Question 2
Besides individual motivation to change dietary habits and physical activity levels, what could have also contributed to the intervention group’s non-compliance?
posted by Anonymous @ 10:15 PM
13 comments
ISU Dietetic Internship Journal Club
Objective: To become familiar with current scientific literature on a variety of nutrition topics and to gain experience in gathering, organizing, critically evaluating, presenting and facilitating group discussion of the literature and the implications to practice.
Thursday, September 10, 2009
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13 Comments:
As indicated in the discussion, there are several factors that could have contributed to the interventions group's non-compliance. Today, there are many environmental factors such as social norms that influence the decisions that individuals make regarding diet and lifestyle. Food access, income and family structure would seem to be the main factors influencing one's diet and lifestyle choices. For example, other family members could be picky eaters and/or have food allergies.
Making lifestyle changes takes a great deal of time. It is not something that can happen over night. In this particular study, you are not only trying to change habits of an individual but the habits of a family unit. Maybe if the study had given more time and more interventions, there would have been a different outcome.
Anna,
I would have never thought about other family memebers being picky or having allergies to affect the eating habits of the entire family. However, it makes so much sense with groups like this where everything is surrounded by the entire family.
Exactly. I think that one of the main reasons that those individuals, and other individuals with type 2 Diabetes have a hard time changing their lifestyles and eating habits is because of the often undesirable lifestyles and eating habits of the people around them, whether it be family, friends, co-workers, etc. Social surroundings can play a huge part in one's willingness and ability to change.
Many factors could contribute to the intervention group's non-compliance, such as income, time limitations, educational limitations (maybe some members of the group couldn't focus on or understand the nutrition education sessions), etc.
Nicole,
I think you are precisely right about others' influence being the main motivation-killer when it comes to implementing dietary lifestyle changes. When everyone and everything is working against the changes someone is trying to make, it is next to impossible to follow through with those changes.
The population that this article focused on has multiple factors that could contribute to their non-compliance. This is often a low SES group, where food availability could be a difficulty. Also, along with CVD and diabetes, there are other conditions that seem to be higher in this group like alcoholism. Lower education levels could also be a factor. Basically, there are several issues that could be contributing to this lack of a change. Motivation may have not even been the real issue, but the inability to apply their changes.
Anna and Shelby - those are great points about the family dynamics playing a role in how and if changes can be made. This is particularly true the the participants were the main person for making the meals. Most people don't like to make two meals but also don't want to make their family modify their diets too.
It is very hard to make a change in your life when many of the people around you are not - it's also possible that when so many people in your community have diabetes and/or heart disease and this situation is the norm then people don't see the need for change...in a way these illnesses become acceptable. This scenario may have contributed to the intervention group's non-compliance. Also, lack of access and/or funds may have resulted in non-compliance, too.
Many things could have contributed to noncompliance by the intervention group. Making changes in dietary habits you have known for your entire life is a very difficult thing to do, and people have to be ready to make a change for themselves in order for them to stick with it. If some of these participants were just a part of the study and not ready to make permanent lifestyle changes, it would have been that much easier for them to excuse their noncompliance. Also, even if people are fully committed, the individuals around them have a large influence on their dietary choices. It's not easy to modify your diet and physical activity level when the people around you are not supportive.
Shelby, I couldn't agree with you more. Changing dietary habits is all about taking baby steps. In addition to making changes at home, an individual has to make changes outside of his/her home and as we know, making these changes can be extremely challenging.
Shelby, I couldn't agree with you more. Changing dietary habits is all about taking baby steps. In addition to making changes at home, an individual has to make changes outside of his/her home and as we know, making these changes can be extremely challenging.
One factor that can contribute to non-compliance to a new diet regimen is income. If a person cannot afford the food that they should be consuming, it can lead to non-compliance. In addition, a lack of education can also lead to straying from a prescribed diet. Although education sessions were provided, the education level of the individual can lead to a lack of understanding of the information.
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