Patients with mesothelioma and their carer's experience of diet and appetite: A qualitative insight from the Help‐Meso Study

Author:

Dismore Lorelle L.1ORCID,Taylor Leah L.2,Aujayeb Avinash2,Hurst Christopher34,Swainston Katherine5

Affiliation:

1. Innovation, Research and Development, Northumbria Healthcare NHS Foundation Trust, North Tyneside Hospital, Rake Lane North Shields UK

2. Respiratory Department Northumbria Healthcare NHS Foundation Trust, North Tyneside Hospital, Rake Lane North Shields UK

3. AGE Research Group, Translational and Clinical Research Institute, Faculty of Medical Sciences Newcastle University Newcastle UK

4. NIHR Newcastle Biomedical Research Centre, Newcastle University, Newcastle upon Tyne NHS Foundation Trust and Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Newcastle upon Tyne UK

5. School of Psychology, Population and Health Sciences Institute, Faculty of Medical Sciences Newcastle University Newcastle UK

Abstract

AbstractBackgroundPeople living with mesothelioma have a high symptom burden that can affect dietary intake and the development of malnutrition, subsequently impacting on patient‐related and treatment outcomes. The present study aimed to develop a better understanding of the experiences of diet and appetite in people living with mesothelioma and their informal carers.MethodsTwenty‐three participants took part in semistructured interviews including 12 people living with mesothelioma (10 pleural and 2 peritoneal) aged 56–83 years and 12 informal carers, predominantly their spouses. Open ended questions focussed on experiences of appetite and diet, as well as approaches to maintain adequate food intake. Thematic analysis was applied.ResultsFour themes were generated that included unintentional weight loss and poor appetite during diagnosis and when undergoing medical intervention. Participants managed their appetite and diet by taking each day at a time and this was influenced by the physical and emotional experiences of mesothelioma. The informal carer took on the lead role of managing their relatives' diet and implemented their own nutritional strategies and there were challenges with dietary advice.ConclusionsAppetite was viewed as a multidimensional experience and was grounded within the biopsychosocial model. The findings offer important insights into opportunities informing the development of effective interventions that provide meaningful benefits for individuals living with mesothelioma and their family.

Publisher

Wiley

Reference43 articles.

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4. Living with mesothelioma. A literature review

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