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Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease.
J Ren Nutr 2001; 11(2):80-9JR

Abstract

OBJECTIVE

To identify theory based factors pertinent to compliance with therapeutic diets.

DESIGN

A paper and pencil survey was read to volunteer hemodialysis patients in outpatient dialysis clinics.

SUBJECTS

A convenience sample of 276 hemodialysis patients aged 50 years and older who agreed to be interviewed during treatment.

STATISTICAL ANALYSIS

Descriptive statistics were used to report responses to all survey questions. The Fisher exact test was used to test associations between the dependent variable, dietary compliance, and independent variables, which included knowledge, perceived severity of illness, attitudes toward compliance, environmental factors, perceived barriers, self-efficacy, and perceived health benefits. Principal Components Analysis determined final scale items. Logistic regression was used to develop a model of independent variables profiling the compliant patient.

RESULTS

Subjects were more likely to be compliant if they indicated favorable attitudes toward compliance (P =.0076), a supportive environment (P =.0107), and knowledge about their diet (P =.0014). A logistic regression model of compliance indicated that subjects who followed their special diets were more likely to have higher knowledge (odds ratio [OR] = 1.092, 95% CI = 1.006, 1.186), perceived fewer barriers (OR = 1.094, 95% CI = 0.841, 1.226), being white race (OR = 0.710, 95% CI = 0.399, 1.263), and having gout (OR = 9.349, 95% CI = 1.139, 76.714).

APPLICATION

Health professionals should apply these findings in providing dietary education focused on improving not just knowledge, but attitudes and family support. Nutrition education and health promotion applications geared to non-white populations could be particularly important as tools to improve dietary compliance.

Authors+Show Affiliations

Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, SC 29203, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11295028

Citation

Thomas, L K., et al. "Identification of the Factors Associated With Compliance to Therapeutic Diets in Older Adults With End Stage Renal Disease." Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, vol. 11, no. 2, 2001, pp. 80-9.
Thomas LK, Sargent RG, Michels PC, et al. Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease. J Ren Nutr. 2001;11(2):80-9.
Thomas, L. K., Sargent, R. G., Michels, P. C., Richter, D. L., Valois, R. F., & Moore, C. G. (2001). Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease. Journal of Renal Nutrition : the Official Journal of the Council On Renal Nutrition of the National Kidney Foundation, 11(2), pp. 80-9.
Thomas LK, et al. Identification of the Factors Associated With Compliance to Therapeutic Diets in Older Adults With End Stage Renal Disease. J Ren Nutr. 2001;11(2):80-9. PubMed PMID: 11295028.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Identification of the factors associated with compliance to therapeutic diets in older adults with end stage renal disease. AU - Thomas,L K, AU - Sargent,R G, AU - Michels,P C, AU - Richter,D L, AU - Valois,R F, AU - Moore,C G, PY - 2001/4/11/pubmed PY - 2001/6/23/medline PY - 2001/4/11/entrez SP - 80 EP - 9 JF - Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation JO - J Ren Nutr VL - 11 IS - 2 N2 - OBJECTIVE: To identify theory based factors pertinent to compliance with therapeutic diets. DESIGN: A paper and pencil survey was read to volunteer hemodialysis patients in outpatient dialysis clinics. SUBJECTS: A convenience sample of 276 hemodialysis patients aged 50 years and older who agreed to be interviewed during treatment. STATISTICAL ANALYSIS: Descriptive statistics were used to report responses to all survey questions. The Fisher exact test was used to test associations between the dependent variable, dietary compliance, and independent variables, which included knowledge, perceived severity of illness, attitudes toward compliance, environmental factors, perceived barriers, self-efficacy, and perceived health benefits. Principal Components Analysis determined final scale items. Logistic regression was used to develop a model of independent variables profiling the compliant patient. RESULTS: Subjects were more likely to be compliant if they indicated favorable attitudes toward compliance (P =.0076), a supportive environment (P =.0107), and knowledge about their diet (P =.0014). A logistic regression model of compliance indicated that subjects who followed their special diets were more likely to have higher knowledge (odds ratio [OR] = 1.092, 95% CI = 1.006, 1.186), perceived fewer barriers (OR = 1.094, 95% CI = 0.841, 1.226), being white race (OR = 0.710, 95% CI = 0.399, 1.263), and having gout (OR = 9.349, 95% CI = 1.139, 76.714). APPLICATION: Health professionals should apply these findings in providing dietary education focused on improving not just knowledge, but attitudes and family support. Nutrition education and health promotion applications geared to non-white populations could be particularly important as tools to improve dietary compliance. SN - 1051-2276 UR - https://www.unboundmedicine.com/medline/citation/11295028/Identification_of_the_factors_associated_with_compliance_to_therapeutic_diets_in_older_adults_with_end_stage_renal_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1051227601986157 DB - PRIME DP - Unbound Medicine ER -