{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:58:09Z","timestamp":1791478689967,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To uncover the mirror\u2010viewing experience in African\u2010American (AA) women with obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity is among the most preventable healthcare epidemics and is linked to multiple health problems. Unfortunately, AA women are disproportionately affected by obesity. Mirror exposure has exclusively used mirrors to treat various eating disorders such as anorexia nervosa, bulimia nervosa and binge eating. Participants in prior mirror exposure studies reported increased self\u2010esteem, body image acceptance, behaviour modification, decreased weight and body shape concerns and lower rates of depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This qualitative study used hermeneutic phenomenology to explore and methodically analyse participants' experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirteen AA women who self\u2010identified as having obesity were interviewed. A phenomenological hermeneutical approach was used to explore their mirror\u2010viewing experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two environmental themes surrounding this phenomenon were (1) family and culture and (2) stereotype\/stigma and bias. Five phenomenological themes were identified: (1) I do not like what I see, (2) the struggle is real, (3) camouflage, (4) call for action and (5) loving the skin you are in.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>African\u2010American women grappling with obesity confront emotional and body image challenges compounded by family, culture, bias and a sense of alienation within society. The mirror, for many, is an everyday tool that becomes a call for action. Despite earnest attempts to pursue a healthier weight, many find it daunting. Additional investigation into sensitive mirror intervention studies specific to this demographic is warranted to address these multifaceted issues better.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The knowledge gained from the study offers an understanding of the mirror\u2010viewing experience in AA women with obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Standards for Reporting Qualitative Research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  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Groups.\u201dhttps:\/\/www.census.gov\/library\/stories\/2020\/09\/poverty\u2010rates\u2010for\u2010blacks\u2010and\u2010hispanics\u2010reached\u2010historic\u2010lows\u2010in\u20102019.html."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2019.100529"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12351"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1891\/jnm\u20102023\u20100090"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.08.006"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201004706\u20106"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198116644181"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.npr.0000558157.76596.c7"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0021934720972440"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23640"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2020.09.014"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010023\u201002748\u20108"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676x.2020.1751690"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igaa035"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/women3040037"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16107"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2017.11.004"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2016.1261053"},{"key":"e_1_2_13_29_1","volume-title":"Interpretation 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