Barriers to Changing Dietary Behavior

Kapur, K and Kapur, A and Ramachandran, S and Mohan, V and Aravind, S R and Badgandi, M and Srishyla, M V (2008) Barriers to Changing Dietary Behavior. Journal of Association of Physicians of India, 56 (1). pp. 27-32.



Abstract Dietary change requires giving up long established patterns of eating behavior and acquiring new habits. ‘Noncompliance’ to diet advice may be a result of inability to provide diet self-management training and getting the right messages across to change eating behavior. Using a pre-tested questionnaire based interview, we carried out a study amongst 350 adults (> 20 years) with type 2 diabetes from two metro cities in South India, who had previously received diet advice with the objective to understand perceptions, attitudes and practices, as well as study factors that enhance or reduce compliance to diet advice. Ninety six patients (28%) followed diet for the full duration of diabetes (Group1), 131 (38%) followed diet for a partial duration varying between more than a quarter to three quarters of the total diabetes duration (Group 2) and 115 (34%) did not follow diet advice (Group 3) – followed for a duration less than a quarter of their diabetes duration. Study results show that many factors both patient and health care provider related influence outcomes of dietary advice. Factors that have a positive impact on compliance are – older age, shorter duration, nuclear family, good family support, less busy work life, higher health consciousness, advice given by dietician, more frequent visits to dietician, advice that includes elements to promote overall health not merely control of blood sugar, diet counseling that is easy to understand and use and includes healthy food options, cooking methods, practical guidance to deal with lifestyle issues. We conclude that patient barriers related to life circumstance are mostly non-modifiable, most modifiable barriers are related to behavioural aspect and the inability of the health care provider to provide individualized diet advice and self management training. Efforts must be made to improve counseling skills.

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:Dietary Behavior;Noncompliance;diet self-management
Subjects:Nutrition and Diabetes > Dietary Assessment
Diabetes > Diabetes Research
Divisions:Department of Nutrition and Dietitics
Department of Diabetology
ID Code:34
Deposited On:03 Oct 2009 13:47
Last Modified:03 Oct 2009 17:11
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