B J Lawford1, K L Bennell2, S E Jones3, C Keating4, C Brown5, R S Hinman6. 1. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: belinda.lawford@unimelb.edu.au. 2. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: k.bennell@unimelb.edu.au. 3. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: jones.s@unimelb.edu.au. 4. Medibank Private, Melbourne, Vic, Australia. Electronic address: Catherine.Keating@medibank.com.au. 5. Medibank Private, Melbourne, Vic, Australia. Electronic address: Courtney.Brown@medibank.com.au. 6. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Victoria, Australia. Electronic address: ranash@unimelb.edu.au.
Abstract
OBJECTIVE: Explore patient and dietitian experiences with a multi-component dietary weight loss program for knee osteoarthritis to understand enablers and challenges to success at 6-months. DESIGN: Qualitative study embedded within a randomised controlled trial. Semi-structured individual interviews with 24 patients with knee osteoarthritis who undertook, and five dietitians who supervised, a weight management program (involving a ketogenic very low calorie diet (VLCD), video consultations, educational resources) over 6 months. Data were thematically analysed. RESULTS: Five themes were developed: (1) ease and convenience of program facilitated adherence (structure and simplicity of the meal replacements; not feeling hungry on diet; convenience of consulting via video) (2) social and professional support crucial for success (encouragement from partner, family, and friends; guidance from, and accountability to, dietitian; anxiety around going at it alone) (3) program was engaging and motivating (determination to stick to program; rapid weight loss helped motivation) (4) holistic nature of program was important (suite of high-quality educational resources; exercise important to compliment weight loss) (5) rewarding experience and lifelong impact (improved knee pain and function; positive lifestyle change). CONCLUSIONS: Patients and dietitians described positive experiences with the weight management program, valuing its simplicity, effectiveness, and convenience. Support from dietitians and a comprehensive suite of educational resources, incorporated with an exercise program, were considered crucial for success. Findings suggest this multi-component dietary program is an acceptable weight loss method in people with knee osteoarthritis that may benefit symptoms. Strategies for supporting long-term independent weight management should be a focus of future research.
OBJECTIVE: Explore patient and dietitian experiences with a multi-component dietary weight loss program for knee osteoarthritis to understand enablers and challenges to success at 6-months. DESIGN: Qualitative study embedded within a randomised controlled trial. Semi-structured individual interviews with 24 patients with knee osteoarthritis who undertook, and five dietitians who supervised, a weight management program (involving a ketogenic very low calorie diet (VLCD), video consultations, educational resources) over 6 months. Data were thematically analysed. RESULTS: Five themes were developed: (1) ease and convenience of program facilitated adherence (structure and simplicity of the meal replacements; not feeling hungry on diet; convenience of consulting via video) (2) social and professional support crucial for success (encouragement from partner, family, and friends; guidance from, and accountability to, dietitian; anxiety around going at it alone) (3) program was engaging and motivating (determination to stick to program; rapid weight loss helped motivation) (4) holistic nature of program was important (suite of high-quality educational resources; exercise important to compliment weight loss) (5) rewarding experience and lifelong impact (improved knee pain and function; positive lifestyle change). CONCLUSIONS: Patients and dietitians described positive experiences with the weight management program, valuing its simplicity, effectiveness, and convenience. Support from dietitians and a comprehensive suite of educational resources, incorporated with an exercise program, were considered crucial for success. Findings suggest this multi-component dietary program is an acceptable weight loss method in people with knee osteoarthritis that may benefit symptoms. Strategies for supporting long-term independent weight management should be a focus of future research.
Authors: Michelle Hall; Rana S Hinman; Gabrielle Knox; Libby Spiers; Priya Sumithran; Nicholas J Murphy; Fiona McManus; Karen E Lamb; Flavia Cicuittini; David J Hunter; Stephen P Messier; Kim L Bennell Journal: BMC Musculoskelet Disord Date: 2022-03-05 Impact factor: 2.362
Authors: Kim L Bennell; Sarah E Jones; Rana S Hinman; Fiona McManus; Karen E Lamb; Jonathan G Quicke; Priya Sumithran; Jodie Prendergast; Elena S George; Melanie A Holden; Nadine E Foster; Kim Allison Journal: BMC Musculoskelet Disord Date: 2022-07-30 Impact factor: 2.562
Authors: Martin Stevens; Inge van den Akker-Scheek; Sjoukje E Bouma; Juliette F E van Beek; Ron L Diercks; Lucas H V van der Woude Journal: BMJ Open Date: 2022-02-01 Impact factor: 2.692