Mad Dog Nutrition Program Consult: A Qualitative approach to Perceptions of Task and Barrier Self-Efficacy, and Long-term Adherence

Abstract

Past research has demonstrated that neurological populations (i.e., spinal cord injury and multiple sclerosis) can benefit from an anti-inflammatory diet (Allison & Ditor, 2015; Allison et al., 2016). Although able to reduce inflammation and improve other health related measures, adherence to the diet was substantially lower one year later (Allison & Ditor, 2018). Investigation into factors impacting adherence was successful in identifying applicable barriers and facilitators (Bailey et al., 2017). Using existing knowledge, a pilot nutrition consult (Mad Dog Consult) was created in hopes of improving adherence to the diet. After the consult and a 1-month intervention period, participants were later interviewed with regard to their experience. Interviews were conducted under a constructivist world view and analysis was guided by reflexive thematic analysis (RTA). This study aimed to 1) determine how the Mad Dog Consultation changed individual perceptions of task and barrier self-efficacy (SE) and long-term adherence, and 2) gather participant feedback regarding effectiveness and delivery of the consultation for future modifications. Resulting themes are as follows. Primary themes: Independent Investigation* and Utilizing Self-Awareness; secondary themes: Learning & Trying New Things, Resources & Tools*, Confidence & Commitment, Support & Cooperation*, Health Concerns & Considerations, Inadequate/Ineffective knowledge*, Emotion & Environment, Sourcing & Expense, Accessibility (Physical Challenges), and Inconvenience; and sub-themes: Small Changes, Weight Loss, and Energy Level & Focus. While these findings confirm the consult’s positive impact on addressed barriers and facilitators, it also indicates the need for booster sessions, further adaptation to “busy lives”, and reinforcing of individual strengths. Therefore, it can be concluded that while the consult was demonstrated to act as a catalyst for healthy change, further investigation is still required.