Exploring the Perspectives of Healthcare Consumers Towards the Integration of Nutrition in Routine Multiple Sclerosis Care: A Qualitative Study

IF 2.9 3区 医学 Q3 NUTRITION & DIETETICS
Shoroog Allogmanny, Anita Stefoska-Needham, Yasmine Probst
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引用次数: 0

Abstract

Background

People living with multiple sclerosis (plwMS) expect to receive nutrition information from healthcare professionals (HCPs), to self-manage their disease. This study aimed to explore plwMS' experiences with nutrition-related care and generate an understanding of their needs and preferences for how it could be delivered in routine care.

Methods

This qualitative study, informed by an interpretive phenomenological approach, was undertaken using online focus groups with Australian adults living with MS. The discussions were recorded and transcribed verbatim. Transcribed data were analysed using an inductive, reflexive thematic analysis framework.

Results

Twenty-five plwMS participated in one of six focus group discussions. Three key themes and seven subthemes representing participants' experiences and needs were generated: (1) nutrition guidance is overlooked in routine MS care due to HCPs prioritising medication over nutrition, resulting in the perception that plwMS are their own nutrition educators; (2) routine nutrition guidance is needed, highlighting the desire to receive accessible and meaningful MS-related nutrition information from HCPs with nutrition knowledge for MS; and (3) person-centred care is a priority, highlighting the importance of acknowledging that no one-size-fits-all approach exists for plwMS, providing a holistic approach to the coordination of nutrition care and access to dietetic services.

Conclusions

This study generated insights into the gaps between the needs and experiences of plwMS with nutrition-related care during routine MS care, which may impact their MS journey. PlwMS seek credible, simple, consistent and MS-specific advice to be provided routinely for their care. Our findings underscore the need for individualised nutrition care from a nutrition-qualified HCP or dietitian.

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来源期刊
CiteScore
5.30
自引率
15.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.
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