Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study
Aims: Difficulty in adhering to the recommended diet is a common problem among most people with metabolic risk factors of cardiovascular diseases. The purpose of this study was to identify factors associated with dietary adherence among people with metabolic risk factors based on a psychological the...
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| Format: | Article |
| Language: | fas |
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Hamadan University of Medical Sciences
2021-06-01
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| Series: | Journal of Education and Community Health |
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| Online Access: | http://jech.umsha.ac.ir/article-1-1272-en.pdf |
| _version_ | 1818652784569876480 |
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| author | Leila Sabzmakan Tahereh Kamalikhah Mosharafeh Chaleshgar Kordasiabi Mojgan Nourian |
| author_facet | Leila Sabzmakan Tahereh Kamalikhah Mosharafeh Chaleshgar Kordasiabi Mojgan Nourian |
| author_sort | Leila Sabzmakan |
| collection | DOAJ |
| description | Aims: Difficulty in adhering to the recommended diet is a common problem among most people with metabolic risk factors of cardiovascular diseases. The purpose of this study was to identify factors associated with dietary adherence among people with metabolic risk factors based on a psychological theory.
Materials & Methods: This research was a mixed-method study. In the qualitative phase, 50 people who had at least one metabolic risk factor and were referred to the diabetes units of Karaj health centers were interviewed, and the interviews were analyzed using NVivo10. In the quantitative phase, a survey was carried out to investigate factors associated with dietary adherence. The data were analyzed using structural equation modeling via AMOS18.
Findings: Personal factors especially perceived self-efficacy (β=0.49; p=0.001) and perceived barriers (β=-0.33; p=0.001), were the most important predictors influencing dietary adherence. However, the findings of interviews and surveys were not aligned with structural and social factors. The structural factor was perceived as a deep factor influencing healthy eating behaviors in the qualitative phase, but the social factor was a significant predictor in the quantitative phase (β=0.67; p=0.001).
Conclusion: Only 51.07% of people with at least one cardiovascular metabolic risk factor adheres to healthy eating behaviors. Although personal determinants are the most dominant contributors of dietary adherence among people with cardiovascular metabolic risk factors, social and structural factors should be considered to enhance dietary adherence. |
| first_indexed | 2024-12-17T02:27:31Z |
| format | Article |
| id | doaj.art-60428c8b9198481d8de42c39baff7b6d |
| institution | Directory Open Access Journal |
| issn | 2383-2312 2383-2312 |
| language | fas |
| last_indexed | 2024-12-17T02:27:31Z |
| publishDate | 2021-06-01 |
| publisher | Hamadan University of Medical Sciences |
| record_format | Article |
| series | Journal of Education and Community Health |
| spelling | doaj.art-60428c8b9198481d8de42c39baff7b6d2022-12-21T22:07:04ZfasHamadan University of Medical SciencesJournal of Education and Community Health2383-23122383-23122021-06-01829710410.29252/jech.8.2.97Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method StudyLeila Sabzmakan0https://orcid.org/0000-0003-0642-9548 Tahereh Kamalikhah1https://orcid.org/0000-0003-1110-2849Mosharafeh Chaleshgar Kordasiabi2https://orcid.org/0000-0003-1566-2624 Mojgan Nourian3Department of Health Education and Promotion, Alborz University of Medical Sciences, Karaj, Iran Department of Health Education and Promotion, Semnan University of Medical Sciences, Semnan, IranDepartment of Public Health, Mazandaran University of Medical Sciences, Sari, IranDepartment of Nutrition, Isfahan University of Medical Sciences, Isfahan, IranAims: Difficulty in adhering to the recommended diet is a common problem among most people with metabolic risk factors of cardiovascular diseases. The purpose of this study was to identify factors associated with dietary adherence among people with metabolic risk factors based on a psychological theory. Materials & Methods: This research was a mixed-method study. In the qualitative phase, 50 people who had at least one metabolic risk factor and were referred to the diabetes units of Karaj health centers were interviewed, and the interviews were analyzed using NVivo10. In the quantitative phase, a survey was carried out to investigate factors associated with dietary adherence. The data were analyzed using structural equation modeling via AMOS18. Findings: Personal factors especially perceived self-efficacy (β=0.49; p=0.001) and perceived barriers (β=-0.33; p=0.001), were the most important predictors influencing dietary adherence. However, the findings of interviews and surveys were not aligned with structural and social factors. The structural factor was perceived as a deep factor influencing healthy eating behaviors in the qualitative phase, but the social factor was a significant predictor in the quantitative phase (β=0.67; p=0.001). Conclusion: Only 51.07% of people with at least one cardiovascular metabolic risk factor adheres to healthy eating behaviors. Although personal determinants are the most dominant contributors of dietary adherence among people with cardiovascular metabolic risk factors, social and structural factors should be considered to enhance dietary adherence.http://jech.umsha.ac.ir/article-1-1272-en.pdfhealthy eating behaviorstheoretical modeltype 2 diabeteshigh blood pressurehyperlipidemias |
| spellingShingle | Leila Sabzmakan Tahereh Kamalikhah Mosharafeh Chaleshgar Kordasiabi Mojgan Nourian Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study Journal of Education and Community Health healthy eating behaviors theoretical model type 2 diabetes high blood pressure hyperlipidemias |
| title | Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study |
| title_full | Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study |
| title_fullStr | Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study |
| title_full_unstemmed | Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study |
| title_short | Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study |
| title_sort | associated factors with dietary adherence among people with cardiovascular metabolic risk factors based on precede framework a mixed method study |
| topic | healthy eating behaviors theoretical model type 2 diabetes high blood pressure hyperlipidemias |
| url | http://jech.umsha.ac.ir/article-1-1272-en.pdf |
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