A qualitative study of CVD management and dietary changes: problems of 'too much' and 'contradictory' information.
BACKGROUND
Nutrition education for cardiovascular disease (CVD) management is not effective for all population groups. There is little understanding of the factors that hinder patients from adhering to dietary recommendations.


METHODS
37 interviews were conducted with people living with CVD in Adelaide, Australia. Recruitment occurred via General Practitioner (GP) clinics and hospital cardiac rehabilitation programs. Participants were either receiving preventive treatment or active treatment for established CVD.


RESULTS
The volume and contradictory nature of dietary information were the most prominent barriers to making changes identified in interviews, especially by order participants.


CONCLUSIONS
Patients will seek out, or come into contact with information which contradicts advice from their GPs. The volume of information may lead them to resort to old and familiar habits. GPs play a valuable role in highlighting key take-home messages and reliable external sources of information. The findings have implications for GP practice given that lifestyle changes are a cost- and clinically-effective means of managing CVD.
University of Waterloo, School of Health and Health System, 200 University Ave West, Waterloo, Ontario N2L 3G1, Canada. samantha.meyer@uwaterloo.ca.
Samantha B
SB
Meyer
John
J
Coveney
Paul R
PR
Ward
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000178:diet therapy*; D005260:Female; D006801:Humans; D033181:Information Dissemination; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012648:Self Care