Barriers to following dietary recommendations in Type 2 diabetes

Vijan, Sandeep; Stuart, N.; Fitzgerald, James T.; Ronis, David L.; Hayward, Rodney A.; Slater, S. D.; Hofer, Timothy P.

doi:10.1111/j.1464-5491.2004.01342.x

Cited by 157 publications

(164 citation statements)

References 25 publications

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“…Patients expressed reluctance by family members to make dietary changes since they were considered to be only for the diabetic person. This result is similar to other studies in different cultures (Jazayeri & Pipelzadeh 2006;Carbone et al 2007;Wen, Parchman & Shepherd 2004;Albarran et al 2006;Shultz et al 2001;Vijan et al 2005). Notably, social functions such as ceremonies were a barrier cited only by the health professionals.…”

Section: Barriers and Facilitators To Adhering To Dietary Recommendatsupporting

confidence: 81%

“…Although diet is an essential component of diabetes care, dietary adherence is reported by both health professionals and patients to be the most difficult amongst diabetes self-care areas (Sullivan & Joseph 1998;Vijan et al 2005, Nagelkerk, Reick & Meengs 2006Shultz et al 2001;Rosal et al 2004). This problem is particularly apparent in low-income groups (Cox et al 2004).…”

Section: Problem Statementmentioning

confidence: 99%

“…Although these may not be seen as an issue by the patients, this information forms a platform for exploring this barrier with the patients. Some studies have indicated that patients find it difficult to adhere to their diet during special occasions (Vijan et al 2005). …”

Section: Barriers and Facilitators To Adhering To Dietary Recommendatmentioning

confidence: 99%

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Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Muchiri

