Exploring the barriers of adherence to dietary recommendations among patients with type 2 diabetes: A qualitative study in Iran

Mostafavi, Firoozeh; Zamani‐Alavijeh, Fereshteh; Mahaki, Behzad; Salahshouri, Arash

doi:10.1002/nop2.558

Cited by 14 publications

(10 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unhealthy eating habits among type 2 diabetes are a significant impact in Bangladeshi [ 55 ]. A qualitative study in Iran documented that the food culture largely affects a type 2 DM patient’s adherence to a healthy diet [ 56 ]. In Ethiopia, the probable because of (a) low dietary adherence is economic burden of diabetes care is very disastrous among the less privileged populations group [ 57 ] (b) no access of healthy dietary habit [ 7 , 58 ] (c); and not access of recommended diet [ 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Level of dietary adherence and determinants among type 2 diabetes population in Ethiopian: A systemic review with meta-analysis

Abate

Tareke²,

Abate³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Background The beneficial effect of the dietary practice is significant reduction in the risk of developing diabetes related complication. Dietary practice among type 2 diabetes is not well-implemented in Ethiopia. Up to now, in the nation, several primary observational studies have been done on dietary adherence level and its determinants among type 2 diabetes. However, a comprehensive review that would have a lot of strong evidence for designing intervention is lacking. So, this review with a meta-analysis was conducted to bridge this gap. Methods A systematic review of an observational study is conducted following the PRISMA checklist. Three reviewers have been searched and extracted from the World Health Organization- Hinari portal (SCOPUS, African Index Medicus, and African Journals Online databases), PubMed, Google Scholar and EMBASE. Articles’ quality was assessed using the Newcastle-Ottawa Scale by two independent reviewers, and only studies with low and moderate risk were included in the final analysis. The review presented the pooled proportion dietary adherence among type2 diabetes and the odds ratios of risk factors favor to dietary adherence after checking for heterogeneity and publication bias. The review has been registered in PROSPERO with protocol number CRD42020149475. Results We included 19 primary studies (with 6, 308 participants) in this meta-analysis. The pooled proportion of dietary adherence in the type 2 diabetes population was 41.05% (95% CI: 34.86–47.24, I2 = 93.1%). Educational level (Pooled Odds Ratio (POR): 3.29; 95%CI: 1.41–5.16; I2 = 91.1%), monthly income (POR: 2.50; 95%CI: 1.41–3.52; I2 = 0.0%), and who had dietary knowledge (POR: 2.19; 95%CI: 1.59–2.79; I2 = 0.0%) were statistically significant factors of dietary adherence. Conclusion The overall pooled proportion of dietary adherence among type 2 diabetes in Ethiopia was below half. Further works would be needed to improve dietary adherence in the type 2 diabetes population. So, factors that were identified might help to revise the plan set by the country, and further research might be required to health facility fidelity and dietary education according to diabetes recommended dietary guideline.

show abstract

Section: Discussionmentioning

confidence: 99%

Level of dietary adherence and determinants among type 2 diabetes population in Ethiopian: A systemic review with meta-analysis

Abate

Tareke²,

Abate³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The standard of care for diabetes mellitus patients includes management of diet, activity, medication, and glycemic control [24], [25]. The results of previous studies show that it is difficult for patients to undergo such treatment, so they need support from various parties, one of which is from their family [26], [27], [28], [29], [30].…”

Section: Discussionmentioning

confidence: 99%

“…Family support received by the patients will increase patient compliance in their care at home [10], [31]. The assistance needed by diabetes mellitus patients at home includes diet [30], [32] assistance for daily activities, health care, financial support, attention, and problem solving [32] as well as in activities, blood glucose monitoring, and medication [33]. Diabetes mellitus patients who get support from their families feel better due to emotional and behavioral support [34].…”

Section: Discussionmentioning

confidence: 99%

Family Support in Caring for Diabetes Mellitus Patient: Patient’s Perspective

Wulandari

Kusnanto²,

Wibisono³

et al. 2021

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND: Perspectives of diabetes mellitus patients on family support received during the treatment of their disease at home has high complexity. The family’s intention to help patients to take care of themselves at home can lead to misperceptions or is not well accepted by diabetes mellitus patients. AIM: The aim of the study was to explore the support provided by families in the care of diabetes mellitus patients at home based on the patient’s perspective. METHODS: A phenomenological study using semi-structured questions was chosen as a design in this study. A total of 19 participants were recruited using criteria including being diagnosed with diabetes mellitus for at least 1 year, outpatient, and willing to participate in the study. Data analysis used seven steps of descriptive phenomenological analysis from Colaizzi including data recognition, identification of significant statements, formulating meanings, grouping themes, developing complete descriptions, producing fundamental structures, and seeking verification of fundamental structures. RESULTS: This research shows that the support needed by participants comes from the nuclear family. The first theme identified is the family function as participants’ perceived support. The second theme identified is the family role as participants’ perceived support. The fourth third theme identified is perceptions of family support received. Moreover, the final theme found in this study is perception of spiritual support by the family. CONCLUSION: This research implies that diabetes mellitus patients need support from their families to accept the disease and eventually volunteer to carry out their disease care at home.

show abstract

“…Similar to other East Asian countries, carbohydrates occupy a very important place in the traditional Chinese diet [19,20]. And it has shown that ingrained eating attitudes and habits is difficult to be changed [21,22]. Therefore, almost all caregivers expressed their confusion and worry when the dietary advice provided by the doctor was in strong conflict with the traditional diet.…”

Section: Discussionmentioning

confidence: 99%

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Zhang

Cai

et al. 2022

Orphanet J Rare Dis

View full text Add to dashboard Cite

Background Dietary management is the most important and effective treatment for citrin deficiency, as well as a decisive factor in the clinical outcome of patients. However, the dietary management ability of caregivers of children with citrin deficiency is generally poor, especially in East Asia where carbohydrate-based diets are predominant. The aim of this study was to identify the difficulties that caregivers encounter in the process of home-based dietary management, and the reasons responsible for these challenges. Results A total of 26 caregivers of children with citrin deficiency were recruited, including 24 mothers, one father, and one grandmother. Grounded theory was employed to identify three themes (covering 12 sub-themes) related to the dilemma of dietary management: dietary management that is difficult to implement; conflicts with traditional concepts; and the notion that children are only a part of family life. The first theme describes the objective difficulties that caregivers encounter in the process of dietary management; the second theme describes the underlying reasons responsible for the non-adherent behavior of caregivers; the third theme further reveals the self-compromise by caregivers in the face of multiple difficulties. Conclusions This study reflects the adverse effects of multi-dimensional contradictions on the adherence of caregivers to dietary management. These findings reveal that the dietary management of citrin deficiency is not only a rational process, rather it is deeply embedded in family, social, and dietary traditions.

show abstract

Exploring the barriers of adherence to dietary recommendations among patients with type 2 diabetes: A qualitative study in Iran

Cited by 14 publications

References 31 publications

Level of dietary adherence and determinants among type 2 diabetes population in Ethiopian: A systemic review with meta-analysis

Level of dietary adherence and determinants among type 2 diabetes population in Ethiopian: A systemic review with meta-analysis

Family Support in Caring for Diabetes Mellitus Patient: Patient’s Perspective

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study

Contact Info

Product

Resources

About