Journal
CLINICAL NURSING RESEARCH
Volume 30, Issue 2, Pages 146-153Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1054773819883177
Keywords
perceived barriers; hypercholesterolemia; dietary adherence
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Funding
- Nutritional research center, Tabriz University of medical sciences, Tabriz, Iran
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This study aimed to identify barriers to American Heart Association dietary recommendations in hypercholesterolemic patients, and found that factors such as psychological factors, false beliefs and food habits affect dietary adherence. Considering these barriers, incorporating patient's culture, traditions, and dietary preferences can be beneficial in improving dietary adherence among hypercholesterolemic patients.
Hypercholesterolemia is an important risk factor for cardiovascular disease. Lifestyle modification including dietary changes is the first step for the treatment. Low adherence to dietary recommendations has reported earlier. This study purposed to identify barriers to the American Heart Association dietary recommendations in hypercholesterolemic patients. A 30-item structured questionnaire was designed and the reliability and validity of the questionnaire were evaluated. The exploratory factor analysis was performed on 160 hypercholesterolemic patients and extracted seven interpretable underlying factors of diet non-adherence (52.35% of total variance). These factors included situational barriers and gathering, takeaways and eating out, psychological factors, false beliefs and food habits, lack of motivation, enjoy eating and difficulty resisting the temptation and satisfaction with previous food habits. From the practical point of view, considering these perceived barriers, patient's culture, traditions, and dietary preferences can be beneficial in improving dietary adherence among hypercholesterolemic patients.
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