Exploring the Barriers and Enablers to Implementing a 16-Week Low-Carbohydrate Diet for Patients with Diabetic Cardiomyopathy

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aut.relation.journalJ Cardiovasc Nurs
dc.contributor.authorKleissl-Muir, Sabine
dc.contributor.authorDriscoll, Andrea
dc.contributor.authorOwen, Alice
dc.contributor.authorZinn, Caryn
dc.contributor.authorRasmussen, Bodil
dc.date.accessioned2023-09-19T22:42:31Z
dc.date.available2023-09-19T22:42:31Z
dc.date.issued2023-08-08
dc.description.abstractAIMS: Cardiac dysfunction in patients with diabetes, referred to as diabetic cardiomyopathy, is primarily precipitated by dysregulations in glucose and lipid metabolism. Diet and lifestyle changes are considered crucial for successful heart failure and diabetes management and are often difficult to achieve. Low-carbohydrate diets (LCDs) have gained popularity for the management of metabolic diseases. Although quantitative research in this field is evolving, little is known about the personal experience of patients with diabetic cardiomyopathy on specific diets. The aim of this qualitative study was to identify enablers and barriers of patients with diabetic cardiomyopathy who engage in an LCD. It further explored patients' perception of dietary education and dietary support received while in hospital. METHODS AND RESULTS: Participants who previously consented to a 16-week LCD trial were invited to share their experiences. Nine patients agreed to be interviewed. Semistructured interviews and a focus group interview were conducted, which were transcribed verbatim. Data were analyzed by using the 6-step approach for thematic analysis. Four themes were identified: (1) nutrition literacy (2) disease-related health benefits, (3) balancing commitments, and (4) availability of resources and support. CONCLUSION: Improvements in disease-related symptoms acted as strong enablers to engage in an LCD. Barriers such as access to resources and time constraints were identified. These challenges may be overcome with efficient communication and ongoing dietary support. More research exploring the experience of patients with diabetic cardiomyopathy on an LCD are warranted.
dc.identifier.citationJ Cardiovasc Nurs, ISSN: 0889-4655 (Print); 1550-5049 (Online), Ovid Technologies (Wolters Kluwer Health). doi: 10.1097/JCN.0000000000001025
dc.identifier.doi10.1097/JCN.0000000000001025
dc.identifier.issn0889-4655
dc.identifier.issn1550-5049
dc.identifier.urihttp://hdl.handle.net/10292/16698
dc.languageeng
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.relation.urihttps://journals.lww.com/jcnjournal/fulltext/9900/exploring_the_barriers_and_enablers_to.114.aspx
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject4203 Health Services and Systems
dc.subject32 Biomedical and Clinical Sciences
dc.subject3210 Nutrition and Dietetics
dc.subject42 Health Sciences
dc.subjectNutrition
dc.subjectClinical Research
dc.subjectHeart Disease
dc.subjectCardiovascular
dc.subjectDiabetes
dc.subjectCardiovascular
dc.subjectMetabolic and endocrine
dc.subject1102 Cardiorespiratory Medicine and Haematology
dc.subject1110 Nursing
dc.subjectNursing
dc.subject3201 Cardiovascular medicine and haematology
dc.subject4205 Nursing
dc.titleExploring the Barriers and Enablers to Implementing a 16-Week Low-Carbohydrate Diet for Patients with Diabetic Cardiomyopathy
dc.typeJournal Article
pubs.elements-id523503
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