Increasing Adherence to Diet and Exercise Through Cognitive Behavioural Strategies

Author(s):  
Riccardo Dalle Grave ◽  
Simona Calugi ◽  
Marwan El Ghoch
2021 ◽  
Vol 4 (1) ◽  
pp. 23-32
Author(s):  
Adebayo Akadri ◽  
Omobolanle Akadri

Objective: Lifestyle modification is an essential component of self-management of diabetes mellitus. This study assessed adherence to diet and exercise recommendations and elucidated the factors that influence adherence in patients living with diabetes. Method: A cross-sectional study involving 300 patients attending diabetes clinics in some selected hospitals in Ogun State, Nigeria. Structured questionnaires were used to obtain information on the socio-demographic characteristics, and PRECEDE factors of lifestyle-modification adherence in the study participants. Pearson’s correlation and Chi-square test were used to assess the association between the variables, while binary logistic regression was used to determine the predictors of adherence to dietary recommendations. Results: The mean age of the study respondents was 62.7 years. The proportion of respondents who adhered to dietary and exercise recommendations were 87.8% and 45.6% respectively. There were no statistically significant linear relationships between scores for each PRECEDE factor and scores for adherence to diet and exercise. Respondents’ age, body mass index, and duration of illness had a statistically significant association with adherence to diet (P< 0.001, P=0.021, and P=0.041 respectively). On logistic regression analysis, participants 60 years and older had a higher likelihood of adhering to dietary modification than younger participants [AOR=2.6, P < 0.001]. Conclusion: The adherence of patients living with diabetes to dietary recommendations was satisfactory while adherence to exercise recommendations was very poor. There is a need for health care workers, especially at the primary and secondary levels to implement strategies that will enhance reinforcing and enabling factors for exercise adherence.


2021 ◽  
Author(s):  
Eamon Aswad ◽  
Keith Gaynor

2020 saw the world affected by an unprecedented pandemic. Alongside the healthrisks, the COVID-19 pandemic has created mental health difficulties for a largenumber of people. Many people are feeling anxious or depressed, in ways that they might never have before.This eight module Cognitive Behavioural Therapy Workbook is designed to support those who are struggling with symptoms of anxiety and depression because of the COVID-19 crisis. This workbook has been created to provide psycho-education and self-help techniques to manage COVID-19 related distress.The workbook includes a variety of cognitive and behavioural strategies including;mindfulness exercises, gradual exposure to feared situations, physical coping skills, reducing unhelpful behaviours that contribute to anxiety (e.g. avoidance), reducing worry, maintaining identity and testing out beliefs about COVID-19.It is recommended that this workbook can be completed by anyone who is over the age of eighteen. The Coping During COVID-19 Workbook doesn’t replace formal psychological or medical support but may be an additional resource.


1993 ◽  
Vol 21 (4) ◽  
pp. 335-346 ◽  
Author(s):  
Gillian Haddock ◽  
Richard P. Bentall ◽  
Peter D. Slade

Two cases involving the cognitive-behavioural treatment of hallucinations are described. In both cases, a focusing strategy was used with a view to enabling patients to reattribute the nature and meaning of their experiences. One patient showed a marked reduction in the frequency and content of his voices. The second patient showed little change. The implications of observations made during therapy for the future development of cognitive-behavioural strategies for use with psychotic patients are discussed.


Author(s):  
Christian Albus ◽  
Christoph Herrmann-Lingen

Changing one’s lifestyle is difficult and adherence to medication in people at high cardiovascular risk and established cardiovascular disease is low. Lifestyle is usually based on longstanding patterns and is highly determined by social environment and socioeconomic status. Additional factors such as chronic stress, cognitive impairment, and negative emotions (e.g. depression, anxiety) further impede the ability to adopt a healthy lifestyle, as does complex or confusing advice by medical caregivers. In clinical practice, increased awareness of these factors will facilitate empathetic counselling and the provision of simple and explicit advice. Established cognitive-behavioural strategies are important tools to help with behaviour change and medication adherence. Specialized healthcare professionals (e.g. nurses, dieticians, psychologists) should be involved whenever necessary and feasible. Reducing dosage demands to the lowest applicable level is the single most effective means for enhancing adherence to medication.


2014 ◽  
Vol 17 (3) ◽  
pp. A120
Author(s):  
R.O. Uc-Coyoc ◽  
L.A. Coello-Reyes ◽  
A.G. Pérez-Reynaud ◽  
M.A. Rodriguez-Díaz Ponce

2012 ◽  
Vol 40 (1) ◽  
pp. 56-66 ◽  
Author(s):  
Kathryn M. Orzech ◽  
James Vivian ◽  
Cristina Huebner Torres ◽  
Julie Armin ◽  
Susan J. Shaw

Many factors interact to create barriers to dietary and exercise plan adherence among medically underserved patients with chronic disease, but aspects related to culture and ethnicity are underexamined in the literature. Using both qualitative ( n = 71) and quantitative ( n = 297) data collected in a 4-year, multimethod study among patients with hypertension and/or diabetes, the authors explored differences in self-reported adherence to diet and exercise plans and self-reported daily diet and exercise practices across four ethnic groups—Whites, Blacks, Vietnamese, and Latinos—at a primary health care center in Massachusetts. Adherence to diet and exercise plans differed across ethnic groups even after controlling for key sociodemographic variables, with Vietnamese participants reporting the highest adherence. Food and exercise options were shaped by economic constraints as well as ethnic and cultural familiarity with certain foods and types of activity. These findings indicate that health care providers should consider ethnicity and economic status together to increase effectiveness in encouraging diverse populations with chronic disease to make healthy lifestyle changes.


1986 ◽  
Vol 4 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Yaakov Gal‐Or ◽  
Gershon Tenenbaum ◽  
Simon Shimrony

Author(s):  
Adewale B. Ganiyu ◽  
Langalibalele H. Mabuza ◽  
Nomsa H. Malete ◽  
Indiran Govender ◽  
Gboyega A. Ogunbanjo

Background: Patients diagnosed with type 2 diabetes mellitus in Extension II Clinic in Botswana have difficulty in adhering to the lifestyle modifications recommended by healthcare practitioners. Poor adherence to lifestyle recommendations leads to poor control of the condition and consequently to complications.Objectives: The aim of the study was to determine reasons for poor adherence to lifestyle recommendations amongst the patients. The objectives were to determine: reasons for pooradherence to dietary requirements, exercise recommendations, the support they had in adhering to the recommendations, and their understanding of the role of dietary and exercise requirements in the management of their condition.Method: This was a cross-sectional descriptive study. The sample comprised of 105 participants. Data on participants’ baseline characteristics and adherence to dietary and exercise habits were analysed using the SPSS 14.0 version.Results: The sample of 104 participants comprised of 61 (58.7%) women. The rates of nonadherence to diet and exercise were 37% and 52% respectively. The main reasons for nonadherence to diet were: poor self-discipline (63.4%); lack of information (33.3%) and thetendency to eat out (31.7%). The main reasons for non-adherence to exercise were: lack of information (65.7%); the perception that exercise exacerbated their illness (57.6%) and lack of an exercise partner (24.0%).Conclusion: There was a relatively high rate of non-adherence to both diet and exercise recommendations by patients suffering from type 2 diabetes mellitus at Extension II Clinic,Botswana, with non-adherence to exercise recommendations more common.


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