TY - JOUR
T1 - Perceived barriers to recommended dietary adherence in patients with type 2 diabetes in Iran
AU - Halali, Faranak
AU - Mahdavi, Reza
AU - Mobasseri, Majid
AU - Asghari Jafarabadi, Mohammad
AU - Karimi Avval, Sanaz
N1 - Funding Information:
The authors are grateful for the financial support of the Nutrition Research Center , Tabriz University of Medical Sciences for the conduct of the research. The authors are also deeply indebted to all patients who participated in this study. This article was written based on a dataset of a MSc. thesis (Faranak Halali) registered in Tabriz University of Medical Sciences.
Funding Information:
Funding for this study was provided by Nutrition Research Center, Tabriz University of Medical Sciences. Nutrition Research Center had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
Publisher Copyright:
© 2016 Elsevier Ltd.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objective: To identify barriers to recommended dietary adherence in patients with type 2 diabetes. Design: Observational cross-sectional study. Sample: One hundred-forty six overweight/obese volunteers with type 2 diabetes, who had previously received dietary advice for at least one year, were recruited from two diabetes clinics in Tabriz, north-west of Iran. Measurements: A 24-item questionnaire was designed to assess dietary barriers. The validity and reliability of the questionnaire were assessed by Content Validity Index, Content Validity Ratio and Cronbach's alpha, respectively. An exploratory factor analysis with principal component analysis extraction and varimax rotation was utilized in order to extract the underlying factors of dietary nonadherence. Results: Factor analysis yielded seven barrier factors including: situational barriers/difficulty resisting temptation [percent variance = 11.64%], stress-related eating disorder/cost [percent variance = 9.11%], difficulty with meal and snack plans [percent variance = 8.76%], confusion [percent variance = 8.45%], work-related issues [percent variance = 7.72%], small portion size [percent variance = 6.87%] and lack of palatability/family support [percent variance = 6.78%]. These factors explained about 59.4% of the total variance. Conclusions: Overall, patients with type 2 diabetes perceived some barriers to recommended dietary adherence. In dietary counseling, considering and addressing these barriers will likely be effective in increasing the dietary adherence for patients with type 2 diabetes in Iran.
AB - Objective: To identify barriers to recommended dietary adherence in patients with type 2 diabetes. Design: Observational cross-sectional study. Sample: One hundred-forty six overweight/obese volunteers with type 2 diabetes, who had previously received dietary advice for at least one year, were recruited from two diabetes clinics in Tabriz, north-west of Iran. Measurements: A 24-item questionnaire was designed to assess dietary barriers. The validity and reliability of the questionnaire were assessed by Content Validity Index, Content Validity Ratio and Cronbach's alpha, respectively. An exploratory factor analysis with principal component analysis extraction and varimax rotation was utilized in order to extract the underlying factors of dietary nonadherence. Results: Factor analysis yielded seven barrier factors including: situational barriers/difficulty resisting temptation [percent variance = 11.64%], stress-related eating disorder/cost [percent variance = 9.11%], difficulty with meal and snack plans [percent variance = 8.76%], confusion [percent variance = 8.45%], work-related issues [percent variance = 7.72%], small portion size [percent variance = 6.87%] and lack of palatability/family support [percent variance = 6.78%]. These factors explained about 59.4% of the total variance. Conclusions: Overall, patients with type 2 diabetes perceived some barriers to recommended dietary adherence. In dietary counseling, considering and addressing these barriers will likely be effective in increasing the dietary adherence for patients with type 2 diabetes in Iran.
KW - Dietary adherence
KW - Factor analysis
KW - Perceived barriers
KW - Self-management
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=84960926329&partnerID=8YFLogxK
U2 - 10.1016/j.eatbeh.2016.03.001
DO - 10.1016/j.eatbeh.2016.03.001
M3 - Article
C2 - 26994360
AN - SCOPUS:84960926329
SN - 1471-0153
VL - 21
SP - 205
EP - 210
JO - Eating Behaviors
JF - Eating Behaviors
ER -
