Document Type

Capstone

Abstract

The six-food elimination diet {SFED) is an effective treatment approach for eosinophilic esophagitis {EoE), but it can be challenging and affect patients' quality of life. The aim of this study assesses patients' potential factors influencing adherence to long-term elimination diets. This project employed participant questionnaires to measure attitudes and practice regarding living with EoE; and an education presentation ppt with a pre- and post-survey for key stakeholders synthesizing research findings while aligning patient-provider interaction to promote improved diet adherence. Using data electronic surveys, analysis was conducted using electronic statistical software to determine patient barriers; and to determine accuracy and impact via the stakeholder pre- and post-surveys. Forty participants identified themselves as over the age of 18 and with a diagnosis of EoE. Multiple factors appear to influence whether a patient remains adherent to the SFED including diet effectiveness, social situations, and diet-related anxiety. Understanding SFED adherence is multifactorial and complex. Factors influencing SFED adherence during include diet effectiveness, social situations, and diet-related anxiety. Despite identified psychosocial barriers, occupational therapy practitioners are uniquely positioned to address adult food insecurity by formally evaluating the adult with EoE and selecting person-, environment-, and occupation-focused interventions as needed to break down barriers and bridge the gap between patient-provider for increased compliance and adherence to SFED.

Publication Date

4-10-2021

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