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Full text release has been delayed at the author's request until May 10, 2027

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Post-Traumatic Growth Following Nutrition Integration During Lung Cancer Treatment: A Qualitative Study

Pavuk, Chloe Faith
http://orcid.org/0000-0001-7354-1682
http://rave.ohiolink.edu/etdc/view?acc_num=osu1649937936961594

Abstract Details

2022, Master of Science, Ohio State University, Health and Rehabilitation Sciences.
Abstract Background: Up to 69% of patients with lung cancer experience malnutrition and nutrition impact symptoms that adversely influence their treatment and prognosis. The current standard of oncology care does not fully integrate nutrition into care despite 60% of clients requesting it. Objective: To assess the impact and experiences of vulnerable patients with lung cancer participating in an intensive nutrition intervention consisting of weekly medical nutrition therapy (MNT) informed by motivational interviewing (MI) plus home-delivered medically tailored meals (MTM) during active treatment for lung cancer. Methods: Telephonic semi-structured interviews were conducted by two dietetic graduate students with 20 vulnerable patients undergoing treatment for lung cancer who were recruited from four cancer centers across the nation. Interviews occurred approximately eight weeks into the intervention and were scheduled on off-treatment weeks with patients. All interviews were transcribed verbatim, and the transcripts were analyzed using thematic analysis within NVIVO12™ software. Inter-rater agreement was estimated at >80%. Results: Three themes were identified: (1) engagement and mediators of behavior change; (2) behavior change; and (3) psychological resilience. Conclusions: Integration of medical nutrition therapy informed by motivational interviewing plus the provision of medically tailored meals throughout active lung cancer treatment resulted in improved patient engagement, health behaviors, and psychological resilience thus contributing to post-traumatic growth.These data can inform the standard of care for lung cancer, substantiating the integration of dietitians trained in motivational interviewing into the oncology care team across the cancer continuum.
Colleen Spees (Advisor)
Jessica Krok-Schoen (Committee Member)
Carolyn Presley (Committee Member)
Pamela Rothpletz-Puglia (Committee Member)
147 p.
Health Sciences; Nutrition; Oncology
lung cancer · qualitative · motivational interviewing · post-traumatic growth · medically tailored meals · nutrition

Recommended Citations

Citations

  • Pavuk, C. F. (2022). Post-Traumatic Growth Following Nutrition Integration During Lung Cancer Treatment: A Qualitative Study [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1649937936961594

    APA Style (7th edition)

  • Pavuk, Chloe. Post-Traumatic Growth Following Nutrition Integration During Lung Cancer Treatment: A Qualitative Study. 2022. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1649937936961594.

    MLA Style (8th edition)

  • Pavuk, Chloe. "Post-Traumatic Growth Following Nutrition Integration During Lung Cancer Treatment: A Qualitative Study." Master's thesis, Ohio State University, 2022. http://rave.ohiolink.edu/etdc/view?acc_num=osu1649937936961594

    Chicago Manual of Style (17th edition)

osu1649937936961594
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This open access ETD is published by The Ohio State University and OhioLINK.