Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

L. Cheng, Yin Ping Leung, J.W.-H. Sit, X.-M. Li, Y.-N. Wu, M.-Y. Yang, C.-X. Gao, R. Hui

Research output: Journal article publicationJournal articleAcademic researchpeer-review

16 Citations (Scopus)

Abstract

© 2016 Cheng et al.Background: The study was conducted to investigate the diet barriers perceived by patients with poorly controlled type 2 diabetes and examine the associations between diet barriers and sociodemographic characteristics, medical condition, and patient-centered variables. Methods: Secondary subgroup analyses were conducted based on the responses of 246 adults with poorly controlled type 2 diabetes from a multicenter, cross-sectional study. Diet barriers were captured by the Diet Barriers subscale of the Personal Diabetes Questionnaire. Participants also completed validated measures of diet knowledge, empowerment level, and appraisal of diabetes. Multiple regression techniques were used for model building, with a hierarchical block design to determine the separate contribution of sociodemographic characteristics, medical condition, and patient-centered variables to diet barriers. Results: Diet barriers were moderately evident (2.23±0.86) among Chinese patients with poorly controlled type 2 diabetes. The feeling of deprivation as a result of complying with a diet was the most recognized diet barrier (3.24±1.98), followed by "eating away from home" (2.79±1.82). Significantly higher levels of diet barriers were observed among those with lower levels of diet knowledge (?=-0.282, P<0.001) and empowerment (?=-0.190, P=0.015), and more negative appraisal (?=0.225, P=0.003). Conclusion: Culturally tailored, patient-centered intervention programs that acknowledge individuals' preferences and allow for flexibility in diet management should be launched. Interventions programs that could enhance diet knowledge, promote positive appraisal, and improve empowerment level might effectively address diet barriers perceived by patients with poorly controlled type 2 diabetes.
Original languageEnglish
Pages (from-to)37-44
Number of pages8
JournalPatient Preference and Adherence
Volume10
DOIs
Publication statusPublished - 12 Jan 2016
Externally publishedYes

Keywords

  • Appraisal
  • Diabetes
  • Diet barriers
  • Empowerment
  • Knowledge

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy

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