Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation
Aims To evaluate the acceptability of an 8‐week very‐low‐energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour‐regulation strategies used by participants in the Counterbalance study. Methods Eighteen of 30 participants in the Counterbalanc...
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| Veröffentlicht in: | Diabetic medicine 2017-11, Vol.34 (11), p.1554-1567 |
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| creator | Rehackova, L. Araújo‐Soares, V. Adamson, A. J. Steven, S. Taylor, R. Sniehotta, F. F. |
| description | Aims
To evaluate the acceptability of an 8‐week very‐low‐energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour‐regulation strategies used by participants in the Counterbalance study.
Methods
Eighteen of 30 participants in the Counterbalance study (ISRCTN88634530) took part in semi‐structured interviews. Of these, 15 participants were interviewed before and after the 8‐week very‐low‐energy diet intervention. Thematic analysis was used to analyse the narratives.
Results
The prospect of diabetes remission, considerable weight loss, and long‐term health improvement provided participants with substantial initial motivation. This motivation was sustained through the experience of rapid weight loss, improvements in blood glucose levels, social support and increased physical and psychological well‐being. Overall, adherence to the very‐low‐energy diet for 8 weeks was perceived as much easier than anticipated, but required personal effort. Participants addressed challenges by removing food from the environment, planning, avoidance of tempting situations or places, and self‐distraction. Weight loss and improvements in blood glucose levels lead to a sense of achievement and improvements in physical and psychological wellbeing.
Conclusions
Dietary treatment for reversal of Type 2 diabetes is acceptable and feasible in motivated participants, and the process is perceived as highly gratifying. Research outside of controlled trial settings is needed to gauge the generalisability of these findings.
What's new?
This is the first qualitative study to explore the acceptability of and patient experiences with very‐low‐energy diets (VLEDs), conducted within a diabetes remission study.
‘Before and after’ interviews identified barriers, facilitators and behaviour‐regulation strategies used by the participants and others. These findings can be used to support people on such programmes in the future.
The findings dispel concerns about the acceptability of VLEDs under clinical supervision, and highlight opportunities to further optimize support during dietary diabetes remission. |
| doi_str_mv | 10.1111/dme.13426 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5656912</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1951500062</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4436-1d5f51c5771c98d87494d5ffb81207ade4a9bed8c5c242d9a9e4157acd67752a3</originalsourceid><addsrcrecordid>eNp1kc9uFSEUh4mxsdfqwhcwJG50MS0wMAwuTJraapMaN3VNGDhzS8MdRpi5dXY-gs_ok0h7a6MmsuDvly_n8EPoBSWHtIwjt4FDWnPWPEIryhteCa7oY7QikrOqJpLuo6c5XxNCmarVE7TPWskk43KFwrG1ME6m88FPC449NngLafn5_UeIN2WGAdJ6wc7DhP2AL5cRMCtH08EE-S0ezeRhmDB8GyGVnYWMzeBwB1dm6-OccIL1HAoVh2dorzchw_P79QB9OTu9PPlYXXz-cH5yfFFZzuumok70glohJbWqda3kipervmspI9I44EZ14ForLOPMKaOAUyGNdY2Ugpn6AL3bece524Czpb5kgh6T35i06Gi8_vtl8Fd6HbdaNKJRlBXB63tBil9nyJPe-GwhBDNAnLOmitHy4ULIgr76B70uTQ-lvUIJKgghza3wzY6yKeacoH8ohhJ9m6EuGeq7DAv78s_qH8jfoRXgaAfc-ADL_036_afTnfIXQACpPg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1951500062</pqid></control><display><type>article</type><title>Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Rehackova, L. ; Araújo‐Soares, V. ; Adamson, A. J. ; Steven, S. ; Taylor, R. ; Sniehotta, F. F.</creator><creatorcontrib>Rehackova, L. ; Araújo‐Soares, V. ; Adamson, A. J. ; Steven, S. ; Taylor, R. ; Sniehotta, F. F.</creatorcontrib><description>Aims
To evaluate the acceptability of an 8‐week very‐low‐energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour‐regulation strategies used by participants in the Counterbalance study.
Methods
Eighteen of 30 participants in the Counterbalance study (ISRCTN88634530) took part in semi‐structured interviews. Of these, 15 participants were interviewed before and after the 8‐week very‐low‐energy diet intervention. Thematic analysis was used to analyse the narratives.
Results
The prospect of diabetes remission, considerable weight loss, and long‐term health improvement provided participants with substantial initial motivation. This motivation was sustained through the experience of rapid weight loss, improvements in blood glucose levels, social support and increased physical and psychological well‐being. Overall, adherence to the very‐low‐energy diet for 8 weeks was perceived as much easier than anticipated, but required personal effort. Participants addressed challenges by removing food from the environment, planning, avoidance of tempting situations or places, and self‐distraction. Weight loss and improvements in blood glucose levels lead to a sense of achievement and improvements in physical and psychological wellbeing.
