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

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS Journal of Human Nutrition and Dietetics Pub Date : 2025-03-19 DOI:10.1111/jhn.70042

Shoroog Allogmanny, Anita Stefoska-Needham, Yasmine Probst

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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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探讨医疗保健消费者在多发性硬化症常规护理中对营养整合的看法：一项定性研究

背景：多发性硬化症（plwMS）患者希望从医疗保健专业人员（HCPs）那里获得营养信息，以自我管理他们的疾病。本研究旨在探索plwMS在营养相关护理方面的经验，并了解他们的需求和偏好，以了解如何在常规护理中提供营养相关护理。方法本定性研究采用解释性现象学方法，对澳大利亚成年多发性硬化症患者进行在线焦点小组调查，并逐字记录讨论内容。转录数据分析使用归纳，反身性专题分析框架。结果25名plwMS参加了6次焦点小组讨论中的1次。产生了代表参与者经验和需求的三个关键主题和七个副主题：(1)由于HCPs优先考虑药物而不是营养，营养指导在常规MS护理中被忽视，导致plwMS是他们自己的营养教育者；(2)需要常规营养指导，强调希望从具有MS营养知识的HCPs那里获得可获取和有意义的MS相关营养信息；(3)以人为本的护理是一个优先事项，强调必须认识到plwMS不存在放之四海而皆准的方法，必须提供一种全面的方法来协调营养护理和获得营养服务。结论本研究揭示了plwMS在常规MS护理中对营养相关护理的需求和体验之间的差距，这可能会影响他们的MS旅程。PlwMS寻求可靠、简单、一致和针对ms的常规护理建议。我们的研究结果强调了从营养合格的HCP或营养师那里进行个性化营养护理的必要性。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

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.