Evidence map›Paper›PMID 38772896›Full record

ArticleBMJ open2024

Perceptions and self-management of a healthy diet among middle-aged adults with risk of stroke in North China: a qualitative exploration.

Cui Liu, Mei Chan Chong, Wan Ling Lee, Hai Yan Zhang, Jin Hua Zhang

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

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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

5 authors.

Cui LiuDepartment of Nursing Science, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0009-0005-6086-1253
Mei Chan ChongDepartment of Nursing Science, Universiti Malaya, Kuala Lumpur, Malaysia mcchong@um.edu.my.
Wan Ling LeeDepartment of Nursing Science, Universiti Malaya, Kuala Lumpur, Malaysia.
Hai Yan ZhangFaculty of Nursing, Xinxiang Medical University, Xinxiang City, China.
Jin Hua ZhangFaculty of Nursing, Xinxiang Medical University, Xinxiang City, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough stroke is prevalent among older people, there is a rising incidence among the younger subpopulations, particularly middle-aged adults. A healthy diet is one of the key modifiable factors to primary prevention of stroke among these subpopulations, yet there is limited understanding of the dietary habits among middle agers who have the risk factor(s) but no occurrence of stroke. This study aims to explore the views on perceptions and the self-management of middle-aged adults at risk of stroke on a healthy diet and to identify the enablers and barriers that could inform the future development of dietary interventions.

designThis study used an interpretive descriptive qualitative design, employing semistructured purposive sampling for focus group discussions. Thematic analysis was conducted on the transcribed interviews and field notes, facilitated by NVivo 12.0 Plus software.

settingCommunity settings in Zhengzhou City, Henan Province.

participantsMiddle-aged adults (aged 45-59) were identified as at risk of stroke due to the presence of one or more modifiable risk factors.

resultA total of seven focus group discussions were audio recorded. Four main themes emerged, which were: (1) cognitive understanding of a healthy diet; (2) dietary practices; (3) knowledge acquisition and (4) barriers to dietary adherence.

conclusionsThe middle-aged adults at risk of stroke were generally aware of the risk and attempted to practise healthy eating. The existing educational programmes on following a healthy diet in the prevention of disease need to be made more comprehensible, accessible and equitable, especially for those from socioeconomically disadvantaged communities.

Indexed as

Diet, HealthyFocus GroupsHealth Knowledge, Attitudes, PracticeQualitative ResearchSelf-ManagementStrokeChinaFemaleHumansMaleMiddle AgedRisk Factorsnursing carenutrition & dieteticsprimary health careprimary preventionrisk managementstroke

Identifiers

PMID38772896
PMCPMC11110585

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LicenceCC BY-NC
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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.