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dc.contributor.authorSpillman, Lynsey
dc.contributor.authorMelville-Claxton, Arabella
dc.contributor.authorGatiss, Gillian
dc.contributor.authorFernandez, Nicola
dc.contributor.authorMadden, Angela
dc.date.accessioned2021-03-03T11:23:58Z
dc.date.available2021-03-03T11:23:58Z
dc.date.issued2021-10-30
dc.identifier.citationSpillman , L , Melville-Claxton , A , Gatiss , G , Fernandez , N & Madden , A 2021 , ' Diet and physical activity after liver transplant: a qualitative study of barriers and facilitators to following advice ' , Journal of Human Nutrition and Dietetics , vol. 34 , no. 5 , pp. 910-919 . https://doi.org/10.1111/jhn.12874
dc.identifier.issn0952-3871
dc.identifier.otherPURE: 24551904
dc.identifier.otherPURE UUID: 0cec58d1-2041-4f31-9aae-237f8442ce00
dc.identifier.otherScopus: 85101809874
dc.identifier.urihttp://hdl.handle.net/2299/23995
dc.description© 2021 The British Dietetic Association Ltd. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1111/jhn.12874
dc.description.abstractBackground: Liver transplant recipients are given diet and physical activity advice to aid recovery and promote long-term health. The present study aimed to explore patients’ experiences of receiving and implementing diet and physical activity advice after liver transplant and identify barriers and facilitators to following recommendations. Methods: A qualitative descriptive design included purposive sampling of 13 liver transplant recipients. Semi-structured audio-recorded interviews and inductive thematic analysis using a framework were undertaken concurrently to enable recruitment until saturation of themes occurred. Results: Overall experiences varied between participants and settings, as well as over time. Seven themes emerged, all representing both barriers and facilitators to implementing advice. Poor capability and loss of confidence were barriers that improved in hospital because healthcare professionals enabled participants to set and achieve goals but remained key barriers after discharge from hospital. The format and consistency of advice influenced participants’ confidence in the healthcare team. Social support helped participants to return to and implement advice, although social networks could also have a negative influence. Advice and modelling of behaviour from other transplant recipients were facilitators. Symptoms, side effects, comorbidities and the environment presented barriers and facilitators. The desire to return to normal and coping strategies were drivers of behaviours, which were also influenced by participants’ beliefs and values. Conclusions: The variation in experiences indicates a need for individually tailored advice that is consistent across the multidisciplinary team. Interventions for behaviour change that merit further investigation include goal setting, improving coping strategies, peer support and modifying the hospital and home environment.en
dc.format.extent10
dc.language.isoeng
dc.relation.ispartofJournal of Human Nutrition and Dietetics
dc.subjectDiet and activity after liver transplant
dc.subjectnutrition
dc.subjectexercise
dc.subjectdiet
dc.subjectexperience
dc.subjectliver transplant
dc.subjectphysical activity
dc.subjectNutrition and Dietetics
dc.subjectMedicine (miscellaneous)
dc.titleDiet and physical activity after liver transplant: a qualitative study of barriers and facilitators to following adviceen
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionAllied Health Professions
dc.contributor.institutionFood Policy, Nutrition and Diet
dc.contributor.institutionWeight and Obesity Research Group
dc.contributor.institutionCentre for Agriculture, Food and Environmental Management Research
dc.contributor.institutionBiosciences Research Group
dc.contributor.institutionDepartment of Clinical, Pharmaceutical and Biological Science
dc.contributor.institutionAgriculture, Food and Veterinary Sciences
dc.description.statusPeer reviewed
dc.date.embargoedUntil2022-03-01
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85101809874&partnerID=8YFLogxK
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1111/jhn.12874
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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