Gericke

Rheeder

2012

Health SA Gesondheid

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Diabetes self-management education is crucial in diabetes care. Education that is tailored to the needs of the patient is considered the most effective in improving health outcomes. Diet, a critical element of diabetes treatment, is reported as the most difficult to adhere to by both patients and health professionals. Tailored nutrition education (NE) could benefit diabetic individuals with low socio-economic status, who are amongst those noted to have poor health outcomes. This qualitative interpretive phenomenological study aimed to explore and describe the NE needs of adults with type 2 diabetes mellitus to guide development of a tailored NE programme for resource-poor settings. Participants were 31 non-insulin-dependent type 2 diabetic patients (convenience sample) and 10 health professionals. Focus group discussions using semi-structured questions were held with the diabetics, and open-ended self-administered questionnaires were used with the health professionals. Data analysis was done using Krueger’s framework approach. Disease-related knowledge deficits and inappropriate self-reported dietary practices, including intake of unbalanced meals, problems with food portion control and unsatisfactory intake of fruits and vegetables, were observed. Recommendations for the NE programme included topics related to the disease and others related to diet. Group education at the clinic, a competent educator and comprehensive education were indicated by the patients. Participation of family and provision of pamphlets were aspects recommended by patients and health professionals. Barriers that could impact the NE included financial constraints, food insecurity, conflict in family meal arrangements and access to appropriate foods. Support from family and health professionals and empowerment through education were identified as facilitators to following dietary recommendations by both groups of participants. Knowledge deficits, inappropriate dietary practices and barriers are issues that need addressing in an NE programme, whilst the suggestions for an NE programme and facilitators to dietary compliance need to be incorporated.Onderrig in die selfbestuur van diabetes is essensieel in diabetessorg. Onderrig wat spesifiek ooreenkomstig die behoeftes van die pasiënt aangepas is, word die mees doeltreffend in die verbetering van gesondheiduitkomste geag. Dieet, ’n kritiese element in diabetesbehandeling, word deur pasiënte en gesondheidpraktisyns as die moeilikste beskou om na te volg. Spesifiek beplande voedingonderrig kan tot voordeel van lae sosio-ekonomiese diabete wees wat deel van diegene wat swak gesondheiduitkomste toon, uitmaak. Die doel van hierdie kwalitatiewe interpreterende fenomologiese studie was om die voedingonderrigbehoeftes van volwassenes met tipe 2 diabetes mellitus te ondersoek en te beskryf ten einde die ontwikkeling van ’n voedingonderrigprogram wat op hulpbrondbeperkte omgewings afgestem is, te rig. Een en dertig nie-insulien afhanklike tipe 2 diabetes pasiënte (geriefsteekproef) en 10 gesondheidpraktisyns was evalueer. Fokusgroepbesprekings deur gebruikmaking van semi-gestruktureerde vrae, is met die diabete gehou. Self-geadministreerde oop-eindigende vraelyste is deur die gesondheidpraktisyns voltooi. Data-analise is volgens Krueger se raamwerkbenadering gedoen. Siekteverwante kennisgapings en ontoepaslike self-gerapporteerde dieetpraktyke, insluitend ongebalanseerde maaltye, probleme met porsiekontrole en ontoereikende inname van groente en vrugte is gerapporteer. Aanbevelings vir die voedingonderrigprogram het onderwerpe verwant aan die siekte en die dieet ingesluit. Die pasiënte het groeponderrig by die kliniek, ’n bevoegde onderrigpraktisyn en omvattende onderrig verkies. Die pasiënte en die gesondheidpraktisyns het gesinsdeelname en die beskikbaarstelling van pamflette aanbeveel. Struikelblokke wat negatief op die voedingonderrigprogram kon inwerk, het finansiële beperkinge, voedselinsekuriteit, konflik met gesinsmaaltydreëlings en toegang tot geskikte voedsels ingesluit. Ondersteuning van die gesin en gesondheidpraktisyns, sowel as bemagtiging deur kennis is as fasiliteerders ter bevordering van die navolging van dieetaanbevelings deur beide groepe deelnemers geïdentifiseer. Tekortkominge in kennis, ontoepaslike dieetpraktyke en struikelblokke is aspekte wat in ’n voedingonderrigprogram aangespreek behoort te word. Voorstelle wat vir die voedingonderrigprogram en fasiliteerders gemaak is vir dieetnavolging, behoort in die program ingesluit te word.

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Section: Barriers and Facilitators To Adhering To Dietary Recommendatsupporting

confidence: 81%

Section: Problem Statementmentioning

confidence: 99%

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Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Muchiri

Gericke

Rheeder

2012

Health SA Gesondheid

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“…These or a combination of them have resulted in patient reluctance to visit the clinic regularly, possibly due in part to feeling uncomfortable when asked questions [42][43][44][45][46]. The lack of a significant relationship between self-care management and glycemic control in the study is inconsistent with almost all of the previous studies [27,[47][48][49].…”

Section: Item Categorycontrasting

confidence: 57%

Predictors of Good Glycemic Control Among Type Ii Diabetes Patients in Palestine

Mosleh

Aziz

Ali

et al. 2017

Asian J Pharm Clin Res

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Objectives: The aim of this study is to assess glycemic control and its relationship with patient characteristics, health-care system factors, and self-care management in type II diabetes patients. Methods:A retrospective cross-sectional study was conducted among 330 type II diabetes patients who met the inclusion criteria and whose medical records covered a period of 1 year. Data concerning patient characteristics, health-care system factors, self-care management, and available last reading of hemoglobin A1c (HbA1c) were collected through personal interviews and a medical records' review using structured questionnaires and data collection forms. Good glycemic control was defined as HbA1c ≤7%. To assess the results, the Statistical Package for Social Sciences (version 16) was used to undertake descriptive, univariate, and multivariate analyses. Results:The mean±standard deviation age was 60±9.7 years. More than half of the participants were male (51.2%), and the majority had additional chronic diseases (88.5%). Of the total 271 participants whose HbA1c levels have been monitored, 16.7% had good glycemic control. Multivariate analysis showed that unemployment was significantly related to a decreased odds of good glycemic control (odds ratio=0.34; 95% confidence interval=0.12-0.98; p<0.05). Conclusion:The study noted that the proportion of patients with good glycemic control was low, a result comparable to studies from many countries. Further investigation and improvement of inappropriate health-care system factors and self-care management together with educational programs that emphasize the importance of self-care management and the health-care providers' role would be of great benefit in glycemic control.

