A Lack of Knowledge and a Fear of Food Triggers Suffering in Patients with a History of Acute Diverticulitis: An Interpretative Phenomenological Analysis

Fiona Eberhardt; Julie Jenkins-Chapman; Romina Nucera; Phoebe Dalwood; Russell Canavan; Skye Marshall

doi:10.1016/S0261-5614(19)32165-X

Abstract

Rationale: The inpatient dietary management for diverticulitis routinely includes dietary restrictions for inpatient management despite a lack of evidence for this approach. There is also a dearth of qualitative research which prevents understanding of the patient experience, a barrier to providing patient-centred care. This study aims to understand the impact of dietary restrictions for the management of acute diverticulitis on patient experience.
Methods: Three semi-structured in-depth face to face interviews were conducted with adult patients admitted to a public hospital in South East Queensland, Australia for acute, uncomplicated diverticulitis treatment. Interviews were analysed following the interpretive phenomenological analysis (IPA) framework.
Results: Inter-related themes of knowledge, control, social stigmatisation, and vulnerability were found to sit within a broad experience driven by fear of food and suffering. Theme interpretation guided the development of a “diverticulitis fear and suffering framework” which explained a phenomenon experienced by the patients. Sitting in a context of a lack of knowledge by patients, family, and health professionals, food was used as a vehicle of blame and causality for diverticulitis occurrence. “Fear of food” was a trigger for a cycle, which commences with dietary restrictions and leads to stigma, loss of culture, failure, blame, guilt, vulnerability, and back to a fear of food. With each cycle, fear of food, dietary restrictions, and patient suffering worsen.
Conclusions: Considering patient experiences highlights the need for a multidisciplinary collaborative approach to avoid unnecessary dietary restrictions to prevent avoidable suffering by patients. Increased research regarding the dietary management of acute diverticulitis is essential to improve evidence-based practice to improve the quality of life for diverticulitis patients.

Original language	English
Article number	MON-PO330
Pages (from-to)	S180
Journal	Clinical Nutrition
Volume	38
Issue number	S1
DOIs	https://doi.org/10.1016/S0261-5614(19)32165-X
Publication status	Published - Sept 2019
Event	41st ESPEN Congress on Clinical Nutrition and Metabolism: Nutrition - A Highway to Health - Krakow, Poland Duration: 31 Aug 2019 → 3 Sept 2019 https://espencongress.com/

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10.1016/S0261-5614(19)32165-X

Poster - Corrupted diet-disease knowledge and fear of food trigger suffering in patients with a history of acute diverticulitisAccepted author manuscript, 1.39 MBLicence: CC BY-NC-ND

Nutrition Research for Digestive Health
Marshall, S. (Project Lead), Crichton, M. (HDR Student), Campbell, K. (Partner Investigator), Lohning, A. (Partner Investigator), Marx, W. (Project Roles), Van der Meij, B. (Partner Investigator), Angus, R. (Project Roles), Canavan, R. (Project Roles), Utter, J. (Associate Investigator) & Tang, X. (Associate Investigator)
1/01/14 → …
Project: Research
Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice
Reidlinger, D. (Project Lead), Davidson, A. (HDR Student), Campbell, K. (Associate Investigator), Kelly, J. (Associate Investigator), Mayr, H. (Chief Investigator), English, C. (HDR Student), Mueller, K. (Chief Investigator), MacKenzie-Shalders, K. (Assistant Professor), Van der Meij, B. (Research Fellow), Crichton, M. (HDR Student), Marshall, S. (Research Fellow), Turner, C. (Assistant Professor), Marx, W. (Associate Investigator), Utter, J. (Associate Professor), Maugeri, B. (Assistant Professor) & Tang, X. (Admin)
1/01/14 → 31/08/30
Project: Research
Research by Master of Nutrition and Dietetic Practice Students
Isenring, E. (Supervisor), Marshall, S. (Supervisor), Reidlinger, D. (Project Lead), Kelly, J. (Supervisor), Cox, G. (Supervisor), Van der Meij, B. (Supervisor), MacKenzie-Shalders, K. (Supervisor), Mayr, H. (Supervisor), Utter, J. (Associate Professor), Dahl, C. (Masters by Coursework Student), Crichton, M. (Masters by Coursework Student), O'Bryan, K. R. (Masters by Coursework Student), Norris, R. (Masters by Coursework Student), Fahey, M. (Masters by Coursework Student), Davidson, A. (Masters by Coursework Student), Naranjo, A. (Masters by Coursework Student), Mahoney, S. (Masters by Coursework Student), Eberhardt, F. (Masters by Coursework Student), Dalwood, P. (Masters by Coursework Student), Lopez, E. (Masters by Coursework Student), Hofto, S. (Masters by Coursework Student), Innerarity, C. (Masters by Coursework Student), So, D. (Masters by Coursework Student), McIntosh, A. (Masters by Coursework Student), Gadd, N. (Masters by Coursework Student), Chan, H. C. (Masters by Coursework Student), Lan, X. (Masters by Coursework Student), Fei, X. (Masters by Coursework Student), Kostjasyn, S. (Masters by Coursework Student), Adhyaru, P. (Masters by Coursework Student), Giang, J. (Masters by Coursework Student), Leung, E. L. Y. (Masters by Coursework Student), Strike, K. (Project Roles), Pearcy, J. (Masters by Coursework Student), Somani, A. (Masters by Coursework Student), Wright, C. (Masters by Coursework Student), Matthews, C. (Masters by Coursework Student), Lee, G. (Masters by Coursework Student), Tang, X. (Associate Investigator) & Eso, A. (Associate Investigator)
1/01/14 → 31/12/27
Project: Research

