dc.contributor.author | Mayr, HL | |
dc.contributor.author | Kelly, JT | |
dc.contributor.author | MacDonald, GA | |
dc.contributor.author | Hickman, IJ | |
dc.date.accessioned | 2021-04-06T05:20:22Z | |
dc.date.available | 2021-04-06T05:20:22Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 0007-1145 | |
dc.identifier.doi | 10.1017/S0007114521001100 | |
dc.identifier.uri | http://hdl.handle.net/10072/403594 | |
dc.description.abstract | Practice guidelines for nonalcoholic fatty liver disease (NAFLD) recommend promoting the Mediterranean dietary pattern (MDP) which is cardioprotective and may improve hepatic steatosis. This study aimed to explore multidisciplinary clinicians' perspectives on whether the MDP is recommended in routine management of NAFLD and barriers and facilitators to its implementation in a multiethnic setting. Semistructured individual interviews were conducted with 14 clinicians (7 doctors, 3 nurses, 3 dietitians and 1 exercise physiologist) routinely managing patients with NAFLD in metropolitan hospital outpatient clinics in Australia. Interviews were audio-recorded, transcribed and analysed using thematic content analysis. Clinician's described that lifestyle modification was their primary treatment for NAFLD and promoting diet was recognised as everyone's role, whereby doctors and nurses raise awareness and dietitians provide individualisation. The MDP was regarded as the most evidence-based diet choice currently and was frequently recommended in routine care. Facilitators to MDP implementation in practice were: improvement in diet quality as a parallel goal to weight loss; in-depth knowledge of the dietary pattern; access to patient education and monitoring resources; service culture, including an interdisciplinary clinic goal; and knowledge sharing from expert dietitians. Barriers included perceived challenges for patients from diverse cultural and socioeconomic backgrounds; and limited clinician training, time and resourcing to support behaviour change. Integration of MDP in routine management of NAFLD in specialist clinics was facilitated by a focus on diet quality, knowledge sharing, belief in evidence and an interdisciplinary team. Innovations to service delivery could better support and empower patients to change dietary behaviour long-term. | |
dc.description.peerreviewed | Yes | |
dc.language | eng | |
dc.publisher | Cambridge University Press (CUP) | |
dc.relation.ispartofjournal | British Journal of Nutrition | |
dc.subject.fieldofresearch | Animal production | |
dc.subject.fieldofresearch | Food sciences | |
dc.subject.fieldofresearch | Nutrition and dietetics | |
dc.subject.fieldofresearchcode | 3003 | |
dc.subject.fieldofresearchcode | 3006 | |
dc.subject.fieldofresearchcode | 3210 | |
dc.subject.keywords | Mediterranean diet | |
dc.subject.keywords | dietary pattern | |
dc.subject.keywords | knowledge translation | |
dc.subject.keywords | metabolic liver disease | |
dc.subject.keywords | qualitative research | |
dc.title | 'Focus on diet quality': A qualitative study of clinicians' perspectives of use of the Mediterranean dietary pattern for nonalcoholic fatty liver disease | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Mayr, HL; Kelly, JT; MacDonald, GA; Hickman, IJ, 'Focus on diet quality': A qualitative study of clinicians' perspectives of use of the Mediterranean dietary pattern for nonalcoholic fatty liver disease, British Journal of Nutrition, 2021 | |
dc.date.updated | 2021-04-06T03:30:16Z | |
dc.description.version | Accepted Manuscript (AM) | |
gro.description.notepublic | This publication has been entered in Griffith Research Online as an advanced online version. | |
gro.rights.copyright | © 2021 The Authors. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Kelly, Jaimon | |