ArticlePloS one2024
Dietary adherence among persons with type 2 diabetes: A concurrent mixed methods study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Association between nutrition knowledge and Mediterranean diet adherence in Israeli adults with type 2 diabetes.European journal of clinical nutrition · 2026Article
- Diabetes Awareness and Acceptance in Patients with Type 2 Diabetes: A Single-Center Cross-Sectional Study in Istanbul, Türkiye.Healthcare (Basel, Switzerland) · 2026Article
- Facilitators and Barriers of Adherence to Time-Restricted Eating in Individuals with Type 2 Diabetes: A Qualitative Study.Nutrients · 2026Article
- Article
- Correction: Dietary adherence among persons with type 2 diabetes: A concurrent mixed methods study.PloS one · 2026Article
- Implementation and translation of evidence-based dietary strategies for type 2 diabetes in resource-limited settings: a scoping review based on the CFIR framework.Frontiers in public health · 2026Article
- Article
- Prevalence and determinants of medication adherence in Moroccan patients with type 2 diabetes: a multicenter cross-sectional study.Osong public health and research perspectives · 2025Article
- Association between dietary self-care adherence and depression among adults living with type 2 diabetes mellitus in Ghana: a cross-sectional study.Journal of health, population, and nutrition · 2025Article
- Adherence to Personalised Nutrition Education Based on Glycemic and Food Insulin Index Principles and Their Association with Blood Glucose Control in Individuals with Type 2 Diabetes Mellitus.International journal of environmental research and public health · 2025Article
- Clinician Guidance on the Benefits of Healthy Nutrition and Increased Physical Activity for People With Type 2 Diabetes Following Glucagon-Like Peptide 1 Receptor Agonist Initiation.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Overcoming dietary complexity in type 2 diabetes: influencing factors and coping strategies.European journal of medical research · 2025Article
- [Dietary management of gestational diabetes: effectiveness and adherence to dietary recommendations, a cross-sectional comparative study between public and private healthcare sectors in the Marrakech-Safi region, Morocco].The Pan African medical journal · 2025Article
- Bridging the Compliance Gap: An Assessment of Dietary and Physical Activity Adherence Among Type 2 Diabetes Patients in Kericho County, Kenya.Journal of diabetes research · 2025Article
- A cross-sectional study of dietary non-adherence and perceived barriers of people living with type 2 diabetes mellitus in a rural community in the Ashanti region of Ghana.The Pan African medical journal · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoor adherence to dietary recommendations among persons with type 2 diabetes (T2D) can lead to long-term complications with concomitant increases in healthcare costs and mortality rates. This study aimed to identify factors associated with dietary adherence and explore the barriers and facilitators to dietary adherence among persons with T2D.
methodsA concurrent mixed methods study was conducted in two hospitals in the Ashanti Region of Ghana. One hundred and forty-two (142) persons with T2D were consecutively sampled for the survey. Dietary adherence and diabetes-related nutritional knowledge (DRNK) were assessed using the Perceived Dietary Adherence Questionnaire (PDAQ) and an adapted form of the General Nutritional Knowledge Questionnaire (GNKQ-R) respectively. A purposive sample of fourteen participants was selected for interviews to explore the factors that influence dietary adherence. Qualitative data were analysed using NVivo version 20 software and presented as themes. Furthermore, binary logistic regression was performed using IBM SPSS version 29.0 to identify the factors associated with dietary adherence.
resultsNearly fifty-one percent (50.7%) of the participants in this study had good dietary adherence. In multivariable logistics regression, it was found that increase in DRNK (AOR = 1.099, 95% CI: 1.001-1.206, p = 0.041) score and living in an urban area (AOR = 3.041, 95% CI: 1.007-9.179, p = 0.047) were significantly associated with good dietary adherence. Inductive thematic analysis revealed four facilitators of dietary adherence (access to information on diet, individual food preferences and eating habits, perceived benefits of dietary adherence, and presence of social support) and four barriers (inability to afford recommended diets, barriers related to foods available in the environment, conflict between dietary recommendations and individual eating habits, and barriers related to the social environment).
conclusionThe findings support the need for interventions including continuous dietary education tailored to individual preferences and dietary habits, expansion of poverty reduction social interventions and formulation of policies that will improve access to healthy foods in communities.
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