Nadine Poirier1, France Légaré2, Dawn Stacey3, Simone Lemieux4, Catherine Bégin5, Annie Lapointe6, Sophie Desroches7. 1. Institute of Nutrition and Functional Foods, Laval University, 2440 boulevard Hochelaga, Québec, QC, G1V 0A6, Canada; School of Nutrition, Laval University, 2425 rue de l'Agriculture, Québec, QC, G1V 0A6, Canada. Electronic address: nadine_poirier1@hotmail.com. 2. Department of Family Medicine and Emergency Medicine, Laval University, 1050 rue de la médecine, Québec, QC, G1V 0A6, Canada; Research Center of the Centre Hospitalier Universitaire de Québec, 10 rue de l'Espinay, Québec, QC, G1L 3L5, Canada. Electronic address: france.legare@fmed.ulaval.ca. 3. School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada; Ottawa Hospital Research Institute, University of Ottawa, 725 Parkdale Ave., Ottawa, ON, K1Y 4E9, Canada. Electronic address: dawn.stacey@uottawa.ca. 4. Institute of Nutrition and Functional Foods, Laval University, 2440 boulevard Hochelaga, Québec, QC, G1V 0A6, Canada; School of Nutrition, Laval University, 2425 rue de l'Agriculture, Québec, QC, G1V 0A6, Canada. Electronic address: simone.lemieux@fsaa.ulaval.ca. 5. Institute of Nutrition and Functional Foods, Laval University, 2440 boulevard Hochelaga, Québec, QC, G1V 0A6, Canada; School of Psychology, Laval University, 2325 rue des bibliothèques, Québec, QC, G1V 0A6, Canada. Electronic address: catherine.begin@psy.ulaval.ca. 6. Institute of Nutrition and Functional Foods, Laval University, 2440 boulevard Hochelaga, Québec, QC, G1V 0A6, Canada. Electronic address: annie.lapointe@fsaa.ulaval.ca. 7. Institute of Nutrition and Functional Foods, Laval University, 2440 boulevard Hochelaga, Québec, QC, G1V 0A6, Canada; School of Nutrition, Laval University, 2425 rue de l'Agriculture, Québec, QC, G1V 0A6, Canada; Research Center of the Centre Hospitalier Universitaire de Québec, 10 rue de l'Espinay, Québec, QC, G1L 3L5, Canada. Electronic address: sophie.desroches@fsaa.ulaval.ca.
Abstract
OBJECTIVES: To identify the decisional needs of postmenopausal women with abdominal obesity choosing between two nutritional approaches for weight loss: a low-fat diet or a diet rich in fruit and vegetables. STUDY DESIGN: Our descriptive qualitative study was based on the Ottawa Decision Support Framework. MAIN OUTCOME MEASURES: Four focus groups were conducted with postmenopausal women. A thematic content analysis was performed to determine the decisional needs influencing the choice of a low-fat diet or a diet rich in fruit and vegetables. RESULTS: Seventeen postmenopausal women participated in the study (median age 59 years). Most frequently reported decisional needs for each nutritional approach were sufficient levels of nutritional skills and knowledge, consideration of the physiological impacts and the sensory aspect of approaches, food availability, social support, finances and motivation. Partners, friends and daughters were considered as the most important individuals involved in the decision. CONCLUSIONS: We identified several decisional needs influencing postmenopausal women when choosing between a low-fat diet and a diet rich in fruit and vegetables. These findings could inform the design of decision support interventions that address the decisional needs of women for making and implementing informed decisions about a nutritional approach for weight loss.
OBJECTIVES: To identify the decisional needs of postmenopausal women with abdominal obesity choosing between two nutritional approaches for weight loss: a low-fat diet or a diet rich in fruit and vegetables. STUDY DESIGN: Our descriptive qualitative study was based on the Ottawa Decision Support Framework. MAIN OUTCOME MEASURES: Four focus groups were conducted with postmenopausal women. A thematic content analysis was performed to determine the decisional needs influencing the choice of a low-fat diet or a diet rich in fruit and vegetables. RESULTS: Seventeen postmenopausal women participated in the study (median age 59 years). Most frequently reported decisional needs for each nutritional approach were sufficient levels of nutritional skills and knowledge, consideration of the physiological impacts and the sensory aspect of approaches, food availability, social support, finances and motivation. Partners, friends and daughters were considered as the most important individuals involved in the decision. CONCLUSIONS: We identified several decisional needs influencing postmenopausal women when choosing between a low-fat diet and a diet rich in fruit and vegetables. These findings could inform the design of decision support interventions that address the decisional needs of women for making and implementing informed decisions about a nutritional approach for weight loss.
Authors: Brianne Wood; Virginia L Russell; Ziad El-Khatib; Susan McFaul; Monica Taljaard; Julian Little; Ian D Graham Journal: Glob Qual Nurs Res Date: 2018-07-02