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dc.contributor.authorMcLaren-Hedwards, T
dc.contributor.authorHickman, IJ
dc.contributor.authorCampbell, KL
dc.contributor.authorMacdonald, GA
dc.contributor.authorMayr, HL
dc.date.accessioned2021-11-25T23:30:21Z
dc.date.available2021-11-25T23:30:21Z
dc.date.issued2021
dc.identifier.issn1526-9248en_US
dc.identifier.doi10.1177/15269248211046001en_US
dc.identifier.urihttp://hdl.handle.net/10072/410137
dc.description.abstractIntroduction: Solid organ transplant recipients experience greater cardiometabolic risk than the general population. Following a Mediterranean dietary pattern has been shown to reduce cardiometabolic risk. This study aimed to assess multidisciplinary clinician perspectives of routine nutrition care for kidney and liver transplant recipients and barriers and enablers to implementation of the Mediterranean dietary pattern. Methods: Semi-structured individual interviews were conducted with clinicians in a metropolitan health service at tertiary/quaternary transplant centres involved in longer-term management of kidney and liver transplants recipients. Audio-recorded interviews were transcribed verbatim and analysed using thematic content analysis. Findings: Nineteen clinicians (9 medical officers, 5 dietitians, 3 nurses and 2 other allied health professionals) were interviewed. Four themes with 11 subthemes were identified: the Mediterranean dietary pattern is not part of routine care (there are competing clinical priorities; healthy eating principles aligned with but not the full dietary pattern are recommended); variation in knowledge and acceptance of this dietary approach (variances in information sources and degree of knowledge of Mediterranean dietary pattern clinical evidence); nutrition advice is influenced by service delivery and culture (there is lack of consistent nutrition advice; limited consultation time; and reliance on existing patient education resources); and patient-centred care influences decisions on nutrition advice (clinicians do not know how to recommend this dietary pattern in a patient-centred manner). Discussion: The Mediterranean dietary pattern is not considered part of routine post-transplant nutrition care. To be implemented in these services intervention strategies which address the identified barriers and potential enablers need to be considered.en_US
dc.description.peerreviewedYesen_US
dc.languageenen_US
dc.publisherSAGE Publicationsen_US
dc.relation.ispartofjournalProgress in Transplantationen_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchNephrology and urologyen_US
dc.subject.fieldofresearchGastroenterology and hepatologyen_US
dc.subject.fieldofresearchNutrition and dieteticsen_US
dc.subject.fieldofresearchClinical sciencesen_US
dc.subject.fieldofresearchImmunologyen_US
dc.subject.fieldofresearchcode4205en_US
dc.subject.fieldofresearchcode320214en_US
dc.subject.fieldofresearchcode320209en_US
dc.subject.fieldofresearchcode3210en_US
dc.subject.fieldofresearchcode3202en_US
dc.subject.fieldofresearchcode3204en_US
dc.titleA Qualitative Study of Clinician Barriers and Enablers to Implementing the Mediterranean Dietary Pattern with Kidney and Liver Transplant Recipientsen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationMcLaren-Hedwards, T; Hickman, IJ; Campbell, KL; Macdonald, GA; Mayr, HL, A Qualitative Study of Clinician Barriers and Enablers to Implementing the Mediterranean Dietary Pattern with Kidney and Liver Transplant Recipients, Progress in Transplantation, 2021en_US
dc.date.updated2021-11-16T03:30:05Z
dc.description.versionVersion of Record (VoR)en_US
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.en_US
gro.rights.copyrightMcLaren-Hedwards, T; Hickman, IJ; Campbell, KL; Macdonald, GA; Mayr, HL, A Qualitative Study of Clinician Barriers and Enablers to Implementing the Mediterranean Dietary Pattern with Kidney and Liver Transplant Recipients, Progress in Transplantation, 2021. Copyright 2021 The Authors. Reprinted by permission of SAGE Publications.en_US
gro.hasfulltextFull Text
gro.griffith.authorCampbell, Katrina


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