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Dietary Fiber Information for Individuals With Crohn Disease: Reports of Gastrointestinal Effects

Brotherton, Carol S. PhD, MSN, RN; Taylor, Ann Gill EdD, MS, RN, FAAN

doi: 10.1097/SGA.0b013e3182a67a9a
Features

The experiences of individuals with Crohn disease before and after receiving dietary fiber information have not been described in the literature. This article offers findings from a study that used four semistructured audiorecorded interviews during a 4-week time period for the purpose of exploring the experiences of 11 individuals before and after receiving dietary fiber information from a healthcare professional. The first and second interviews occurred immediately before and after the presentation of information. Follow-up interviews occurred at 2-week intervals. Thematic analysis of the baseline interviews revealed 2 themes: (a) accepting a redefined (lower expectations) definition of normal quality of life and (b) continuing to look for answers. Three themes emerged from the follow-up interviews at Week 4: (a) reevaluating old diet-related concepts, (b) enjoying a healthier lifestyle at a self-set pace, and (c) enjoying positive physical effects of wheat bran consumption. This article examines the 3rd postintervention theme, “enjoying physical effects of wheat bran consumption.” The relevance of this research is that nurses equipped with dietary fiber information may be better able to help some individuals with Crohn disease to explore the potential benefits of a well-rounded nutritious pattern of eating that includes wheat bran cereal.

About the authors: Carol S. Brotherton, PhD, MSN, RN, is Doctoral Candidate, Center for the Study of Complementary and Alternative Therapies, University of Virginia, Charlottesville.

Ann Gill Taylor, EdD, MS, RN, FAAN, is Center Director, Center for the Study of Complementary and Alternative Therapies, University of Virginia, Charlottesville.

Correspondence to: Carol S. Brotherton, PhD, MSN, RN, Center for the Study of Complementary and Alternative Therapies, University of Virginia, PO Box 800782, Charlottesville, VA 22908 (csb8b@virginia.edu).

This publication was made possible by Grant 5-F31-NRO11121 from the National Institute of Nursing Research (NINR) at the National Institutes of Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NINR.

The authors declare no conflict of interest.

Received April 09, 2012

Accepted May 09, 2012

© 2013 by the Society of Gastroenterology Nurses and Associates, Inc.