满怀希望地重新开始:对英国国家医疗服务系统低热量饮食计划试点的总饮食替代阶段的经验进行定性评估

IF 0.4 Q4 ENDOCRINOLOGY & METABOLISM British Journal of Diabetes Pub Date : 2024-04-16 DOI:10.15277/bjd.2024.435
Catherine Homer, Karina Kinsella, Kevin J Drew, Jordan R Marwood, Tamara Brown, Simon Rowlands, Duncan Radley, Charlotte Freeman, Abimbola Ojo, Jennifer Teke, Ken Clare, Chirag Bakhai, Louisa J Ells
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引用次数: 3

摘要

背景:英格兰国民健康服务系统(NHS)的低热量饮食(LCD)计划旨在帮助 2 型糖尿病(T2DM)患者减轻体重、改善血糖参数,并有可能实现糖尿病缓解。该计划于 2020 年启动试点,采用三种不同的实施模式:一对一、小组和通过应用程序进行数字化。服务用户从为期 12 周的全面饮食替代(TDR)开始该计划。本研究旨在从服务用户的角度了解这一阶段的体验:这是一项共同制作的纵向和横截面定性研究,采用半结构式访谈和摄影舆论技术,以现实主义方法为基础。英国国家医疗服务系统(NHS)LCD 计划的服务用户(45 人)被招募到英格兰的三种交付模式和 21 个试点地点。采用主题方法对数据进行了分析:结果:参与者的人口统计学特征在整个 LCD 试点人群样本中具有代表性,包括来自不同提供模式和提供者的经验。按时间顺序列出了三个主题。1)LCD 前的生活:LCD 计划被视为重新设定饮食行为和提高生活质量的一个机会;2)TDR 的经验:灵活允许补充非淀粉类蔬菜和调整 TDR 产品的口味和质地有助于坚持;3)展望重新引入食物:在 TDR 阶段结束时,体重和血糖都有所下降,主观能量水平和活动能力也有所提高。一些参与者对进入重新引入食物阶段以及体重反弹的可能性表示担忧。结论:本文报告了液晶显示计划 TDR 阶段的见解。这项工作的共同成果为政策和实践提出了若干建议,为该计划在全国的推广提供了参考。
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fresh start with high hopes: a qualitative evaluation of experiences of the Total Diet Replacement phase of the NHS Low Calorie Diet Programme pilot
Background: The National Health Service (NHS) Low Calorie Diet (LCD) programme in England aims to support people with type 2 diabetes (T2DM) to lose weight, improve glycaemic parameters and potentially achieve diabetes remission. The programme pilot launched in 2020 using three different delivery models: one-to-one, group and digital via an App. Service users begin the programme with 12 weeks of Total Diet Replacement (TDR). This study aims to understand the experience of this TDR phase from the service user perspective. Methods: This was a co-produced qualitative longitudinal and cross-sectional study, underpinned by a realist informed approach using semi-structured interviews and photovoice techniques. Service users (n=45) from the NHS LCD programme were recruited across the three delivery models and 21 pilot sites in England. Data were analysed using a thematic approach. Results: Participant demographics were representative of the overall LCD pilot population sample and included experiences from a mix of delivery models and providers. Three themes were presented chronologically. 1) life pre-LCD: the LCD programme was viewed as an opportunity to reset eating behaviours and improve quality of life; 2) experience of TDR: flexibility in allowing supplementary non-starchy vegetables and adapting the flavour and texture of TDR products supported adherence; 3) looking ahead to food reintroduction: at the end of the TDR phase, weight and glycaemia had reduced, while subjective energy levels and mobility improved. Some participants were concerned about progressing to the food reintroduction phase and the possibility of weight regain. Conclusions: The paper reports insight from the TDR phase of the LCD programme. The co-production of this work has resulted in several recommendations for policy and practice which have informed the national roll out of the programme.
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来源期刊
British Journal of Diabetes
British Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
16.70%
发文量
15
期刊最新文献
qualitative study of the experiences of individuals who did not complete the NHS Low Calorie Diet Programme Pilot fresh start with high hopes: a qualitative evaluation of experiences of the Total Diet Replacement phase of the NHS Low Calorie Diet Programme pilot Supporting remission of type 2 diabetes in the real world Re:Mission study. Evaluating the NHS Low Calorie Diet pilot - an overview of service user data collection methods Participant experiences during the NHS Low Calorie Diet Programme pilot. Findings from an online survey
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