Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease
Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary resear...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2017-01-01
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| Series: | Cogent Social Sciences |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/23311886.2017.1412004 |
| _version_ | 1818878654079303680 |
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| author | Michiel A van Zyl Lesley M Harris |
| author_facet | Michiel A van Zyl Lesley M Harris |
| author_sort | Michiel A van Zyl |
| collection | DOAJ |
| description | Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary research questions in this study were: Is therapeutic alliance correlated with adherence to the eating plan?; Does a change in therapeutic alliance result in a change in adherence?; and How do patients view the doctor-patient relationship and adherence? Methods: This multiple methods feasibility study combined cross-sectional pre-post and six-month follow-up survey, a focus group and case study methodology. Results: Patients rated their relationship with their PCP as high, and most patients (78.3%) strictly adhered to the eating plan. Strictness in following the plan was positively correlated with therapeutic alliance (r = 0.346, p = 0.025). Both the PCP and the support group members attributed the doctor-patient relationship as central to the change process. Patients also emphasized their ownership of the plan, a supportive community environment and a positive change in health as motivation for adherence. Conclusion: Adherence rates, ameliorated by the doctor-patient relationship, indicated that the diet is a feasible option for the treatment of chronic disease. |
| first_indexed | 2024-12-19T14:17:37Z |
| format | Article |
| id | doaj.art-e8e9032d69834efb9d38b4650dc80e4e |
| institution | Directory Open Access Journal |
| issn | 2331-1886 |
| language | English |
| last_indexed | 2024-12-19T14:17:37Z |
| publishDate | 2017-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Social Sciences |
| spelling | doaj.art-e8e9032d69834efb9d38b4650dc80e4e2022-12-21T20:17:56ZengTaylor & Francis GroupCogent Social Sciences2331-18862017-01-013110.1080/23311886.2017.14120041412004Therapeutic alliance and adherence to a plant-based eating plan to treat chronic diseaseMichiel A van Zyl0Lesley M Harris1University of South FloridaUniversity of LouisvilleBackground: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary research questions in this study were: Is therapeutic alliance correlated with adherence to the eating plan?; Does a change in therapeutic alliance result in a change in adherence?; and How do patients view the doctor-patient relationship and adherence? Methods: This multiple methods feasibility study combined cross-sectional pre-post and six-month follow-up survey, a focus group and case study methodology. Results: Patients rated their relationship with their PCP as high, and most patients (78.3%) strictly adhered to the eating plan. Strictness in following the plan was positively correlated with therapeutic alliance (r = 0.346, p = 0.025). Both the PCP and the support group members attributed the doctor-patient relationship as central to the change process. Patients also emphasized their ownership of the plan, a supportive community environment and a positive change in health as motivation for adherence. Conclusion: Adherence rates, ameliorated by the doctor-patient relationship, indicated that the diet is a feasible option for the treatment of chronic disease.http://dx.doi.org/10.1080/23311886.2017.1412004social supporthealth careeducationchronic illness |
| spellingShingle | Michiel A van Zyl Lesley M Harris Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease Cogent Social Sciences social support health care education chronic illness |
| title | Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease |
| title_full | Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease |
| title_fullStr | Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease |
| title_full_unstemmed | Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease |
| title_short | Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease |
| title_sort | therapeutic alliance and adherence to a plant based eating plan to treat chronic disease |
| topic | social support health care education chronic illness |
| url | http://dx.doi.org/10.1080/23311886.2017.1412004 |
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