Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions
This study utilized a qualitative design to explore dietitians’ perceptions regarding Ketogenic Diet Therapy (KDT) for patients with drug-resistant epilepsy in Kenya. Dietitians from Kenya were selected and consented. Audio-recorded interviews were conducted, followed by thematic analysis of verbati...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Epilepsy & Behavior Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986424000182 |
| _version_ | 1797248275535888384 |
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| author | Pauline Samia Violet Naanyu J Helen Cross Richard Idro Paul Boon Jo Wilmshurst Stanley Luchters |
| author_facet | Pauline Samia Violet Naanyu J Helen Cross Richard Idro Paul Boon Jo Wilmshurst Stanley Luchters |
| author_sort | Pauline Samia |
| collection | DOAJ |
| description | This study utilized a qualitative design to explore dietitians’ perceptions regarding Ketogenic Diet Therapy (KDT) for patients with drug-resistant epilepsy in Kenya. Dietitians from Kenya were selected and consented. Audio-recorded interviews were conducted, followed by thematic analysis of verbatim transcripts to identify recurring patterns. The study enrolled 18 dietitians, fourteen of whom correctly described their understanding of KDT for managing drug-resistant epilepsy. There was a lack of confidence in their capacity to initiate the KDT with all expressing the need for further training and facilitation. Only one dietitian reported having initiated and maintained KDT. There was an overall positive view regarding KDT and willingness to implement KDT for patients with drug-resistant epilepsy. Dietitians expressed concerns regarding the availability of national policies, inadequate staffing to support families who require KDT, and the cost of implementing this intervention. Dietitians expressed interest in virtual training to enhance their understanding of KDT. Dietitians in Kenya are mostly aware of KDT utilization for the management of drug-resistant epilepsy. However, they cited poor capability and various barriers to implementation. There is a need for policies to facilitate KDT as a treatment option for the benefit of patients with drug-resistant epilepsy. |
| first_indexed | 2024-04-24T20:12:00Z |
| format | Article |
| id | doaj.art-66f1a6e615b946fc9fb157abaae477d6 |
| institution | Directory Open Access Journal |
| issn | 2589-9864 |
| language | English |
| last_indexed | 2024-04-24T20:12:00Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj.art-66f1a6e615b946fc9fb157abaae477d62024-03-23T06:25:46ZengElsevierEpilepsy & Behavior Reports2589-98642024-01-0126100661Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptionsPauline Samia0Violet Naanyu1J Helen Cross2Richard Idro3Paul Boon4Jo Wilmshurst5Stanley Luchters6Department of Paediatrics and Child Health, Medical College, Aga Khan University, 3rd Parklands Avenue, University Centre, Nairobi, Kenya; Brain and Mind Institute, Aga Khan University, 3rd Parklands Avenue, University Centre, Nairobi, Kenya; Department of Public Health and Primary Care, Ghent University, Sint-Pietersnieuwstraat 25, Gent, Ost-Flandern, Belgium; Corresponding author at: Aga Khan University, 3rd Parklands Avenue, University centre, P.O BOX 30270 00100, Nairobi, Kenya.School of Arts & Social Sciences, Moi University, Main Campus, Eldoret, Kenya; AMPATH Research, AMPATH Centre, Nandi Road, Eldoret, KenyaUCL BRC NIHR Great Ormond Street, Institute of Child Health, London, United KingdomMakerere University, Department of Paediatrics and Child Health, University Road, Kampala, UgandaDepartment of Neurology, Ghent University, Sint-Pietersnieuwstraat 25, Gent, Ost-Flandern, BelgiumDepartment of Paediatric Neurology, Red Cross War Memorial Children’s Hospital, Klipfontein Road, Cape Town, South Africa; Institute of Neurosciences, University of Cape Town, Woolsack Drive, Cape Town, South AfricaDepartment of Public Health and Primary Care, Ghent University, Sint-Pietersnieuwstraat 25, Gent, Ost-Flandern, Belgium; The Centre for Sexual Health and HIV/AIDS Research (CeSHHAR), 4 Bath Road, Harare, Zimbabwe; Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, United KingdomThis study utilized a qualitative design to explore dietitians’ perceptions regarding Ketogenic Diet Therapy (KDT) for patients with drug-resistant epilepsy in Kenya. Dietitians from Kenya were selected and consented. Audio-recorded interviews were conducted, followed by thematic analysis of verbatim transcripts to identify recurring patterns. The study enrolled 18 dietitians, fourteen of whom correctly described their understanding of KDT for managing drug-resistant epilepsy. There was a lack of confidence in their capacity to initiate the KDT with all expressing the need for further training and facilitation. Only one dietitian reported having initiated and maintained KDT. There was an overall positive view regarding KDT and willingness to implement KDT for patients with drug-resistant epilepsy. Dietitians expressed concerns regarding the availability of national policies, inadequate staffing to support families who require KDT, and the cost of implementing this intervention. Dietitians expressed interest in virtual training to enhance their understanding of KDT. Dietitians in Kenya are mostly aware of KDT utilization for the management of drug-resistant epilepsy. However, they cited poor capability and various barriers to implementation. There is a need for policies to facilitate KDT as a treatment option for the benefit of patients with drug-resistant epilepsy.http://www.sciencedirect.com/science/article/pii/S2589986424000182Drug-resistant epilepsyKetogenic dietLow-resource settingDietitianKenya |
| spellingShingle | Pauline Samia Violet Naanyu J Helen Cross Richard Idro Paul Boon Jo Wilmshurst Stanley Luchters Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions Epilepsy & Behavior Reports Drug-resistant epilepsy Ketogenic diet Low-resource setting Dietitian Kenya |
| title | Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions |
| title_full | Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions |
| title_fullStr | Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions |
| title_full_unstemmed | Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions |
| title_short | Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions |
| title_sort | ketogenic dietary therapy utilization in kenya a qualitative exploration of dietitian s perceptions |
| topic | Drug-resistant epilepsy Ketogenic diet Low-resource setting Dietitian Kenya |
| url | http://www.sciencedirect.com/science/article/pii/S2589986424000182 |
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