A mixed-methods qualitative research study to develop a complex intervention for XXXX and @entity448 in @entity5 : The Family Approach to Weight and Eating.

@entity1 @entity353 @entity5 @entity448 @entity3085 @entity147
BACKGROUND: Worldwide, most @entity1 with incurable @entity5 experience @entity353 and @entity448 . These symptoms can @entity147 @entity1 and their family caregivers. Interventions that take account of the relationship between @entity1 and family caregiver may improve outcomes for both members of this dyad. AIM: To report an example of process for the development of a complex intervention, the Family Approach to Weight and Eating. DESIGN: A mixed-methods process informed by the Medical Research Council's guidelines for developing a complex intervention was used to develop a psychosocial intervention for @entity1 with incurable @entity5 and @entity353 or poor appetite and their family caregivers and then to test for its feasibility, acceptability and perceived benefit. SETTING: South of England in 2010/2011. @entity1 : A purposive sample of @entity1 -family caregiver dyads under the care of a specialist community palliative care team. @entity1 @entity1 had incurable @entity5 and were cachectic or at risk of @entity3085 . RESULTS: The @entity1 -family caregiver dyads comprised seven female and nine male @entity1 (age range 41-84   years) and their carers. The emergent form of the Family Approach to Weight and Eating was found to aid family talk about food, feelings and reciprocity, without adverse consequences. Of the dyads, 15 reported benefits of the Family Approach to Weight and Eating. Three @entity1 @entity1 spoke of the approach evoking sadness and three carers of guilt. CONCLUSION: The Family Approach to Weight and Eating should now be tested in a pilot trial and the effect on emotional health outcomes in @entity1 and their family caregivers evaluated.
