Factors associated with adherence to the dietary protein intervention in the Modification of Diet in Renal Disease Study

N C Milas; M P Nowalk; L Akpele; L Castaldo; T Coyne; L Doroshenko; L Kigawa; D Korzec-Ramirez; L K Scherch; L Snetselaar; for the Modification of Diet in Renal Disease Study

doi:10.1016/S0002-8223(95)00340-1

Journal article

Factors associated with adherence to the dietary protein intervention in the Modification of Diet in Renal Disease Study

N C Milas, M P Nowalk, L Akpele, L Castaldo, T Coyne, L Doroshenko, L Kigawa, D Korzec-Ramirez, L K Scherch, L Snetselaar, …

Journal of the American Dietetic Association, Vol.95(11), pp.1295-1300

11/1995

DOI: 10.1016/S0002-8223(95)00340-1

PMID: 7594126

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Abstract

To determine the characteristics and behaviors associated with adherence to dietary protein interventions among participants with chronic renal disease in the Modification of Diet in Renal Disease (MDRD) Study. Participants were categorized as consistent adherers or nonadherers on the basis of urinary urea nitrogen excretion and dietary protein intake data from self-reports. Psychosocial and behavioral factors were compared between groups. Subgroups of consistently adherent and non-adherent participants in the MDRD Study. 15 clinical centers in the United States. In the nutrition intervention program, participants were assigned randomly to a usual-, low-, or very-low-protein diet group. Each eating pattern also specified a phosphorus goal. Analysis of variance. Psychosocial factors significantly related to adherence included participant knowledge, attitude, support, satisfaction, and self-perception of success. Behavioral strategies including participant self-monitoring of protein intake and the provision of feedback by the dietitian were also significantly related to adherence. Nutrition interventions for patients with renal disease should focus on psychosocial factors and behavioral approaches. Such approaches can be successfully incorporated into treatment programs and will assist the dietitian in promoting adherence to usual-, low-, and very-low-protein eating patterns.

Diet, Protein-Restricted - standards

Humans

Kidney Diseases - psychology

Feeding Behavior

Data Collection

Health Knowledge, Attitudes, Practice

Kidney Diseases - urine

Patient Satisfaction

Phosphorus, Dietary - standards

Urea - urine

Analysis of Variance

Kidney Diseases - diet therapy

Self Concept

Adult

Nitrogen - urine

Dietary Proteins - standards

Patient Compliance

Details

Title: Subtitle: Factors associated with adherence to the dietary protein intervention in the Modification of Diet in Renal Disease Study
Creators: N C Milas - Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, PA 15213, USA
M P Nowalk
L Akpele
L Castaldo
T Coyne
L Doroshenko
L Kigawa
D Korzec-Ramirez
L K Scherch
L Snetselaar
for the Modification of Diet in Renal Disease Study
Resource Type: Journal article
Publication Details: Journal of the American Dietetic Association, Vol.95(11), pp.1295-1300
Publisher: United States
DOI: 10.1016/S0002-8223(95)00340-1
PMID: 7594126
ISSN: 0002-8223
eISSN: 1878-3570
Language: English
Date published: 11/1995
Academic Unit: Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
Record Identifier: 9983995108802771

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