Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.

OBJECTIVE:This study aims to identify determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation, from the perspectives of both wheelchair users and rehabilitation professionals. The findings should contribute to the field of health promotion programs for...

Full description

Bibliographic Details
Main Authors: Jasmijn F M Holla, Lizanne E van den Akker, Tessa Dadema, Sonja de Groot, Michael Tieland, Peter J M Weijs, Marije Deutekom, WHEELS-study group
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0228465
_version_ 1819146874849853440
author Jasmijn F M Holla
Lizanne E van den Akker
Tessa Dadema
Sonja de Groot
Michael Tieland
Peter J M Weijs
Marije Deutekom
WHEELS-study group
author_facet Jasmijn F M Holla
Lizanne E van den Akker
Tessa Dadema
Sonja de Groot
Michael Tieland
Peter J M Weijs
Marije Deutekom
WHEELS-study group
author_sort Jasmijn F M Holla
collection DOAJ
description OBJECTIVE:This study aims to identify determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation, from the perspectives of both wheelchair users and rehabilitation professionals. The findings should contribute to the field of health promotion programs for wheelchair users. METHODS:Five focus groups were held with wheelchair users (n = 25), and two with rehabilitation professionals (n = 11). A thematic approach was used for data analysis in which the determinants were categorized using an integrated International Classification of Functioning, Disability and Health and Attitude, Social influence and self-Efficacy model. RESULTS:Reported personal factors influencing dietary behaviour in wheelchair users were knowledge, boredom, fatigue, stage of life, habits, appetite, self-control, multiple lifestyle problems, intrinsic motivation, goal setting, monitoring, risk perception, positive experiences, suffering, action planning, health condition, function impairments, attitude and self-efficacy. Reported environmental factors influencing dietary behaviour in wheelchair users were unadjusted kitchens, monitoring difficulties, eating out, costs, unfavourable food supply, nutrition education/counselling, access to simple healthy recipes, eating together, cooking for others, and awareness and support of family and friends. CONCLUSIONS:Important modifiable determinants of dietary behaviour in wheelchair users that might be influenced in lifestyle interventions are knowledge, fatigue, habits, self-control, intrinsic motivation, risk perception, attitude and self-efficacy. It is recommended to involve relatives, since they appear to significantly influence dietary behaviour.
first_indexed 2024-12-22T13:20:52Z
format Article
id doaj.art-00075b0398e748c18dcbe9d71456cbbb
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-22T13:20:52Z
publishDate 2020-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-00075b0398e748c18dcbe9d71456cbbb2022-12-21T18:24:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e022846510.1371/journal.pone.0228465Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.Jasmijn F M HollaLizanne E van den AkkerTessa DademaSonja de GrootMichael TielandPeter J M WeijsMarije DeutekomWHEELS-study groupOBJECTIVE:This study aims to identify determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation, from the perspectives of both wheelchair users and rehabilitation professionals. The findings should contribute to the field of health promotion programs for wheelchair users. METHODS:Five focus groups were held with wheelchair users (n = 25), and two with rehabilitation professionals (n = 11). A thematic approach was used for data analysis in which the determinants were categorized using an integrated International Classification of Functioning, Disability and Health and Attitude, Social influence and self-Efficacy model. RESULTS:Reported personal factors influencing dietary behaviour in wheelchair users were knowledge, boredom, fatigue, stage of life, habits, appetite, self-control, multiple lifestyle problems, intrinsic motivation, goal setting, monitoring, risk perception, positive experiences, suffering, action planning, health condition, function impairments, attitude and self-efficacy. Reported environmental factors influencing dietary behaviour in wheelchair users were unadjusted kitchens, monitoring difficulties, eating out, costs, unfavourable food supply, nutrition education/counselling, access to simple healthy recipes, eating together, cooking for others, and awareness and support of family and friends. CONCLUSIONS:Important modifiable determinants of dietary behaviour in wheelchair users that might be influenced in lifestyle interventions are knowledge, fatigue, habits, self-control, intrinsic motivation, risk perception, attitude and self-efficacy. It is recommended to involve relatives, since they appear to significantly influence dietary behaviour.https://doi.org/10.1371/journal.pone.0228465
spellingShingle Jasmijn F M Holla
Lizanne E van den Akker
Tessa Dadema
Sonja de Groot
Michael Tieland
Peter J M Weijs
Marije Deutekom
WHEELS-study group
Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
PLoS ONE
title Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
title_full Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
title_fullStr Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
title_full_unstemmed Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
title_short Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users.
title_sort determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation perspectives of rehabilitation professionals and wheelchair users
url https://doi.org/10.1371/journal.pone.0228465
work_keys_str_mv AT jasmijnfmholla determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT lizanneevandenakker determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT tessadadema determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT sonjadegroot determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT michaeltieland determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT peterjmweijs determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT marijedeutekom determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers
AT wheelsstudygroup determinantsofdietarybehaviourinwheelchairuserswithspinalcordinjuryorlowerlimbamputationperspectivesofrehabilitationprofessionalsandwheelchairusers