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"It's the single best thing I've done in the last 10 years": a qualitative study exploring patient and dietitian experiences with, and perceptions of, a multi-component dietary weight loss program for knee osteoarthritis.
Lawford, B J; Bennell, K L; Jones, S E; Keating, C; Brown, C; Hinman, R S.
Afiliación
  • Lawford BJ; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: belinda.lawford@unimelb.edu.au.
  • Bennell KL; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: k.bennell@unimelb.edu.au.
  • Jones SE; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: jones.s@unimelb.edu.au.
  • Keating C; Medibank Private, Melbourne, Vic, Australia. Electronic address: Catherine.Keating@medibank.com.au.
  • Brown C; Medibank Private, Melbourne, Vic, Australia. Electronic address: Courtney.Brown@medibank.com.au.
  • Hinman RS; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: ranash@unimelb.edu.au.
Osteoarthritis Cartilage ; 29(4): 507-517, 2021 04.
Article en En | MEDLINE | ID: mdl-33434629
OBJECTIVE: Explore patient and dietitian experiences with a multi-component dietary weight loss program for knee osteoarthritis to understand enablers and challenges to success at 6-months. DESIGN: Qualitative study embedded within a randomised controlled trial. Semi-structured individual interviews with 24 patients with knee osteoarthritis who undertook, and five dietitians who supervised, a weight management program (involving a ketogenic very low calorie diet (VLCD), video consultations, educational resources) over 6 months. Data were thematically analysed. RESULTS: Five themes were developed: (1) ease and convenience of program facilitated adherence (structure and simplicity of the meal replacements; not feeling hungry on diet; convenience of consulting via video) (2) social and professional support crucial for success (encouragement from partner, family, and friends; guidance from, and accountability to, dietitian; anxiety around going at it alone) (3) program was engaging and motivating (determination to stick to program; rapid weight loss helped motivation) (4) holistic nature of program was important (suite of high-quality educational resources; exercise important to compliment weight loss) (5) rewarding experience and lifelong impact (improved knee pain and function; positive lifestyle change). CONCLUSIONS: Patients and dietitians described positive experiences with the weight management program, valuing its simplicity, effectiveness, and convenience. Support from dietitians and a comprehensive suite of educational resources, incorporated with an exercise program, were considered crucial for success. Findings suggest this multi-component dietary program is an acceptable weight loss method in people with knee osteoarthritis that may benefit symptoms. Strategies for supporting long-term independent weight management should be a focus of future research.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Actitud Frente a la Salud / Osteoartritis de la Rodilla / Dieta Reductora / Dieta Cetogénica / Programas de Reducción de Peso / Nutricionistas / Obesidad Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Osteoarthritis Cartilage Asunto de la revista: ORTOPEDIA / REUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Actitud Frente a la Salud / Osteoartritis de la Rodilla / Dieta Reductora / Dieta Cetogénica / Programas de Reducción de Peso / Nutricionistas / Obesidad Tipo de estudio: Clinical_trials / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Osteoarthritis Cartilage Asunto de la revista: ORTOPEDIA / REUMATOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido