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Findings from an exploration of a social network intervention to promote diet quality and health behaviours in adults with COPD: a feasibility study

Findings from an exploration of a social network intervention to promote diet quality and health behaviours in adults with COPD: a feasibility study
Findings from an exploration of a social network intervention to promote diet quality and health behaviours in adults with COPD: a feasibility study
Background: diet quality in older people with Chronic Obstructive Pulmonary Disease (COPD) is associated with better health and lung function. Social factors, such as social support, social networks and participation in activities, have been linked with diet quality in older age. A social network tool – GENIE (Generating Engagement in Network Involvement) – was implemented in a COPD community care context. The study aimed to assess the feasibility of the GENIE intervention to promote diet quality and other health behaviours in COPD.

Methods: twenty-two community-dwelling older adults with COPD were recruited from a local COPD Service. Participants were offered usual care or the GENIE intervention. Process evaluation methods were used to assess intervention implementation, context and mechanisms of impact; these included observations of patient interactions with the intervention, documented in observational field notes and in films of a patient group discussion. Diet quality was assessed by food frequency questionnaire; ‘prudent’ diet scores were used to describe diet quality at baseline and at 3-month follow-up. Change in diet quality was expressed per month, from baseline to follow-up.

Results: feasibility data showed that the GENIE intervention could be implemented in this sample of community-living older people. The intervention was acceptable to clinicians and older people with COPD, especially for those with less severe disease, when facilitated appropriately and considering the levels of literacy of participants. There was no significant change in diet quality in the intervention group over the follow-up period (median change in prudent diet score per month, (interquartile range (IQR)): 0.03, (-0.24 – 0.07)); whereas an overall fall in diet quality was observed in the control group (-0.15, (-0.24 – 0.03)).

Conclusion: the process evaluation findings suggest that this intervention is feasible and acceptable to both patients and clinicians. Although the sample size achieved in this study was small, findings suggest that the intervention may have a protective effect against declines in diet quality, and other health behaviours, in an older COPD population. Findings from this feasibility study indicate that further evaluation of the GENIE intervention is warranted in a larger study, with a longer follow-up.
Ageing, COPD, Diet, Feasibility, GENIE, Health behaviours, Older adults, Randomised controlled trial, Social networks
2055-5784
Bloom, Ilse
af2a38ab-3255-414d-afa1-e3089ee45e3f
Welch, Lindsay
2884956f-21b6-47e7-8321-1409f5346cac
Vassilev, Ivaylo
7f527466-98d8-4b08-a11f-26e115d7c32f
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Bloom, Ilse
af2a38ab-3255-414d-afa1-e3089ee45e3f
Welch, Lindsay
2884956f-21b6-47e7-8321-1409f5346cac
Vassilev, Ivaylo
7f527466-98d8-4b08-a11f-26e115d7c32f
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824

Bloom, Ilse, Welch, Lindsay, Vassilev, Ivaylo, Rogers, Anne, Jameson, Karen, Cooper, Cyrus, Robinson, Sian and Baird, Janis (2020) Findings from an exploration of a social network intervention to promote diet quality and health behaviours in adults with COPD: a feasibility study. Pilot and Feasibility Studies, 6 (1), [15]. (doi:10.1186/s40814-020-0553-z).

Record type: Article

Abstract

Background: diet quality in older people with Chronic Obstructive Pulmonary Disease (COPD) is associated with better health and lung function. Social factors, such as social support, social networks and participation in activities, have been linked with diet quality in older age. A social network tool – GENIE (Generating Engagement in Network Involvement) – was implemented in a COPD community care context. The study aimed to assess the feasibility of the GENIE intervention to promote diet quality and other health behaviours in COPD.

Methods: twenty-two community-dwelling older adults with COPD were recruited from a local COPD Service. Participants were offered usual care or the GENIE intervention. Process evaluation methods were used to assess intervention implementation, context and mechanisms of impact; these included observations of patient interactions with the intervention, documented in observational field notes and in films of a patient group discussion. Diet quality was assessed by food frequency questionnaire; ‘prudent’ diet scores were used to describe diet quality at baseline and at 3-month follow-up. Change in diet quality was expressed per month, from baseline to follow-up.

Results: feasibility data showed that the GENIE intervention could be implemented in this sample of community-living older people. The intervention was acceptable to clinicians and older people with COPD, especially for those with less severe disease, when facilitated appropriately and considering the levels of literacy of participants. There was no significant change in diet quality in the intervention group over the follow-up period (median change in prudent diet score per month, (interquartile range (IQR)): 0.03, (-0.24 – 0.07)); whereas an overall fall in diet quality was observed in the control group (-0.15, (-0.24 – 0.03)).

Conclusion: the process evaluation findings suggest that this intervention is feasible and acceptable to both patients and clinicians. Although the sample size achieved in this study was small, findings suggest that the intervention may have a protective effect against declines in diet quality, and other health behaviours, in an older COPD population. Findings from this feasibility study indicate that further evaluation of the GENIE intervention is warranted in a larger study, with a longer follow-up.

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Manuscript_GENIEdiet_Re-submission 2_191219 - Accepted Manuscript
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More information

Accepted/In Press date: 22 January 2020
e-pub ahead of print date: 6 February 2020
Published date: 6 February 2020
Keywords: Ageing, COPD, Diet, Feasibility, GENIE, Health behaviours, Older adults, Randomised controlled trial, Social networks

Identifiers

Local EPrints ID: 437980
URI: http://eprints.soton.ac.uk/id/eprint/437980
ISSN: 2055-5784
PURE UUID: 3167d6ab-423e-4795-a7ed-97f1c9cf190a
ORCID for Ilse Bloom: ORCID iD orcid.org/0000-0002-4893-1790
ORCID for Lindsay Welch: ORCID iD orcid.org/0000-0001-5564-2252
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Sian Robinson: ORCID iD orcid.org/0000-0003-1766-7269
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361

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Date deposited: 25 Feb 2020 17:30
Last modified: 19 Feb 2021 02:44

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