Re-orientating Dietetic Interventions for Adults with Eating and Weight Concerns: A Qualitative Study of the Well Now course – Part II

Nazanin Khasteganan, Lucy Aphramor

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Abstract This research examines the impact of attending a Well Now course on participants’ wellbeing and contrasts this with their reports of previous experiences of seeking support with weight concerns. The Well Now course teaches health-gain and body respect. As such, it offers people a way of making sense of their experiences around food and eating that is premised
on criticality, compassion and respect. This is the second of two articles discussing research ndings. This was a qualitative,
community-based study using semi-structured interviews and focus groups. The participants were women and men who had completed a six session Well Now course. Interviews and focus groups were recorded and transcribed verbatim and data
were manually sorted. Coding categories were developed and participants’ quotes were assigned to these using thematic
analysis. The study had ethics approval. Participants described how engaging with the Well Now philosophy in a supportive
group had benecially impacted their sense of wellbeing and self-worth. The reorientation made available through Well Now
enhanced psychosocial variables and behaviours known to impact on health, such as mood, self-esteem, eating/exercise habits and interpersonal relationships. They recounted instances where recommendations to follow a weight-corrective approach, and attendant size bias seen in health practitioner’s attitudes, had had a detrimental impact on their wellbeing and sense of self-worth. A professional commitment to socio-politically aware practice, such as Well Now, is recommended as a means
of advancing equity, helping people heal from body shame and meeting our ethical responsibilities as health practitioners.
Original languageEnglish
Pages (from-to)67-76
Number of pages10
JournalJournal of Critical Dietetics
Issue number2
Early online date31 Dec 2016
Publication statusPublished - 2016


  • Well Now
  • Critical thinking,
  • Social determinants of health
  • Compassion
  • Weight-equity
  • Shame
  • HAES


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