Recommendations of Dietitians for Overcoming Barriers to Dietary Adherence in Individuals With Diabetes

Williamson, Amy; Hunt, Alice E.; Pope, J.; Tolman, Nancy M.

doi:10.1177/014572170002600207

Cited by 61 publications

(64 citation statements)

References 21 publications

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“…A number of studies explored barriers in patients with diabetes, 13,[25][26][27][28] rather than evaluated the effects of depression on patients' barriers to diabetes self-care. Thus, our study is unique and provides important information for diabetes educators to help patients with diabetes and depression.…”

Section: Significance Of the Studymentioning

confidence: 99%

“…[20][21][22] The most frequently reported barriers to diabetes self-care include cost, time constraints, inconvenience, low self-efficacy, limited coping skills and knowledge, reduced quality-of-life, complications and functional disabilities, inadequate resources, limited social and family support, complex regimen, poor patient-provider relationship, invasive characteristic for glucose monitoring, and depression or distress. 13,[23][24][25][26][27][28] Diabetes patients with multiple barriers are also likely to reduce adherence to diabetes self-care. 26,29 (See Table 3 and Table 4)…”

mentioning

confidence: 99%

“…• Chart review SMBG: Self-Monitoring of Blood Glucose 25 • Moderate diet was seen as a greater burden than oral agents (median 1 vs. 0, P = 0.001), but less of a burden than insulin (median 1 vs. 4, P < 0.001).…”

mentioning

confidence: 99%

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Effects of Depression and Antidepressant Use on Goal Setting and Barrier Identification Among Patients With Type 2 Diabetes

et al. 2011

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iv Diabetes self-care plays a vital role in achieving better diabetes outcomes. To enhance diabetes self-care, the strategies of goal setting and barrier identification are widely used to assist people in making behavior change. Depression is a common co-morbidity and a barrier to self-care in people with diabetes. The purpose of this study was to examine the effects of depression and antidepressant use on goal setting and barrier identification in patients with type 2 diabetes.In patients with type 2 diabetes enrolled in the American Association of Diabetes Educators (AADE) Outcomes System as part of their routine diabetes education, 778 patients were included into this analysis. Self-report depression, 7 self-identified behavior change goals, and 13 barriers to diabetes self-care were collected from the Diabetes Self-management Assessment Report Tool (D-SMART®); antidepressant use was determined from the Diabetes Educator Tool (D-ET®). Multiple linear regression was used for the number of goals and the number of barriers with controls for relevant covariates.Patients with and without depression had a similar number of self-identified behavior change goals (P = 0.47), whereas patients with depression had 1.01 barriers to diabetes self-care greater than those without depression (P = 0.0001). In the depressed subgroup, there was no Janice Zgibor, RPh, PhD EFFECTS OF DEPRESSION AND ANTIDEPRESSANT USE ON GOAL SETTING AND BARRIER IDENTIFICATION AMONG PATIENTS WITH TYPE 2 DIABETESHsiang-Yu Chen, M.S. Since depression was related to a greater number of barriers to self-care, depression screening is important in patients with diabetes. Although antidepressant use had no association with the number of goals or the number of barriers, antidepressants are still useful in treating depression in patients with diabetes. In addition, collaborative treatment should be integrated to provide maximal benefit to improve both diabetes and depression. These conclusions are of public health significance and can be used to develop behavior change strategies to improve diabetes self-care.

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Section: Significance Of the Studymentioning

confidence: 99%

mentioning

confidence: 99%

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Effects of Depression and Antidepressant Use on Goal Setting and Barrier Identification Among Patients With Type 2 Diabetes

et al. 2011

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“…144 In addition, time scarcity is one of the barriers noted to be associated with the lack of adherence to a diabetic regimen or treatment. 155 Furthermore, lack of time because of greater work hours may also interfere with important diabetes management activities outside of work such as getting medical care or visiting a diabetes healthcare provider or educator. For example, it has been shown that individuals who work a full-time or even a part-time job (as opposed to being unemployed or retired) are more likely to discontinue going to diabetes self-management education programs.…”

Section: Glycemic Control and Work Hoursmentioning

confidence: 99%

Glycemic Control: Risk Factors, Quality of Life, Workforce Participation, and Mortality Among US Adults with Type 2 Diabetes

Davila¹

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“…Obesity is of public health importance affecting not only the individuals in the US population but also individuals in the developing world (Eckel, 1997). Knowledge of, and awareness of the complications of obesity may help motivate individuals in their weight management efforts (Williamson et al, 2000). This is important since Afro Caribbean and African American women with fuller figures are more acceptable to their male counterparts whereas, non-Hispanic White females with fuller figures maybe despised by their male counterparts (Anderson et al, 2002).…”

Section: Physical Activity/inactivitymentioning

confidence: 99%

Comparison of coronary heart disease risk factors in foreign-born and United States-born Afro Caribbean Americans and African Americans in South Florida

Davis¹

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and sodium (mg) (2245.2 1238.3 and 2402.6 1359.3 vs.1838.0 983.4) and less than 2 servings of fruits per day (%) (86.9 and 94.9 vs. 78.5). These differences were more vi pronounced in males compared to females and remained after correcting for age. Also, the percentages of USBCA and AA participants who were obese (17.1% and 23.0%, respectively) were significantly (p< 0.05) higher compared to FBCA (7.6%) participants.More USBCA and AA than FBCA individuals smoked cigarettes (4.8% and 6.6% vs.0.0%) and consumed alcoholic beverages (29.0% and 50.8% vs. 24.2%). The mean hs-CRP level of the AA participants (2.2 2.7 mg/L) was significantly (p< 0.01) higher compared to the FBCA (1.1 1.3 mg/L) and USBCA (1.3 1.6 mg/L) participants.The FBCA participants had a better CHD risk profile than the USBCA and AA participants. Focus should be placed on the ethnic and cultural differences in a population to better understand the variations in health indicators among different ethnic groups of the same race. This focus can provide healthcare professionals and policy planners with the opportunity to develop culturally sensitive programs and strategies for the improvement of health outcomes.vii

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Recommendations of Dietitians for Overcoming Barriers to Dietary Adherence in Individuals With Diabetes

Abstract: The registered dietitians who were surveyed emphasized the importance of individualizing dietary counseling.

Cited by 61 publications

References 21 publications

Effects of Depression and Antidepressant Use on Goal Setting and Barrier Identification Among Patients With Type 2 Diabetes

Effects of Depression and Antidepressant Use on Goal Setting and Barrier Identification Among Patients With Type 2 Diabetes

Glycemic Control: Risk Factors, Quality of Life, Workforce Participation, and Mortality Among US Adults with Type 2 Diabetes

Comparison of coronary heart disease risk factors in foreign-born and United States-born Afro Caribbean Americans and African Americans in South Florida

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