Addressing the Challenges of Psychosocial Experiences with Food in IBD Clinical Care: A Study Protocol for a Two-Phase Mixed-Methods Study

Psychosocial challenges related to food and eating impact individuals living with inflammatory bowel disease (IBD), contributing to anxiety, stigma, and social isolation. Although patients report a need for healthcare providers (HCPs) to address these challenges, the specific nature of support remains unclear. This mixed-methods study aims to (1) explore the types of psychosocial support desired by people living with IBD related to food and eating, and (2) examine HCPs' perspectives on barriers and enablers to providing that support in clinical care. We will conduct a two-phase mixed-methods study involving adults with IBD and healthcare professionals. In Phase 1, semi-structured interviews will explore patients’ psychosocial needs related to food. In Phase 2, HCPs will participate in interviews and a survey to assess feasibility, barriers, and alignment with clinical priorities using the COM-B model and Personal Projects Analysis. Qualitative data will undergo thematic and directed content analysis. Quantitative data will be analysed descriptively and inferentially.