Adherence to dietary recommendations in the special intervention group in the Multiple Risk Factor Intervention Trial

The American Journal of Clinical Nutrition
L Van HornL Skweres

Abstract

This chapter presents findings on adherence to the Multiple Risk Factor Intervention Trial eating pattern by special intervention participants, on the basis of measures other than the 24-h dietary recall and blood cholesterol concentrations. These additional assessments included subjective ratings by a nutritionist, used during follow-up years 1 and 2, and a food record rating that was calculated from a 3-d food record, used during years 3-6. An additional tool used during the latter part of the trial was a checklist for evaluating degree of shortfall of the participant's diet from recommendations, level of motivation toward adherence, and factors in the social environment potentially influencing dietary behavior. Subjective ratings and food record ratings indicated that approximately 40-65% of participants were good or excellent adherers, with declines in these percentages over time. There were consistent strong relations between these ratings and change in serum cholesterol. Checklist evaluations gave similar overall findings, with about one-half to three-quarters of participants rated positively on infrequency of deviation from the eating pattern, motivation, and conducive environment. Several baseline traits predicted adher...Continue Reading

Citations

Dec 18, 2019·American Journal of Epidemiology·Angela Odoms-Young, Roland J Thorpe
Mar 17, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·P GaedeO Pedersen
Dec 22, 2000·The American Journal of Clinical Nutrition·N M de RoosM B Katan
May 31, 2002·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·S A LearJ J Frohlich
Mar 21, 2000·American Journal of Health Promotion : AJHP·K Glanz
Mar 31, 2005·Patient Education and Counseling·Lora E BurkeSusan M Sereika

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