title: Dietary change: what are the responses and roles of significant others?
abstract: OBJECTIVE
  This study examined the impact of one person's dietary change on the experiences of a significant other with whom they regularly shared meals.
  
  
  METHODS
  Qualitative constant comparison approach using semistructured interviews.
  
  
  METHODS
  Community-based.
  
  
  METHODS
  Forty-two participants were recruited using a stratified purposive sampling strategy.
  
  
  METHODS
  Verbatim transcripts were analyzed using NUD*IST, version 4.0 software (Qualitative Solutions and Research, Melbourne, Australia, 1997) and manual coding.
  
  
  RESULTS
  Most dietary changers had modified their diets in response to a disease diagnosis (eg, cardiovascular disease, diabetes, cancer, hypoglycemia, acquired immunodeficiency syndrome (AIDS), ulcer, allergies). Others had changed their diets for personal reasons (eg, weight loss, vegetarian diets). The dietary changes included dietary fat reduction, conversion to vegetarian or vegan diets, restriction of total kilocalorie intake, and elimination or reduction of specific food items. Significant others described a range of emotional responses to the dietary change, including cooperation, encouragement, skepticism, and anger. Significant others' descriptions of the roles that they played in the dietary change were positive (enabling), neutral (neither enabling nor inhibiting), or negative (inhibiting). Most significant others played positive roles; few played neutral or negative roles.
  
  
  CONCLUSIONS
  Understanding dietary change from the perspective of significant others can enable nutrition professionals to develop strategies to promote dietary modifications as a shared activity.
authors.affiliation: School of Nutrition, Ryerson University, Toronto, Ontario, Canada.
authors.forename: Judy
authors.initials: J
authors.lastname: Paisley
authors.forename: Heather
authors.initials: H
authors.lastname: Beanlands
authors.forename: Joanne
authors.initials: J
authors.lastname: Goldman
authors.forename: Susan
authors.initials: S
authors.lastname: Evers
authors.forename: Janet
authors.initials: J
authors.lastname: Chappell
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004032:Diet / Q000523:psychology* / Q000639:trends*; D005191:Family Characteristics; D005247:Feeding Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009747:Nutritional Physiological Phenomena / Q000502:physiology*; D015431:Weight Loss