A qualitative analysis of coronary heart disease patient views of dietary adherence and web-based and mobile-based nutrition tools.

A qualitative analysis of coronary heart disease patient views of dietary adherence and web-based and mobile-based nutrition tools.
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冠心病患者对饮食依从性以及基于网络和移动的营养工具的看法的定性分析。

DOI:
10.1097/hcr.0b013e31825b4e6a
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发表时间:
2012
影响因子:
3.8
通讯作者:
Mobley,AmyR
Mobley,AmyR
中科院分区:
医学3区
文献类型:
--
作者:
Yehle,KarenS;Chen,AledaMH;Plake,KimberlyS;Yi,JiSoo;Mobley,AmyR

文献摘要

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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.