title: An exploration of food and the lived experience of individuals after treatment for colorectal cancer using a phenomenological approach.
abstract: BACKGROUND
  There is a paucity of qualitative literature investigating people's experiences of food and nutrition after treatment for cancer. The present study aimed to explore people's relationships with food and nutrition throughout their colorectal cancer journey.
  
  
  METHODS
  In-depth semi-structured interviews were conducted with 25 participants who had undergone surgery for colorectal cancer. The study design was informed by principles of phenomenology. Data were collected then transcribed and analysed using an inductive coding process and a thematic analysis to allow the themes to highlight people's lived experiences.
  
  
  RESULTS
  Data enabled five primary themes to be drawn including: 'appetite swings', 'emotions on a changing physicality', 'the medicalisation of food', 'taking control of symptom management' and a cross-cutting theme 'drivers and vehicles for action'. Feelings and emotions described by participants around their relationship with food and nutritional status often guided decisions on what was eaten more than objective nutritional measure or dietary advice. Participants used weight changes, appetite and food as barometers to measure their overall recovery. Food was an area over which people exhibited control of their lives and they could quantify, in measurable units, their overall well-being and rehabilitation. They did this either by using the currency of body weight in pounds or the size of portions eaten.
  
  
  CONCLUSIONS
  Appetite, weight and symptoms influenced dietary intake substantially and were poignant issues affecting people's lives. The relationship people have with food determines their eating habits and an understanding of the essences and nuances of their experiences is essential to enable the delivery of patient-centred care.
authors.affiliation: School of Nursing Midwifery and Social Work, University of Manchester, Manchester, UK.
authors.forename: S T
authors.initials: ST
authors.lastname: Burden
authors.affiliation: Christie Hospital NHS Trust, Manchester, UK.
authors.forename: Z
authors.initials: Z
authors.lastname: Stamataki
authors.affiliation: Department of Surgery, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Hill
authors.affiliation: School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
authors.forename: A
authors.initials: A
authors.lastname: Molasiotis
authors.affiliation: School of Nursing Midwifery and Social Work, University of Manchester, Manchester, UK.
authors.forename: C
authors.initials: C
authors.lastname: Todd
mesh_terms: D000359:Aftercare / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D001066:Appetite; D001835:Body Weight; D015179:Colorectal Neoplasms / Q000178:diet therapy*; D004032:Diet; D004644:Emotions; D005069:Evaluation Studies as Topic; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D044623:Nutrition Therapy; D009752:Nutritional Status; D064787:Portion Size; D011184:Postoperative Period; D057234:Preoperative Period
keywords: cancer; colorectal; nutrition; qualitative