Show simple item record

dc.contributor.authorMayr, HL
dc.contributor.authorKelly, JT
dc.contributor.authorMacDonald, GA
dc.contributor.authorHickman, IJ
dc.date.accessioned2021-04-06T05:20:22Z
dc.date.available2021-04-06T05:20:22Z
dc.date.issued2021
dc.identifier.issn0007-1145
dc.identifier.doi10.1017/S0007114521001100
dc.identifier.urihttp://hdl.handle.net/10072/403594
dc.description.abstractPractice 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.peerreviewedYes
dc.languageeng
dc.publisherCambridge University Press (CUP)
dc.relation.ispartofjournalBritish Journal of Nutrition
dc.subject.fieldofresearchAnimal production
dc.subject.fieldofresearchFood sciences
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchcode3003
dc.subject.fieldofresearchcode3006
dc.subject.fieldofresearchcode3210
dc.subject.keywordsMediterranean diet
dc.subject.keywordsdietary pattern
dc.subject.keywordsknowledge translation
dc.subject.keywordsmetabolic liver disease
dc.subject.keywordsqualitative 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.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationMayr, 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.updated2021-04-06T03:30:16Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis 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.hasfulltextFull Text
gro.griffith.authorKelly, Jaimon


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record