demographic, medical and diagnostic factors with physical outcomes. Two qualitative studies were subsequently conducted to further understand patient experiences of CDL and CLI programmes. The first involved interviews of 14 patients at programme commencement and completion. The second consisted of a case study of a patient participating in the programme using human centred design principles as well as ethnography.","abstract_html":"INTRODUCTION: Chronic diseases of lifestyle (CDL) are a major cause of global morbidity and mortality. Although CDL are largely preventable and treatable through adopting and maintaining healthy lifestyle behaviours, CDL rehabilitation programmes remain an underutilised resource. Behaviour modification is thus complex, and requires a collaborative approach between psychologists and medical clinicians involved in the management of CDL. This thesis examined the role of psychological factors in the management of patients with CDL who participated in a comprehensive lifestyle intervention (CLI) programme. METHODS: An explanatory mixed methods design was used to describe the CLI experience. These included an initial clinical audit of 308 patients commencing and completing a twelve week CLI programme to test associations of psychological, demographic, medical and diagnostic factors with physical outcomes. Two qualitative studies were subsequently conducted to further understand patient experiences of CDL and CLI programmes. The first involved interviews of 14 patients at programme commencement and completion. The second consisted of a case study of a patient participating in the programme using human centred design principles as well as ethnography.","abstract_has_math":false,"creators":["Skowno, Philippa"],"institution":"MRC/UCT RU for Exercise and Sport Medicine","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Derman, Elton","Stein, Dan J","Draper, Catherine E"],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016","date_published":"2016","updated_at":"2026-07-22T22:23:26Z","subjects":[],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/20324","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Derman, Elton","Stein, Dan J","Draper, Catherine E"]},{"key":"dc:creator","label":"Author","values":["Skowno, Philippa"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2016-07-13T07:44:54Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2016-07-13T07:44:54Z"]},{"key":"dc:date.issued","label":"Date","values":["2016"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["MRC/UCT RU for Exercise and Sport Medicine"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Cape Town"]},{"key":"dc:type","label":"Dc Type","values":["Doctoral Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["PhD"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/20324"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["INTRODUCTION: Chronic diseases of lifestyle (CDL) are a major cause of global morbidity and mortality. Although CDL are largely preventable and treatable through adopting and maintaining healthy lifestyle behaviours, CDL rehabilitation programmes remain an underutilised resource. Behaviour modification is thus complex, and requires a collaborative approach between psychologists and medical clinicians involved in the management of CDL. This thesis examined the role of psychological factors in the management of patients with CDL who participated in a comprehensive lifestyle intervention (CLI) programme. METHODS: An explanatory mixed methods design was used to describe the CLI experience. These included an initial clinical audit of 308 patients commencing and completing a twelve week CLI programme to test associations of psychological, demographic, medical and diagnostic factors with physical outcomes. Two qualitative studies were subsequently conducted to further understand patient experiences of CDL and CLI programmes. 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Behaviour modification is thus complex, and requires a collaborative approach between psychologists and medical clinicians involved in the management of CDL. This thesis examined the role of psychological factors in the management of patients with CDL who participated in a comprehensive lifestyle intervention (CLI) programme. METHODS: An explanatory mixed methods design was used to describe the CLI experience. These included an initial clinical audit of 308 patients commencing and completing a twelve week CLI programme to test associations of psychological, demographic, medical and diagnostic factors with physical outcomes. Two qualitative studies were subsequently conducted to further understand patient experiences of CDL and CLI programmes. The first involved interviews of 14 patients at programme commencement and completion. 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