Implementing a Mediterranean diet intervention into a RCT: lessons learned from a non-Mediterranean based country

Middleton, Geoff and Keegan, Richard and Smith, Mark F. and Alkhatib, Ahmed and Klonizakis, Markos (2015) Implementing a Mediterranean diet intervention into a RCT: lessons learned from a non-Mediterranean based country. Journal of Nutrition, Health and Aging, 19 (10). pp. 1019-1022. ISSN 1279-7707

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Item Type:Article
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Abstract

Objective
To examine the participant experiences regarding perceived barriers and facilitators which impact on consuming the Mediterranean diet in the East of England.
Design
Qualitative methodology with focus groups.
Setting
A healthy, middle-aged population situated in the East of England.
Intervention
An 8-week Mediterranean dietary intervention trial.
Participants
Eleven participants (including three co-habiting partners) in three focus groups, ranging between 50-65yrs with a mean age of 54.3yrs (±4.0)
Results
Thematic analysis from the focus groups revealed that participants considered that the MD intervention had introduced a better quality of food, widening the food-horizon and allowed them to re-define cultural eating habits. They also reported several physical benefits from adapting to this diet and found the experience as positive. Whilst claiming that the MD was an enjoyable and pleasurable, the participants did express difficulty adapting to the eating pattern, finding difficulty in purchasing food items, an increase in food costs and found work, stress and time pressures undermining adherence.
Conclusion
The participants’ experiences suggested that the MD was an encouraging dietary change with a middle aged non-Mediterranean based population group. Future MD interventions should tailor interventions and support participants closely, particularly with the necessary planning, organisation and purchasing involved with implementing this diet in non-Mediterranean countries. Secondly, researchers should also challenge any erroneous assumptions regarding the consumption of Mediterranean food, which may hinder implementation.

Keywords:nutrition, RCT, NotOAChecked
Subjects:B Subjects allied to Medicine > B410 Dietetics
C Biological Sciences > C600 Sports Science
A Medicine and Dentistry > A100 Pre-clinical Medicine
B Subjects allied to Medicine > B400 Nutrition
B Subjects allied to Medicine > B120 Physiology
Divisions:College of Social Science > School of Sport and Exercise Science
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ID Code:17219
Deposited On:20 Apr 2015 08:37

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