Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focussed consultations

Ball, Lauren, Davmor, Ruth, Leveritt, Michael, Desbrow, Ben, Erlich, Carolyn and Chaboyer, Wendy (2015) Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focussed consultations. Australian Journal of Primary Health, 22 5: 416-422. doi:10.1071/PY15063


Author Ball, Lauren
Davmor, Ruth
Leveritt, Michael
Desbrow, Ben
Erlich, Carolyn
Chaboyer, Wendy
Title Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focussed consultations
Journal name Australian Journal of Primary Health   Check publisher's open access policy
ISSN 1448-7527
1836-7399
Publication date 2015-10-05
Year available 2015
Sub-type Article (original research)
DOI 10.1071/PY15063
Open Access Status Not yet assessed
Volume 22
Issue 5
Start page 416
End page 422
Total pages 7
Place of publication Clayton, Victoria, Australia
Publisher CSIRO Publishing
Collection year 2016
Language eng
Abstract Patients who are newly diagnosed with type 2 diabetes mellitus (T2DM) commonly attempt to modify their dietary intake after receiving nutrition care from primary health professionals. Yet, adherence to dietary recommendations is rarely sustained and factors influencing adherence are poorly understood. This study explored T2DM patients’ experiences of dietary change and their views on how primary health professionals can best support long-term maintenance of dietary change. A purposive sample of 10 individuals recently diagnosed with T2DM participated in three individual semi-structured qualitative telephone interviews: at baseline, then at 3 and 6 months after recruitment. Interview questions were modified from the initial interview in order to investigate emerging findings. A two-step data analysis process occurred through content analysis of individual interviews and meta-synthesis of findings over time. Participants initially made wide-ranging attempts to improve dietary behaviours, but most experienced negative emotions from the restraint required to maintain a healthy diet. Participants felt confused by the conflicting advice received from health professionals and other sources such as friends, family, internet and diabetes organisations. Participants frequently reported feeling rushed and not heard in consultations, resulting in limited ongoing engagement with primary healthcare services. These findings suggest that there is opportunity for primary health professionals to enhance the dietary support provided to patients by: acknowledging the challenges of sustained improvements in dietary intake; open communication; and investing in patient relationships through more patient-focussed consultations.
Keyword Chronic disease
General practice
Primary care
Nutrition thearpy
Nutritional management
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Wed, 14 Oct 2015, 13:13:22 EST by Michael Leveritt on behalf of School of Human Movement and Nutrition Sciences