Evidence map›Paper›PMID 35745265›Full record

ArticleNutrients2022

Exploring the Barriers and Motivators to Dietary Adherence among Caregivers of Children with Disorders of Amino Acid Metabolism (AAMDs): A Qualitative Study.

Jing Ying Lim, Roslee Rajikan, Noh Amit, Nazlena Mohamad Ali, Haslina Abdul Hamid, Huey Yin Leong, Maslina Mohamad, Bi Qi Koh, Aini Musa

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Phenylketonuria as an Adherence Disease.Patient preference and adherence · 2025
    Review
  6. Article
  7. Article
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

9 authors at 4 institutions in 1 country.

Jing Ying LimDietetics Program, Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Roslee RajikanDietetics Program, Centre of Healthy Aging and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Noh AmitClinical Psychology and Behavioral Health Program, Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Nazlena Mohamad AliInstitute of IR4.0 (IIR4.0), Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia.ORCID 0000-0002-2267-8328
Haslina Abdul HamidDietetics Program, Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.ORCID 0000-0002-1321-891X
Huey Yin LeongGenetics Department, Hospital Kuala Lumpur, Kuala Lumpur 50300, Malaysia.ORCID 0000-0002-0294-6823
Maslina MohamadDietetics & Food Service Department, Hospital Kuala Lumpur, Kuala Lumpur 50300, Malaysia.
Bi Qi KohDietetics & Food Service Department, Hospital Kuala Lumpur, Kuala Lumpur 50300, Malaysia.
Aini MusaDietetics & Food Service Department, National Cancer Institutes, Putrajaya 62250, Malaysia.
National University of Malaysia · MYHospital Kuala Lumpur · MYNational Cancer Institute · MYUniversiti Putra Malaysia · MY

Funding

Ministry of Higher Education FRGS/1/2020/ SS0/UKM/02/14
6 · The paper itself

Abstract

Dietary intervention is generally accepted as the mainstay of treatment for patients with disorders of amino acid metabolism (AAMDs). However, dietary adherence to a low-protein diet is always reported as a common challenge among these patients. This study explored the perception of barriers and motivators to dietary adherence among caregivers of AAMD patients in Malaysia. Twenty caregivers of children with AAMDs receiving ongoing treatment at the genetic clinic participated in an online focus group discussion from November to December 2021. Findings showed a total of five interrelated main themes identified from focus group discussion (FGD) exploring parents' experiences related to the management of their child's daily diet. The barriers to dietary adherence were burden of dietary treatment, diet and dietary behavior, parenting challenges, limited knowledge related to dietary treatment, and challenges in healthcare system delivery. Key factors facilitating good dietary adherence include good knowledge of dietary treatment, parental coping strategies, social coping, and dietary behavior. In conclusion, despite the existence of several barriers to the implementation of dietary treatment, caregivers managed to use a wide range of coping strategies to overcome some, if not all, of the challenges. The important next step is to develop, in conjunction with multidisciplinary healthcare professionals, feasible implementation strategies that could address these barriers and at the same time improve the quality of life of caregivers.

Indexed as

CaregiversQuality of LifeAmino AcidsChildDietHumansQualitative ResearchAmino Acidsbarriersdietary adherencedisorders of amino acid metabolismmotivators

Identifiers

PMID35745265
PMCPMC9228574
OpenAlexW4283122928

What OpenQuestion holds

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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.