The role of health literacy in predicting adherence to nutritional recommendations: A systematic review

Carrara, Anna; Schulz, Peter

doi:10.1016/j.pec.2017.07.005

Cited by 40 publications

(35 citation statements)

References 46 publications

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“…It is unsurprising that self-care adherence to diet is poor, given the long-term nature of the behaviour (Carrara & Schulz, 2017;Sabaté, 2003); the complexity of changing both daily food choices and daily eating patterns (Sobal, Bisogni, Devine, & Jastran, 2006); social pressure (Cheng et al, 2016;Halali, Mahdavi, Mobasseri, Jafarabadi, & Avval, 2016;Heo, Lennie, Moser, & Okoli, 2009;Shultz, Sprague, Branen, & Lambeth, 2001) and the cultural meaning of food (Carrara & Schulz, 2017;Sobal et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

Mogre

Johnson

Tzelepis

et al. 2019

Journal of Advanced Nursing

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Aims To determine diabetes patient's adherence to five self‐care behaviours (diet, exercise; medication, self‐monitoring of blood glucose [SMBG] and foot care) in low‐ and middle‐income countries. Design Systematic review. Data sources We searched MEDLINE, CINAHL, PUBMED, SCOPUS, PsycINFO, EMBASE, Cochrane library and EMCARE for the period January 1990 – June 2017. Review Methods Title, abstract and full text screening were done according to eligibility criteria. A narrative synthesis of the literature was conducted. Results A total of 7,109 studies were identified of which 27 met the review eligibility criteria and were included. All the studies used self‐report of adherence to diabetes self‐care. Studies reported adherence rates in two major forms: (a) mean number of days participants performed a recommended dietary behaviour/activity during the past week; and (b) proportions of participants adhering to a recommended self‐care behaviour. Mean number of days per week participants adhered to a self‐care behaviour ranged from 2.34.6 days per week for diet, 5.5–6.8 days per week for medication, 1.8–5.7 days per week for exercise, 0.2–2.2 days per week for SMBG and 2.2–4.3 days per week for foot care. Adherence rates ranged from 29.9%–91.7% for diet, 26.0%–97.0% for medication taking, 26.7%–69.0% for exercise, 13.0%–79.9% for self‐monitoring of blood glucose and 17.0%–77.4% for foot care. Conclusion Although most diabetes patients do not adhere to recommended self‐care behaviours, adherence rates vary widely and were found to be high in some instances. Impact Health services in low‐ and middle‐income countries should monitor adherence to diabetes self‐care behaviours rather than assume adherence and resources should be invested in improving adherence to the self‐care behaviours. Large‐scale accurate monitoring of adherence to diabetes self‐care behaviour is needed and consideration should be given to choice of measurement tool for such exercise.

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Section: Discussionmentioning

confidence: 99%

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

Mogre

Johnson

Tzelepis

et al. 2019

Journal of Advanced Nursing

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“…Other strategies to address health literacy related barriers, include using plain language for all verbal and written communications, which will assist with patient empowerment (Loukanova et al . ), and adherence to recommendation (Miller ; Carrara & Schulz ).…”

Section: Discussionmentioning

confidence: 99%

How do patients and carers make sense of renal dietary advice? A qualitative exploration

Lambert

Mansfield

Mullan

2018

Journal of Renal Care

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SUMMARY Background Dietary modification is an integral part of chronic kidney disease (CKD) management. However, adherence to the renal diet is often suboptimal. Methods The aims of this study were to (i) describe the experiences of patients with CKD and their carers in their process of interpreting and implementing renal dietary advice; (ii) to explore strategies they used to make sense of and apply renal diet information and (iii) to develop recommendations for improved clinical practice. To achieve these aims, individual semi‐structured interviews with 26 patients and 10 carers were conducted, using interview questions guided by Sensemaking theory. Findings Six themes emerged from the data which did not differ according to CKD stage, geographic location or renal replacement therapy (RRT) type. The renal diet was perceived by patients and carers to be overwhelming, frustrating and emotionally demanding; as well as being complex and challenging. To help make sense of and apply renal dietary advice, participants highly valued the input of the dietitian; and patients believed that their carer support was important. Individual problem‐solving strategies were developed by participants to help them make sense of the renal diet, and many of them expressed a desire for additional resources and/or support. Conclusions This study highlights that learning to make sense of renal diet information is an emotionally challenging journey for patients and carers. In addition to utilising the expertise of dietitians, carer support was perceived to be integral to learning and using renal dietary advice. The study describes a number of important problem‐solving strategies utilised by patients and carers, as well as recommendations to help improve sensemaking and adherence to the renal diet.

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“…The findings of the present study highlight that inadequate time, conflicting input from other multidisciplinary team members and local health service policies can negatively impact patient empowerment and understanding. Increasing patient empowerment is an important global health priority, with the potential to decrease health costs, improve patient outcomes and is a good predictor of dietary adherence …”

Section: Discussionmentioning

confidence: 99%

Qualitative exploration of the experiences of renal dietitians and how they help patients with end stage kidney disease to understand the renal diet

Lambert

Mansfield

Mullan

2018

Nutrition & Dietetics

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The experience of providing renal diet advice to adults with end stage kidney disease was emotionally and professionally challenging. Alternative approaches to patient education may help dietitians to empower patients to better understand the renal diet. Further research exploring the experiences of learning about the renal diet from the patient and carer perspective would also help to inform future alternative approaches.

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The role of health literacy in predicting adherence to nutritional recommendations: A systematic review

Cited by 40 publications

References 46 publications

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

How do patients and carers make sense of renal dietary advice? A qualitative exploration

Qualitative exploration of the experiences of renal dietitians and how they help patients with end stage kidney disease to understand the renal diet

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