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How a Medically Tailored Meal Intervention with Intensive Nutrition Counseling Created Active Coping with Behavior Change for Vulnerable Patients with Lung Cancer.
Rothpletz-Puglia, Pamela; Smith, Jade; Pavuk, Chloe; Leotta, Jana; Pike, Kimberli; Presley, Carolyn J; Krok-Schoen, Jessica; Braun, Ashlea; Cohen, Mary Kathryn; Rogers, Gail T; Kwan, Ho Kenneth Chui; Zhang, Fang Fang; Spees, Colleen.
Afiliação
  • Rothpletz-Puglia P; Rutgers, The State University of New Jersey.
  • Smith J; The Ohio State University.
  • Pavuk C; The Ohio State University.
  • Leotta J; The Ohio State University.
  • Pike K; Rutgers, The State University of New Jersey.
  • Presley CJ; The Ohio State University Comprehensive Cancer Center.
  • Krok-Schoen J; The Ohio State University.
  • Braun A; Oklahoma State University.
  • Cohen MK; Tufts University.
  • Rogers GT; Tufts University.
  • Kwan HKC; Tufts University.
  • Zhang FF; Tufts University.
  • Spees C; The Ohio State University.
Res Sq ; 2024 Feb 02.
Article em En | MEDLINE | ID: mdl-38352464
ABSTRACT

Purpose:

The purpose of this study was to assess participants' perceptions and experiences while participating in a Food is Medicine medically tailored meal plus nutrition counseling intervention to create a theoretical explanation about how the intervention worked.

Methods:

This interpretive qualitative study included the use of semi-structured interviews with active intervention participants. Purposeful sampling included vulnerable (uninsured, rural zip code residency, racial/ethnic minority, 65 years old, and/or low-income) individuals with lung cancer treated at four cancer centers across the United States. Interviews were recorded, transcribed verbatim, and analyzed using conventional content analysis with principles of grounded theory.

Results:

Twenty individuals participated. Data analysis resulted in a theoretical explanation of the intervention's mechanism of action. The explanatory process includes 3 linked and propositional categories leading to patient resilience engaging in treatment, adjusting to diagnosis, and active coping. The medically tailored meals plus intensive nutrition counseling engaged participants throughout treatment, which helped participants adjust to their diagnosis, leading to active coping through intentional self-care, behavior change, and improved quality of life.

Conclusions:

These findings provide evidence that a food is medicine intervention may buffer some of the adversity related to the diagnosis of lung cancer and create a pathway for participants to experience post-traumatic growth, develop resilience, and change behaviors to actively cope with lung cancer. Medically tailored meals plus intensive nutrition counseling informed by motivational interviewing supported individuals' adjustment to their diagnosis and resulted in perceived positive behavior change.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Qualitative_research Idioma: En Revista: Res Sq Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Qualitative_research Idioma: En Revista: Res Sq Ano de publicação: 2024 Tipo de documento: Article