Evidence map›Paper›PMID 34935521›Full record

ArticleChronic illness2023

Patient, carer and healthcare professional perspectives on increasing calorie intake in Amyotrophic Lateral Sclerosis.

Elizabeth Coates, Nicolò Zarotti, Isobel Williams, Sean White, Vanessa Halliday, Daniel Beever, Gemma Hackney, Theocharis Stavroulakis, David White, Paul Norman and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Chronic illness, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Optimising Calorie Intake for People With Amyotrophic Lateral Sclerosis: A Process Evaluation of a Complex Behaviour Change Intervention.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Elizabeth CoatesSheffield Clinical Trials Research Unit, School of Health and Related Research, 152640University of Sheffield.ORCID 0000-0002-2388-6102
Nicolò ZarottiSheffield Institute for Translational Neuroscience (SITraN), 231485University of Sheffield, Sheffield, UK.
Isobel WilliamsDepartment of Psychology, 7315University of Sheffield, Sheffield, UK.
Sean White7318Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Vanessa HallidaySchool of Health and Related Research, 15574University of Sheffield, Sheffield, UK.
Daniel BeeverSheffield Clinical Trials Research Unit, School of Health and Related Research, 152640University of Sheffield.
Gemma HackneySheffield Clinical Trials Research Unit, School of Health and Related Research, 152640University of Sheffield.
Theocharis StavroulakisSheffield Institute for Translational Neuroscience (SITraN), 231485University of Sheffield, Sheffield, UK.
David WhiteSheffield Clinical Trials Research Unit, School of Health and Related Research, 152640University of Sheffield.
Paul NormanDepartment of Psychology, 7315University of Sheffield, Sheffield, UK.
Christopher McDermottSheffield Institute for Translational Neuroscience (SITraN), 231485University of Sheffield, Sheffield, UK.
HighCALS group
University of Sheffield · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesResearch suggests that higher Body Mass Index is associated with improved survival in people with Amyotrophic Lateral Sclerosis (pwALS). Yet, understanding of the barriers and enablers to increasing calorie intake is limited. This study sought to explore these issues from the perspective of pwALS, informal carers, and healthcare professionals.

methodsInterviews with 18 pwALS and 16 informal carers, and focus groups with 51 healthcare professionals. Data were analysed using template analysis and mapped to the COM-B model and Theoretical Domains Framework (TDF).

resultsAll three COM-B components (Capability, Opportunity and Motivation) are important to achieving high calorie diets in pwALS. Eleven TDF domains were identified: Physical skills (ALS symptoms); Knowledge (about high calorie diets and healthy eating); Memory, attention, and decision processes (reflecting cognitive difficulties); Environmental context/resources (availability of informal and formal carers); Social influences (social aspects of eating); Beliefs about consequences (healthy eating vs. high calorie diets); Identity (interest in health lifestyles); Goals (sense of control); Reinforcement (eating habits); and Optimism and Emotion (low mood, poor appetite). DISCUSSION: To promote high calorie diets for pwALS, greater clarity around the rationale and content of recommended diets is needed. Interventions should be tailored to patient symptoms, preferences, motivations, and opportunities.

Indexed as

Amyotrophic Lateral SclerosisCaregiversDelivery of Health CareEnergy IntakeHealth PersonnelHumansQualitative Researchamyotrophic lateral sclerosisbehaviour changedieteticsmotor neuron diseasequalitative research

Identifiers

PMID34935521
PMCPMC9999280
OpenAlexW4200036033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.