A qualitative exploration of social and environmental factors affecting diet and activity in knee replacement patients.
Sara A Hoffman, Gwendolyn Ledford, Kenzie A Cameron and 2 others
PMID 30461097WHAT IT FOUND
Knee replacement patients said tempting foods at work, rehab and family events made healthy eating hard.
Home healthy food, spousal support and activity reminders helped. Weather was a common barrier to moving.
Key findings
01Participants reported tempting unhealthy food at restaurants, work and rehabilitation facilities as a common barrier to healthy eating.
02Participants reported that support from spouses, family and healthcare professionals helped them eat healthier and be more physically active.
03Participants reported weather as a barrier to activity and access to indoor and outdoor exercise options as a help.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
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What it does not show
The 20 participants were mostly urban, Caucasian and highly educated. No marital or living status was reported. Participants used their own definitions of healthy eating and physical activity. Participants were within three months of surgery, so routines may not have resumed. Interviews were done in fall and winter.
The easy way to misread this
Do not read these barriers and facilitators as proof that a weight management programme works. The study asked patients what they thought helped or hindered eating and activity. It did not test an intervention or measure outcomes.