Factors influencing diet barriers among outpatients with poorly-controlled type 2 diabetes: A descriptive correlational study

Nurs Health Sci. 2019 Mar;21(1):102-111. doi: 10.1111/nhs.12569. Epub 2018 Sep 28.

Abstract

The aim of the present descriptive correlational study was to investigate diet barriers and their influencing factors among outpatients with poorly-controlled type 2 diabetes in Singapore. One hundred and ten patients with poorly-controlled type 2 diabetes were recruited from a tertiary hospital in Singapore. The Personal Diabetes Questionnaire and Appraisal of Diabetes Scale were used to measure the study variables. Our participants reported that the most common diet barriers were eating out, followed by food cravings. Eating problems and negative diabetes appraisal were identified as significant predictors of diet barriers. The findings laid the groundwork with preliminary findings for the development of culturally-tailored and patient-centered education programs to enhance eating behaviors and promote positive appraisal.

Keywords: diabetes mellitus; diet; eating behavior; glycemic control; self-efficacy; self-management.

MeSH terms

  • Aged
  • Analysis of Variance
  • Correlation of Data
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / diet therapy*
  • Feeding Behavior / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Self-Management / methods
  • Self-Management / psychology*
  • Singapore
  • Surveys and Questionnaires