Document Detail

A qualitative analysis of coronary heart disease patient views of dietary adherence and web-based and mobile-based nutrition tools.
MedLine Citation:
PMID:  22760245     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Dietary adherence can be challenging for patients with coronary heart disease (CHD), as they may require multiple dietary changes. Choosing appropriate food items may be difficult or take extensive amounts of time without the aid of technology. The objective of this project was to (1) examine the dietary challenges faced by patients with CHD, (2) examine methods of coping with dietary challenges, (3) explore the feasibility of a Web-based food decision support system, and (4) explore the feasibility of a mobile-based food decision support system.
METHODS: Food for the Heart (FFH), a Web site-based food decision support system, and Mobile Magic Lens (MML), a mobile-based system, were developed to aid in daily dietary choices. Three CHD patient focus groups were conducted and focused on CHD-associated dietary changes as well as the FFH and MML prototypes. A total of 20 CHD patients and 7 informal caregivers participated. Qualitative, content analysis was performed to find themes grounded in the responses.
RESULTS: Five predominant themes emerged: (1) decreasing carbohydrate intake and portion control are common dietary challenges, (2) clinician and social support makes dietary adherence easier, (3) FFH could make meal-planning and dietary adherence less complicated, (4) MML could save time and assist with healthy choices, and (5) additional features need to be added to make both tools more comprehensive.
CONCLUSION: Food for the Heart and MML may be tools that CHD patients would value in making food choices and adhering to dietary recommendations, especially if additional features are added to assist patients with changes.
Karen S Yehle; Aleda M H Chen; Kimberly S Plake; Ji Soo Yi; Amy R Mobley
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  32     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-04     Completed Date:  2012-11-06     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  203-9     Citation Subset:  IM    
School of Nursing, Purdue University, West Lafayette, Indiana, USA.
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MeSH Terms
Coronary Artery Disease / diet therapy,  psychology*,  rehabilitation
Focus Groups
Food Habits
Health Knowledge, Attitudes, Practice
Nutritional Status*
Patient Compliance / psychology*
Patient Education as Topic / methods*
Qualitative Research
Social Support
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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