{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:03:09Z","timestamp":1788350589535,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A Mediterranean diet (MD) appears to be beneficial in non\u2010alcoholic fatty liver disease (NAFLD) patients in Mediterranean countries; however, the acceptability of a MD in non\u2010Mediterranean populations has not been thoroughly explored. The present study aimed to explore the acceptability through understanding the barriers and enablers of the MD and low\u2010fat diet (LFD) interventions as perceived by participating Australian adults from multicultural backgrounds with NAFLD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured telephone interviews were performed with 23 NAFLD trial participants at the end of a 12\u2010week dietary intervention in a multicentre, parallel, randomised clinical trial. Data were analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants reported that they enjoyed taking part in the MD and LFD interventions and perceived that they had positive health benefits from their participation. Compared with the LFD, the MD group placed greater emphasis on enjoyment and intention to maintain dietary changes. Novelty, convenience and the ability to swap food\/meals were key enablers for the successful implementation for both of the dietary interventions. Flavour and enjoyment of food, expressed more prominently by MD intervention participants, were fundamental components of the diets with regard to reported adherence and intention to maintain dietary change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participants randomised to the MD reported greater acceptability of the diet than those randomised to the LFD, predominantly related to perceived novelty and palatability of the diet.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.13069","type":"journal-article","created":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T05:00:00Z","timestamp":1660366800000},"page":"592-602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["A Mediterranean and low\u2010fat dietary intervention in non\u2010alcoholic fatty liver disease patients: Exploring participant experience and perceptions about dietary change"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1385-2371","authenticated-orcid":false,"given":"Elena S.","family":"George","sequence":"first","affiliation":[{"name":"Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University  Geelong VIC Australia"},{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1692-2638","authenticated-orcid":false,"given":"Adrienne K.","family":"Forsyth","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora VIC Australia"},{"name":"School of Behavioural and Health Sciences Australian Catholic University  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjana","family":"Reddy","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences Deakin University  Geelong VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Itsiopoulos","sequence":"additional","affiliation":[{"name":"School Of Health and Biomedical Sciences RMIT University  Bundoora VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart K.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Gastroenterology Department Alfred Health  Prahran VIC Australia"},{"name":"Central Clinical School Monash University  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J.","family":"Nicoll","sequence":"additional","affiliation":[{"name":"Gastroenterology Department Eastern Health  Australia Box Hill 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