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“…De Lourdes Rodríguez Campuzano, Antonia Rentería Rodríguez y Juan Carlos García Rodríguez contribuye a un control pobre de la diabetes (Rhee et al 2005;Vijan et al 2005). En la actualidad, la mayoría de las intervenciones se basan en técnicas tales como: psicoeducación, prescripción de plan alimentario-actividad física, automonitoreo, control de estímulos, conductas alternativas, reestructuración cognitiva (Beck, 2009), apoyo social y habilidades para mantenimiento de los cambios (Facchini, 2003;Novakofski & Karduck, 2005;Riveros, Cortázar, Alcázar y Sánchez, 2005).…”

Section: Introductionunclassified

Adherencia a la dieta en pacientes diabéticos: efectos de una intervención

Campuzano¹,

Rodríguez²,

Rodríguez³

2013

Summa Psicológica

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ResumenEl presente trabajo tuvo como objetivo evaluar el efecto de un programa de intervención en la adherencia auto reportada a la dieta prescrita para pacientes diabéticos. Dado el costo y consecuencias de esta enfermedad, resulta muy importante lograr este objetivo que constituye la piedra angular del tratamiento. Desde la perspectiva interconductual, se diseñó un programa de intervención que se aplicó a 90 pacientes diabéticos captados en distintos centros de salud de la ciudad de México. El programa constó de una fase de pre-evaluación, en la que se midió el peso y se registraron prácticas alimenticias; una intervención en dos bloques, el primero educativo y el segundo en el que se entrenó en el manejo de algunas técnicas conductuales; y una fase de post-evaluación. Se encontró que cada bloque de intervención tuvo un efecto positivo en la adherencia autoreportada a la dieta y, por ende, el programa en su totalidad fue efectivo en esta muestra de pacientes. Los resultados se corroboraron con las medidas de peso en las que también se encontró una diferencia estadísticamente significativa entre el pre-test y el post-test. Se sugiere continuar buscando estrategias cada vez más efectivas para el logro de este objetivo.Palabras clave: diabetes, intervención, adherencia a la dieta, modelo psicológico de la salud biológica, perspectiva interconductual. AbstractThe purpose of the present study was to assess the effect of an intervention program on the self-reported adherence to a prescribed diet for diabetic patients. Because of the impact and consequences of this chronic illness, it is important to make the necessary efforts in order to achieve this dietary adherence goal, since diet is one of the main bases for the treatment of diabetes. According to an interbehavioral approach, an intervention program was designed and applied to ninety diabetic patients from different Mexican public health institutions. This program was developed in three stages. The first stage consisted of a pre-test to assess body weight and habits related to daily meals. The second stage comprehended an intervention divided in two parts, the first one to provide patients with useful knowledge about diabetes and nutrition and the second one to train several behavioral techniques a post-test was applied to participants. Results showed that each intervention's part had a positive effect on self-reported adherence to diet, and so the complete program. These results were supported by weight data. In this sense, it was found a statistically significant difference between pre and post-test values. It is suggested to continue these efforts in order to contribute on the solution of this public health problem.

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Barriers to following dietary recommendations in Type 2 diabetes

Cited by 157 publications

References 25 publications

Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Needs and preferences for nutrition education of type 2 diabetic adults in a resource-limited setting in South Africa

Predictors of Good Glycemic Control Among Type Ii Diabetes Patients in Palestine

Adherencia a la dieta en pacientes diabéticos: efectos de una intervención

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