Conclusions
Dietary treatment for reversal of Type 2 diabetes is acceptable and feasible in motivated participants, and the process is perceived as highly gratifying. Research outside of controlled trial settings is needed to gauge the generalisability of these findings.
What's new?
This is the first qualitative study to explore the acceptability of and patient experiences with very‐low‐energy diets (VLEDs), conducted within a diabetes remission study.
‘Before and after’ interviews identified barriers, facilitators and behaviour‐regulation strategies used by the participants and others. These findings can be used to support people on such programmes in the future.
The findings dispel concerns about the acceptability of VLEDs under clinical supervision, and highlight opportunities to further optimize support during dietary diabetes remission.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.13426</identifier><identifier>PMID: 28727247</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Blood ; Body weight loss ; Caloric Restriction - methods ; Caloric Restriction - psychology ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - diet therapy ; Diabetes Mellitus, Type 2 - psychology ; Diet ; Diet, Reducing - psychology ; Energy ; Female ; Glucose ; Health Behavior - physiology ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Motivation ; Nutrient deficiency ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Perception ; Qualitative research ; Remission ; Research: Educational and Psychological Issues ; Self-Control - psychology ; Social interactions ; Weight Loss - physiology ; Well being</subject><ispartof>Diabetic medicine, 2017-11, Vol.34 (11), p.1554-1567</ispartof><rights>2017 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.</rights><rights>Diabetic Medicine © 2017 Diabetes UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4436-1d5f51c5771c98d87494d5ffb81207ade4a9bed8c5c242d9a9e4157acd67752a3</citedby><cites>FETCH-LOGICAL-c4436-1d5f51c5771c98d87494d5ffb81207ade4a9bed8c5c242d9a9e4157acd67752a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.13426$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.13426$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28727247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rehackova, L.</creatorcontrib><creatorcontrib>Araújo‐Soares, V.</creatorcontrib><creatorcontrib>Adamson, A. J.</creatorcontrib><creatorcontrib>Steven, S.</creatorcontrib><creatorcontrib>Taylor, R.</creatorcontrib><creatorcontrib>Sniehotta, F. F.</creatorcontrib><title>Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims
To evaluate the acceptability of an 8‐week very‐low‐energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour‐regulation strategies used by participants in the Counterbalance study.
Methods
Eighteen of 30 participants in the Counterbalance study (ISRCTN88634530) took part in semi‐structured interviews. Of these, 15 participants were interviewed before and after the 8‐week very‐low‐energy diet intervention. Thematic analysis was used to analyse the narratives.
Results
The prospect of diabetes remission, considerable weight loss, and long‐term health improvement provided participants with substantial initial motivation. This motivation was sustained through the experience of rapid weight loss, improvements in blood glucose levels, social support and increased physical and psychological well‐being. Overall, adherence to the very‐low‐energy diet for 8 weeks was perceived as much easier than anticipated, but required personal effort. Participants addressed challenges by removing food from the environment, planning, avoidance of tempting situations or places, and self‐distraction. Weight loss and improvements in blood glucose levels lead to a sense of achievement and improvements in physical and psychological wellbeing.
Conclusions
Dietary treatment for reversal of Type 2 diabetes is acceptable and feasible in motivated participants, and the process is perceived as highly gratifying. Research outside of controlled trial settings is needed to gauge the generalisability of these findings.
What's new?
This is the first qualitative study to explore the acceptability of and patient experiences with very‐low‐energy diets (VLEDs), conducted within a diabetes remission study.
‘Before and after’ interviews identified barriers, facilitators and behaviour‐regulation strategies used by the participants and others. These findings can be used to support people on such programmes in the future.