Fiona Ebehardt - Masters of Nutrition and Dietetic Practice research project
Marshall, S. (Supervisor)
25 Sept 2018 → 1 May 2019
Activity: Professional Development, Mentorship, Supervision and Other Activities › Non-HDR Student Supervision

Cite this

@article{4716c5be718c4d45970843aa7e749717,

title = "A Lack of Knowledge and a Fear of Food Triggers Suffering in Patients with a History of Acute Diverticulitis: An Interpretative Phenomenological Analysis",

abstract = "Rationale: The inpatient dietary management for diverticulitis routinely includes dietary restrictions for inpatient management despite a lack of evidence for this approach. There is also a dearth of qualitative research which prevents understanding of the patient experience, a barrier to providing patient-centred care. This study aims to understand the impact of dietary restrictions for the management of acute diverticulitis on patient experience. Methods: Three semi-structured in-depth face to face interviews were conducted with adult patients admitted to a public hospital in South East Queensland, Australia for acute, uncomplicated diverticulitis treatment. Interviews were analysed following the interpretive phenomenological analysis (IPA) framework. Results: Inter-related themes of knowledge, control, social stigmatisation, and vulnerability were found to sit within a broad experience driven by fear of food and suffering. Theme interpretation guided the development of a “diverticulitis fear and suffering framework” which explained a phenomenon experienced by the patients. Sitting in a context of a lack of knowledge by patients, family, and health professionals, food was used as a vehicle of blame and causality for diverticulitis occurrence. “Fear of food” was a trigger for a cycle, which commences with dietary restrictions and leads to stigma, loss of culture, failure, blame, guilt, vulnerability, and back to a fear of food. With each cycle, fear of food, dietary restrictions, and patient suffering worsen.Conclusions: Considering patient experiences highlights the need for a multidisciplinary collaborative approach to avoid unnecessary dietary restrictions to prevent avoidable suffering by patients. Increased research regarding the dietary management of acute diverticulitis is essential to improve evidence-based practice to improve the quality of life for diverticulitis patients. ",

author = "Fiona Eberhardt and Julie Jenkins-Chapman and Romina Nucera and Phoebe Dalwood and Russell Canavan and Skye Marshall",

note = "Submitted. Awaiting outcome.; 41st ESPEN Congress on Clinical Nutrition and Metabolism : Nutrition - A Highway to Health, ESPEN2019 ; Conference date: 31-08-2019 Through 03-09-2019",

year = "2019",

month = sep,

doi = "10.1016/S0261-5614(19)32165-X",

language = "English",

volume = "38",

pages = "S180",

journal = "Clinical Nutrition",

issn = "0261-5614",

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A Lack of Knowledge and a Fear of Food Triggers Suffering in Patients with a History of Acute Diverticulitis: An Interpretative Phenomenological Analysis. / Eberhardt, Fiona; Jenkins-Chapman, Julie; Nucera, Romina et al.
In: Clinical Nutrition, Vol. 38, No. S1, MON-PO330, 09.2019, p. S180.

