Burke, LE and Dunbar-Jacob, J and Orchard, TJ and Sereika, SM
(2005)
Improving adherence to a cholesterol-lowering diet: A behavioral intervention study.
Patient Education and Counseling, 57 (1).
134 - 142.
ISSN 0738-3991
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Abstract
Less than 50% of US adults follow dietary recommendations. Despite these figures, little research has focused on improving adherence to a therapeutic eating plan. The research utilizing self-efficacy theory has shown promise for improving behavior change and treatment adherence. This study evaluated the efficacy of a telephone-delivered, self-efficacy based intervention designed to improve adherence to a cholesterol-lowering diet among those self-reporting nonadherence. Sixty-five men and women diagnosed with hypercholesterolemia were randomized to usual care or treatment, which consisted of six intervention sessions delivered every 2 weeks by telephone and focused on how to manage eating behavior in challenging situations. There were significant between group differences post intervention in the consumption of saturated fat (P < .001) and cholesterol (P = .040) with the intervention group improving their dietary adherence. Significant change (P = .013) occurred over time in low-density lipoprotein-cholesterol (LDL-C) in the intervention group. No changes were observed in self-efficacy between groups, suggesting that self-efficacy was not a mediator of the improved adherence. The study's findings confirm that the telephone is a useful tool to deliver adherence-enhancing interventions. © 2004 Elsevier Ireland Ltd. All rights reserved.
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Details
| Item Type: |
Article
|
| Status: |
Published |
| Creators/Authors: |
|
| Date: |
1 January 2005 |
| Date Type: |
Publication |
| Journal or Publication Title: |
Patient Education and Counseling |
| Volume: |
57 |
| Number: |
1 |
| Page Range: |
134 - 142 |
| DOI or Unique Handle: |
10.1016/j.pec.2004.05.007 |
| Schools and Programs: |
School of Nursing > Nursing |
| Refereed: |
Yes |
| ISSN: |
0738-3991 |
| MeSH Headings: |
Adaptation, Psychological; Cholesterol, Dietary; Cholesterol, LDL--blood; Diet, Fat-Restricted--psychology; Female; Follow-Up Studies; Food Habits--psychology; Health Knowledge, Attitudes, Practice; Health Promotion--organization & administration; Humans; Hypercholesterolemia--blood; Hypercholesterolemia--diet therapy; Hypercholesterolemia--nursing; Hypercholesterolemia--psychology; Male; Middle Aged; Motivation; Nursing Evaluation Research; Patient Compliance--psychology; Patient Education as Topic--organization & administration; Program Evaluation; Psychological Theory; Questionnaires; Self Efficacy; Social Support; Telephone |
| PubMed ID: |
15797163 |
| Date Deposited: |
18 Sep 2012 15:10 |
| Last Modified: |
25 Jan 2022 11:55 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/14194 |
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