Ryan R Bailey1, Miranda Ipsen2. 1. Department of Occupational and Recreational Therapies, College of Health, University of Utah, 520 Wakara Way, Salt Lake City, UT 84108, USA. Electronic address: ryan.bailey@health.utah.edu. 2. Department of Occupational and Recreational Therapies, College of Health, University of Utah, 520 Wakara Way, Salt Lake City, UT 84108, USA.
Abstract
BACKGROUND: Following a healthy dietary pattern is recommended for secondary stroke prevention, but stroke-related impairments may hinder the performance of dietary behaviors (i.e., accessing, selecting, and preparing food). OBJECTIVE: The purpose of this study was to characterize facilitators and barriers to performing dietary behaviors in stroke survivors. METHODS: We completed a secondary analysis of focus group data using a qualitative descriptive approach and content analysis to examine how 15 chronic (≥ 6 months) community-dwelling stroke survivors and 10 care-partners perceived dietary behavior facilitators and barriers. RESULTS: We identified three key themes. First, changes in body functions/structures (e.g., hemiparesis, balance) result in dietary behavior activity limitations (e.g., difficulty grocery shopping, meal preparation). Second, environmental supports (e.g., care-partners, adaptive equipment) and activity modification (e.g., using pre-cut foods, dining out) are used to overcome dietary behavior limitations. Third, negative affect (e.g., dissatisfaction, frustration) and activity limitations lead to participation limitations (e.g., not being able to perform dietary behaviors independently, not being able to socialize when dining out). CONCLUSIONS: Dietary behaviors are negatively impacted following stroke, but environmental supports and compensatory strategies may be implemented to overcome activity limitations. More research is needed to develop interventions to facilitate dietary behaviors and participation following stroke.
BACKGROUND: Following a healthy dietary pattern is recommended for secondary stroke prevention, but stroke-related impairments may hinder the performance of dietary behaviors (i.e., accessing, selecting, and preparing food). OBJECTIVE: The purpose of this study was to characterize facilitators and barriers to performing dietary behaviors in stroke survivors. METHODS: We completed a secondary analysis of focus group data using a qualitative descriptive approach and content analysis to examine how 15 chronic (≥ 6 months) community-dwelling stroke survivors and 10 care-partners perceived dietary behavior facilitators and barriers. RESULTS: We identified three key themes. First, changes in body functions/structures (e.g., hemiparesis, balance) result in dietary behavior activity limitations (e.g., difficulty grocery shopping, meal preparation). Second, environmental supports (e.g., care-partners, adaptive equipment) and activity modification (e.g., using pre-cut foods, dining out) are used to overcome dietary behavior limitations. Third, negative affect (e.g., dissatisfaction, frustration) and activity limitations lead to participation limitations (e.g., not being able to perform dietary behaviors independently, not being able to socialize when dining out). CONCLUSIONS: Dietary behaviors are negatively impacted following stroke, but environmental supports and compensatory strategies may be implemented to overcome activity limitations. More research is needed to develop interventions to facilitate dietary behaviors and participation following stroke.
Authors: Andrea C Betts; Katherine Froehlich-Grobe; Simon Driver; Danielle Carlton; M Kaye Kramer Journal: Disabil Health J Date: 2017-10-27 Impact factor: 2.554
Authors: Jennifer H White; Belinda Miller; Parker Magin; John Attia; Jonathan Sturm; Michael Pollack Journal: Disabil Rehabil Date: 2011-10-29 Impact factor: 3.033