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Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions

Samia, Pauline, Naanyu, Violet, Helen Cross, J, Idro, Richard, Boon, Paul, Wilmshurst, Jo and Luchters, Stanley (2024) 'Ketogenic dietary therapy utilization in Kenya: A qualitative exploration of dietitian’s perceptions'. Epilepsy & Behavior Reports, Vol 26, p. 100661.

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Abstract

This study utilized a qualitative design to explore dietitians’ perceptions regarding Ketogenic Diet Therapy (KDT) for patients with drug-resistant epilepsy in Kenya. Dietitians from Kenya were selected and consented. Audio-recorded interviews were conducted, followed by thematic analysis of verbatim transcripts to identify recurring patterns. The study enrolled 18 dietitians, fourteen of whom correctly described their understanding of KDT for managing drug-resistant epilepsy. There was a lack of confidence in their capacity to initiate the KDT with all expressing the need for further training and facilitation. Only one dietitian reported having initiated and maintained KDT. There was an overall positive view regarding KDT and willingness to implement KDT for patients with drug-resistant epilepsy. Dietitians expressed concerns regarding the availability of national policies, inadequate staffing to support families who require KDT, and the cost of implementing this intervention. Dietitians expressed interest in virtual training to enhance their understanding of KDT. Dietitians in Kenya are mostly aware of KDT utilization for the management of drug-resistant epilepsy. However, they cited poor capability and various barriers to implementation. There is a need for policies to facilitate KDT as a treatment option for the benefit of patients with drug-resistant epilepsy.

Item Type: Article
Subjects: QU Biochemistry > Vitamins > QU 145 Nutrition. Nutritional requirements
WB Practice of Medicine > Therapeutics > WB 300 General works
WL Nervous System > WL 20 Research (General)
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1016/j.ebr.2024.100661
SWORD Depositor: JISC Pubrouter
Depositing User: JISC Pubrouter
Date Deposited: 26 Mar 2024 15:50
Last Modified: 26 Mar 2024 15:50
URI: https://archive.lstmed.ac.uk/id/eprint/24243

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