Patient Perspective on Adherence to Reflux Lifestyle Modifications: A Qualitative Study

Area of Science:

• Gastroenterology
• Otolaryngology
• Health Psychology

Background:

• Gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR) are common conditions impacting quality of life.
• Lifestyle and dietary modifications are crucial for managing GERD/LPR, but patient adherence varies.
• Understanding patient perspectives is essential for improving the effectiveness of lifestyle change interventions.

Purpose of the Study:

• To explore the lived experiences of patients diagnosed with GERD/LPR.
• To identify factors influencing the successful integration of lifestyle modifications into daily life for reflux patients.

Main Methods:

• Patients with GERD/LPR were recruited from an outpatient laryngology clinic.
• Participants completed the Reflux Symptom Index (RSI) and underwent semi-structured interviews.
• Interview transcripts were analyzed using thematic analysis to identify key themes.

Main Results:

• Four major themes emerged: care team interaction, motivation to change, implementation of lifestyle changes, and disease impact.
• Patients desired more focused physician counseling, useful handouts, and dietician support, noting no participants had seen a dietician.
• Educational materials should offer positive food lists rather than solely focusing on restrictions to avoid discouragement.

Conclusions:

• Lifestyle modification counseling for GERD/LPR should address the multifaceted patient experience.
• Providing clear dietary guidance, including acceptable food options, and considering dietician referrals can improve patient understanding and adherence.
• Incorporating patient desires for information on medication side effects is also recommended.