Research output: Contribution to journal › Meeting Abstract › Research › peer-review

TY - JOUR

T1 - A Lack of Knowledge and a Fear of Food Triggers Suffering in Patients with a History of Acute Diverticulitis: An Interpretative Phenomenological Analysis

AU - Eberhardt, Fiona

AU - Jenkins-Chapman, Julie

AU - Nucera, Romina

AU - Dalwood, Phoebe

AU - Canavan, Russell

AU - Marshall, Skye

N1 - Submitted. Awaiting outcome.

PY - 2019/9

Y1 - 2019/9

N2 - Rationale: The inpatient dietary management for diverticulitis routinely includes dietary restrictions for inpatient management despite a lack of evidence for this approach. There is also a dearth of qualitative research which prevents understanding of the patient experience, a barrier to providing patient-centred care. This study aims to understand the impact of dietary restrictions for the management of acute diverticulitis on patient experience. Methods: Three semi-structured in-depth face to face interviews were conducted with adult patients admitted to a public hospital in South East Queensland, Australia for acute, uncomplicated diverticulitis treatment. Interviews were analysed following the interpretive phenomenological analysis (IPA) framework. Results: Inter-related themes of knowledge, control, social stigmatisation, and vulnerability were found to sit within a broad experience driven by fear of food and suffering. Theme interpretation guided the development of a “diverticulitis fear and suffering framework” which explained a phenomenon experienced by the patients. Sitting in a context of a lack of knowledge by patients, family, and health professionals, food was used as a vehicle of blame and causality for diverticulitis occurrence. “Fear of food” was a trigger for a cycle, which commences with dietary restrictions and leads to stigma, loss of culture, failure, blame, guilt, vulnerability, and back to a fear of food. With each cycle, fear of food, dietary restrictions, and patient suffering worsen.Conclusions: Considering patient experiences highlights the need for a multidisciplinary collaborative approach to avoid unnecessary dietary restrictions to prevent avoidable suffering by patients. Increased research regarding the dietary management of acute diverticulitis is essential to improve evidence-based practice to improve the quality of life for diverticulitis patients.

AB - Rationale: The inpatient dietary management for diverticulitis routinely includes dietary restrictions for inpatient management despite a lack of evidence for this approach. There is also a dearth of qualitative research which prevents understanding of the patient experience, a barrier to providing patient-centred care. This study aims to understand the impact of dietary restrictions for the management of acute diverticulitis on patient experience. Methods: Three semi-structured in-depth face to face interviews were conducted with adult patients admitted to a public hospital in South East Queensland, Australia for acute, uncomplicated diverticulitis treatment. Interviews were analysed following the interpretive phenomenological analysis (IPA) framework. Results: Inter-related themes of knowledge, control, social stigmatisation, and vulnerability were found to sit within a broad experience driven by fear of food and suffering. Theme interpretation guided the development of a “diverticulitis fear and suffering framework” which explained a phenomenon experienced by the patients. Sitting in a context of a lack of knowledge by patients, family, and health professionals, food was used as a vehicle of blame and causality for diverticulitis occurrence. “Fear of food” was a trigger for a cycle, which commences with dietary restrictions and leads to stigma, loss of culture, failure, blame, guilt, vulnerability, and back to a fear of food. With each cycle, fear of food, dietary restrictions, and patient suffering worsen.Conclusions: Considering patient experiences highlights the need for a multidisciplinary collaborative approach to avoid unnecessary dietary restrictions to prevent avoidable suffering by patients. Increased research regarding the dietary management of acute diverticulitis is essential to improve evidence-based practice to improve the quality of life for diverticulitis patients.

U2 - 10.1016/S0261-5614(19)32165-X

DO - 10.1016/S0261-5614(19)32165-X

M3 - Meeting Abstract

SN - 0261-5614

VL - 38

SP - S180

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - S1

M1 - MON-PO330

T2 - 41st ESPEN Congress on Clinical Nutrition and Metabolism

Y2 - 31 August 2019 through 3 September 2019

ER -

A Lack of Knowledge and a Fear of Food Triggers Suffering in Patients with a History of Acute Diverticulitis: An Interpretative Phenomenological Analysis

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Related Projects

Nutrition Research for Digestive Health

Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice

Research by Master of Nutrition and Dietetic Practice Students

Related Activities

Fiona Ebehardt - Masters of Nutrition and Dietetic Practice research project

Cite this