OBJECTIVE: To develop a taxonomy of everyday situations that create obstacles for adherence to dietary management in patients with diabetes. SUBJECTS: Twenty-six adults with diabetes (12 with insulin-dependent diabetes mellitus and 14 with non-insulin-dependent diabetes mellitus) were recruited from an outpatient diabetes clinic. MAIN OUTCOME MEASURES: Subjects were interviewed to identify problem situations that create obstacles for dietary adherence. The resulting 69 situations were judged for the presence or absence of 32 environmental features using a reliable coding system. STATISTICAL ANALYSIS: A hierarchical cluster analysis was used to identify homogeneous groups of dietary adherence obstacles. RESULTS: Twelve types of problem situations were identified: negative emotions, resisting temptation, eating out, feeling deprived, time pressure, tempted to relapse, planning, competing priorities, social events, family support, food refusal, and friends' support. CONCLUSIONS: The resulting taxonomy provides an outline for the detailed assessment of obstacles to dietary adherence. An individual's ability to cope with this array of obstacles to dietary adherence should be assessed so treatment can be individualized.
OBJECTIVE: To develop a taxonomy of everyday situations that create obstacles for adherence to dietary management in patients with diabetes. SUBJECTS: Twenty-six adults with diabetes (12 with insulin-dependent diabetes mellitus and 14 with non-insulin-dependent diabetes mellitus) were recruited from an outpatientdiabetes clinic. MAIN OUTCOME MEASURES: Subjects were interviewed to identify problem situations that create obstacles for dietary adherence. The resulting 69 situations were judged for the presence or absence of 32 environmental features using a reliable coding system. STATISTICAL ANALYSIS: A hierarchical cluster analysis was used to identify homogeneous groups of dietary adherence obstacles. RESULTS: Twelve types of problem situations were identified: negative emotions, resisting temptation, eating out, feeling deprived, time pressure, tempted to relapse, planning, competing priorities, social events, family support, food refusal, and friends' support. CONCLUSIONS: The resulting taxonomy provides an outline for the detailed assessment of obstacles to dietary adherence. An individual's ability to cope with this array of obstacles to dietary adherence should be assessed so treatment can be individualized.
Authors: Jacqueline Two Feathers; Edith C Kieffer; Gloria Palmisano; Mike Anderson; Brandy Sinco; Nancy Janz; Michele Heisler; Mike Spencer; Ricardo Guzman; Janice Thompson; Kimberlydawn Wisdom; Sherman A James Journal: Am J Public Health Date: 2005-07-28 Impact factor: 9.308
Authors: Kariane A K Davison; Carlos A Negrato; Roberta Cobas; Alessandra Matheus; Lucianne Tannus; Catia S Palma; Leticia Japiassu; Joao R I Carneiro; Melanie Rodacki; Lenita Zajdenverg; Neuza B C Araújo; Marilena M Cordeiro; Jorge Luiz Luescher; Renata S Berardo; Marcia Nery; Catarina Cani; Maria do Carmo A Marques; Luiz Eduardo Calliari; Renata M Noronha; Thais D Manna; Roberta Savoldelli; Fernanda G Penha; Milton C Foss; Maria Cristina Foss-Freitas; Maria de Fatima Guedes; Sergio A Dib; Patricia Dualib; Saulo C Silva; Janice Sepúlveda; Emerson Sampaio; Rosangela R Rea; Ana Cristina R A Faria; Balduino Tschiedel; Suzana Lavigne; Gustavo A Cardozo; Antonio C Pires; Fernando C Robles; Mirela Azevedo; Luis Henrique Canani; Alessandra T Zucatti; Marisa H C Coral; Daniela A Pereira; Luiz Antonio Araujo; Hermelinda C Pedrosa; Monica Tolentino; Flaviene A Prado; Nelson Rassi; Leticia B Araujo; Reine M C Fonseca; Alexis D Guedes; Odelisa S Mattos; Manuel Faria; Rossana Azulay; Adriana C Forti; Cristina F S Façanha; Renan Montenegro; Ana Paula Montenegro; Naira H Melo; Karla F Rezende; Alberto Ramos; João S Felicio; Flavia M Santos; Deborah L Jezini; Marilia B Gomes Journal: Nutr J Date: 2014-03-07 Impact factor: 3.271