Student Competition (Clinical/Best Practice Implementation) ID 1983939

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1983939s
Giuseppe Gazzellone, Sarah Lanteigne, Kimberley Gammage, Val A. Fajardo, David S. Ditor
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Abstract

Previous research has shown that an anti-inflammatory diet can reduce inflammation and improve health outcomes in individuals with neurological disability; however, long term dietary adherence has proven to be challenging. Accordingly, we have designed a 2-part consultation targeted at identified barriers for adherence to an anti-inflammatory diet in this population. This study aimed to determine the effects of the consultation on self-efficacy for adhering to an anti-inflammatory diet, as well as adherence and health outcomes one month post-intervention. Eleven individuals (10 female, age 51.5±12.6 years) with neurological disability (7 multiple sclerosis, 3 spinal cord injury, 1 muscular dystrophy; 20.5±10.6 years post-injury/diagnosis) participated. The intervention group (n=7) received recipes for an anti-inflammatory diet and the 2-part consultation, while controls (n=4) received the recipes only. The consultation consisted of a home-visit that included cooking and accessible kitchen equipment demonstrations, and an accompanied trip to the grocery store. Both task and barrier self-efficacy improved immediately following the consultation and tended to stay above baseline one month post-intervention. The consultation was also associated with increased dietary adherence one month post-intervention and decreased depressive symptoms as measured by the Centre for Epidemiological Studies Depression Scale (CES-D). Changes in dietary adherence (r=-0.61; p=0.045), and barrier self-efficacy (r=-0.77; p=0.009) were negatively correlated to changes in CES-D scores. A consultation targeted at barriers related to anti-inflammatory eating can improve self-efficacy for adherence as well as actual adherence and depressive symptomology one month later. Further follow-up studies to determine the persistence of these effects are warranted.
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学生竞赛(临床/最佳实践实施) ID 1983939
先前的研究表明,抗炎饮食可以减少炎症,改善神经残疾患者的健康状况;然而,长期坚持饮食已被证明是一项挑战。因此,我们设计了一个由两部分组成的咨询方案,旨在找出该人群坚持抗炎饮食的障碍。 本研究旨在确定咨询对坚持抗炎饮食的自我效能的影响,以及干预后一个月的坚持情况和健康结果。 11名神经系统残疾患者(7名多发性硬化症患者、3名脊髓损伤患者、1名肌肉萎缩症患者;伤后/诊断后20.5±10.6年)(10名女性,年龄51.5±12.6岁)参加了此次研究。干预组(7 人)接受抗炎饮食食谱和两部分咨询,对照组(4 人)仅接受食谱。咨询包括一次家访,其中包括烹饪和无障碍厨房设备演示,以及陪同去杂货店购物。 咨询后,任务和障碍自我效能感都立即得到了提高,并在干预后一个月内保持在基线以上。咨询还与干预后一个月饮食依从性的提高和流行病学研究中心抑郁量表(CES-D)测量的抑郁症状的减少有关。饮食依从性(r=-0.61;p=0.045)和障碍自我效能感(r=-0.77;p=0.009)的变化与 CES-D 评分的变化呈负相关。 针对与抗炎饮食相关的障碍进行咨询可提高坚持治疗的自我效能以及一个月后的实际坚持治疗情况和抑郁症状。有必要开展进一步的后续研究,以确定这些效果的持续性。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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