• Christina Nielsen
  • Debbi Kristiane Bolt
  • Samantha Drejer Thomsen
4. term, Public Health, Master (Master Programme)
Background: Morbus Crohn (CD) is a type of inflammatory bowel disease (IBD) which is typically treated with biological medicine. Since the treatment is costly and can cause side- effects, a Ph.D. study is investigating if an anti-inflammatory diet (IFK) is feasible as a com- plementary treatment for CD-patients in biological treatment. Since the patients’ compliance with the dietary intervention can be implied by barriers among health professionals during out- patient visits, these barriers will be investigated.
Aim: To investigate perceived barriers and facilitators for supporting CD-patients in dietary change to IFK amongst health professionals at medical gastrointestinal outpatient clinics in Denmark in order to develop a strategy to overcome these.
Methods: The MRC-model is used for the development of the strategy. Triangulation of meth- ods are applied through three data sources: a literature review, qualitative interviews, and a survey. Data are analyzed based on the individual methodical approaches after which the re- sults are integrated in a critical interpretation. From here strategic focus points for how to over- come barriers and build on facilitators are developed as well as suggestions for how the Ph.D. project and future similar interventions can implement these.
Results: Results from the critical interpretation underline a need for knowledge among health professionals relating to IFK, especially among nurses and physicians. Results from the statis- tical analysis show that dieticians assess having more knowledge (OR 15,73, p=0,009) and time resources (OR 0,03, p=0,011) to support CD-patients in dietary change compared to nurses. Furthermore, the literature review points out that the professional competencies of die- ticians are underutilized, while increased interdisciplinary collaboration is in demand accord- ing to both the qualitative and quantitative study. Physicians are seen to a lesser extent to be- lieve (OR 0.04, p=0.025) that there is an overall positive attitude towards the inclusion of IFK in the treatment of CD compared to nurses, which is also supported by the qualitative study. Focus points for the strategy therefore include promoting knowledge about IFK and the dietary intervention among health professionals, positive communication about the intervention, espe- cially to doctors, as well as increased interdisciplinary collaboration.
Conclusion: Barriers and facilitators among health professionals to support the dietary inter- vention can be met through three strategic focus points: knowledge sharing, positive commu- nication about the dietary intervention and increased interdisciplinary collaboration. The fo- cus points and suggestions related to implementing them can be used to support the dietary intervention and should be pilot tested before being transferred to other contexts.
Publication date1 Jun 2022
Number of pages124
External collaboratorAalborg Universitetshospital
PhD i klinisk ernæring Mette Holst mette.holst@rn.dk
ID: 471796549