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Title: | End-user perceptions of a patient- and family-centred intervention to improve nutrition intake among oncology patients : a descriptive qualitative analysis | Authors: | Marshall, AP Tobiano, G Roberts, S Isenring, E Sanmugarajah, J Kiefer, D Fulton, R Cheng, HL To, KF Ko, PS Lam, YF Lam, W Molassiotis, A |
Issue Date: | 2020 | Source: | BMC nutrition, 2020, v. 6, 29, p. 1-14 | Abstract: | Background People with cancer are at high risk of malnutrition. Nutrition education is an effective strategy to improve patient outcomes, however, little is known regarding the impact of family and/or carer involvement in nutrition education and requires investigation. The purpose of the study was to evaluate PIcNIC (Partnering with families to promotenutritionincancer care) intervention acceptability from the perspective of patients, families and health care providers. Methods A descriptive qualitative study was undertaken at an inpatient and an outpatient hospital setting in Australia and an outpatient/home setting in Hong Kong. A patient-and-family centred intervention including nutrition education, goals setting/nutrition plans, and food diaries, was delivered to patients and/or families in the inpatient, outpatient or home setting. Semi-structured interviews were used to explore perceptions of the intervention. 64 participants were interviewed; 20 patients, 15 family members, and 29 health care professionals. Data were analysed using deductive and inductive content analysis. Results Two categories were identified; 1) 'context and intervention acceptability'; and 2) 'benefits of patient- and family-centred nutrition care'. Within each category redundant concepts were identified. For category 1 the redundant concepts were: the intervention works in outpatient settings, the food diary is easy but needs to be tailored, the information booklet is a good resource, and the intervention should be delivered by a dietitian, but could be delivered by a nurse. The redundant concepts for category 2 were: a personalised nutrition plan is required, patient and family involvement in the intervention is valued and the intervention has benefits for patients and families. Converging and diverging perceptions across participant groups and settings were identified. Conclusions In this paper we have described an acceptable patient- and family-centred nutrition intervention, which may be effective in increasing patient and family engagement in nutrition care and may result in improved nutrition intakes. Our study highlights important contextual considerations for nutrition education; the outpatient and home setting are optimal for engaging patients and families in learning opportunities. |
Keywords: | Cancer Community healthcare Medical oncology Nutritional support Outpatient clinics Patient-centered care Person-centred care Qualitative research |
Publisher: | BioMed Central | Journal: | BMC nutrition | EISSN: | 2055-0928 | DOI: | 10.1186/s40795-020-00353-8 | Rights: | © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. The following publication Marshall, A. P., Tobiano, G., Roberts, S., Isenring, E., Sanmugarajah, J., Kiefer, D., . . . Molassiotis, A. (2020). End-user perceptions of a patient- and family-centred intervention to improve nutrition intake among oncology patients: A descriptive qualitative analysis. Bmc Nutrition, 6, 1-14 is available at https://dx.doi.org/10.1186/s40795-020-00353-8 |
Appears in Collections: | Journal/Magazine Article |
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Marshall_End-User_Perceptions_Nutrition.pdf | 609.15 kB | Adobe PDF | View/Open |
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