The findings dispel concerns about the acceptability of VLEDs under clinical supervision, and highlight opportunities to further optimize support during dietary diabetes remission.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood</subject><subject>Body weight loss</subject><subject>Caloric Restriction - methods</subject><subject>Caloric Restriction - psychology</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - diet therapy</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diet</subject><subject>Diet, Reducing - psychology</subject><subject>Energy</subject><subject>Female</subject><subject>Glucose</subject><subject>Health Behavior - physiology</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Nutrient deficiency</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Perception</subject><subject>Qualitative research</subject><subject>Remission</subject><subject>Research: Educational and Psychological Issues</subject><subject>Self-Control - psychology</subject><subject>Social interactions</subject><subject>Weight Loss - physiology</subject><subject>Well being</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc9uFSEUh4mxsdfqwhcwJG50MS0wMAwuTJraapMaN3VNGDhzS8MdRpi5dXY-gs_ok0h7a6MmsuDvly_n8EPoBSWHtIwjt4FDWnPWPEIryhteCa7oY7QikrOqJpLuo6c5XxNCmarVE7TPWskk43KFwrG1ME6m88FPC449NngLafn5_UeIN2WGAdJ6wc7DhP2AL5cRMCtH08EE-S0ezeRhmDB8GyGVnYWMzeBwB1dm6-OccIL1HAoVh2dorzchw_P79QB9OTu9PPlYXXz-cH5yfFFZzuumok70glohJbWqda3kipervmspI9I44EZ14ForLOPMKaOAUyGNdY2Ugpn6AL3bece524Czpb5kgh6T35i06Gi8_vtl8Fd6HbdaNKJRlBXB63tBil9nyJPe-GwhBDNAnLOmitHy4ULIgr76B70uTQ-lvUIJKgghza3wzY6yKeacoH8ohhJ9m6EuGeq7DAv78s_qH8jfoRXgaAfc-ADL_036_afTnfIXQACpPg</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Rehackova, L.</creator><creator>Araújo‐Soares, V.</creator><creator>Adamson, A. J.</creator><creator>Steven, S.</creator><creator>Taylor, R.</creator><creator>Sniehotta, F. F.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201711</creationdate><title>Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation</title><author>Rehackova, L. ; Araújo‐Soares, V. ; Adamson, A. J. ; Steven, S. ; Taylor, R. ; Sniehotta, F. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4436-1d5f51c5771c98d87494d5ffb81207ade4a9bed8c5c242d9a9e4157acd67752a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood</topic><topic>Body weight loss</topic><topic>Caloric Restriction - methods</topic><topic>Caloric Restriction - psychology</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - diet therapy</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diet</topic><topic>Diet, Reducing - psychology</topic><topic>Energy</topic><topic>Female</topic><topic>Glucose</topic><topic>Health Behavior - physiology</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Nutrient deficiency</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Perception</topic><topic>Qualitative research</topic><topic>Remission</topic><topic>Research: Educational and Psychological Issues</topic><topic>Self-Control - psychology</topic><topic>Social interactions</topic><topic>Weight Loss - physiology</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rehackova, L.</creatorcontrib><creatorcontrib>Araújo‐Soares, V.</creatorcontrib><creatorcontrib>Adamson, A. J.</creatorcontrib><creatorcontrib>Steven, S.</creatorcontrib><creatorcontrib>Taylor, R.</creatorcontrib><creatorcontrib>Sniehotta, F. F.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rehackova, L.</au><au>Araújo‐Soares, V.</au><au>Adamson, A. J.</au><au>Steven, S.</au><au>Taylor, R.</au><au>Sniehotta, F. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2017-11</date><risdate>2017</risdate><volume>34</volume><issue>11</issue><spage>1554</spage><epage>1567</epage><pages>1554-1567</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><abstract>Aims
To evaluate the acceptability of an 8‐week very‐low‐energy diet for remission of Type 2 diabetes, and to identify barriers and facilitators of adherence and behaviour‐regulation strategies used by participants in the Counterbalance study.
Methods
Eighteen of 30 participants in the Counterbalance study (ISRCTN88634530) took part in semi‐structured interviews. Of these, 15 participants were interviewed before and after the 8‐week very‐low‐energy diet intervention. Thematic analysis was used to analyse the narratives.
Results
The prospect of diabetes remission, considerable weight loss, and long‐term health improvement provided participants with substantial initial motivation. This motivation was sustained through the experience of rapid weight loss, improvements in blood glucose levels, social support and increased physical and psychological well‐being. Overall, adherence to the very‐low‐energy diet for 8 weeks was perceived as much easier than anticipated, but required personal effort. Participants addressed challenges by removing food from the environment, planning, avoidance of tempting situations or places, and self‐distraction. Weight loss and improvements in blood glucose levels lead to a sense of achievement and improvements in physical and psychological wellbeing.
Conclusions
Dietary treatment for reversal of Type 2 diabetes is acceptable and feasible in motivated participants, and the process is perceived as highly gratifying. Research outside of controlled trial settings is needed to gauge the generalisability of these findings.
What's new?
This is the first qualitative study to explore the acceptability of and patient experiences with very‐low‐energy diets (VLEDs), conducted within a diabetes remission study.
‘Before and after’ interviews identified barriers, facilitators and behaviour‐regulation strategies used by the participants and others. These findings can be used to support people on such programmes in the future.
The findings dispel concerns about the acceptability of VLEDs under clinical supervision, and highlight opportunities to further optimize support during dietary diabetes remission.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28727247</pmid><doi>10.1111/dme.13426</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetic medicine, 2017-11, Vol.34 (11), p.1554-1567 |
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| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Aged Blood Body weight loss Caloric Restriction - methods Caloric Restriction - psychology Diabetes Diabetes mellitus Diabetes Mellitus, Type 2 - diet therapy Diabetes Mellitus, Type 2 - psychology Diet Diet, Reducing - psychology Energy Female Glucose Health Behavior - physiology Humans Interviews as Topic Male Middle Aged Motivation Nutrient deficiency Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Perception Qualitative research Remission Research: Educational and Psychological Issues Self-Control - psychology Social interactions Weight Loss - physiology Well being |
| title | Acceptability of a very‐low‐energy diet in Type 2 diabetes: patient experiences and behaviour regulation |
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