Careful science? Bodywork and care practices in randomised clinical trials

• Published in: Sociology of health & illness Vol. 36; no. 5; pp. 655 - 669
• Main Authors: Jespersen, Astrid P., Bønnelycke, Julie, Eriksen, Hanne H.
• Format: Journal Article
• Language: English
• Published: Oxford Blackwell 01.06.2014; Blackwell Publishing Ltd
• Subjects: Adult; Biological and medical sciences; Body; care practices in clinical trials; Clinical trials; Cultures and civilizations; Delivery of Health Care - methods; Denmark; Everyday life; Exercise; Health care; health in everyday practices; Health promotion; Humans; Intervention; Knowledge; Life Style; Lifestyle; lifestyle changes; Lifestyles. Everyday life; Male; Males; Medical Research; Medical sciences; Obesity; Obesity - prevention & control; Overweight - therapy; Practice; Public Health; public health campaigns; Public health. Hygiene-occupational medicine; Randomized Controlled Trials as Topic - methods; Research Subjects - psychology; Sociology; Sociology of health and medicine; Trials; Young Adult; Denmark; Obesity; health in everyday practices; Public Health; Practice; Behavior change; public health campaigns; Controlled therapeutic trial; Care; care practices in clinical trials; lifestyle changes; Everyday Life; Lifestyle; Research Design
• ISSN: 0141-9889; 1467-9566; 1467-9566
• DOI: 10.1111/1467-9566.12094

Concern about obesity has prompted numerous public health campaigns that urge people to be more physically active. The campaigns often include normative statements and attempt to impose restrictions on individuals' lives without considering the complexities of daily life. We suggest that broadening the focus to reflect everyday practices would foster better targeted public health campaigns. This article is based on our participation in FINE, a multidisciplinary Danish research project. The core methodology of FINE was a randomised controlled trial in which 61 moderately overweight men were put into different exercise groups. In this article we analyse the scientific work of the trial as representing entangled processes of bodywork, where data are extracted and objectified bodies are manipulated and care practices address the emotional, social and mundane aspects of the participants' everyday lives. Care practices are an inherent part of producing scientific facts but they are removed from the recognised results of scientific practice and thus from common public health recommendations. However, knowledge about the strategic use of care practices in lifestyle interventions is important for public health initiatives and future efforts should incorporate this aspect.