Sherman A M, Bowen D J, Vitolins M, Perri M G, Rosal M C, Sevick M A, Ockene J K
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Control Clin Trials. 2000 Oct;21(5 Suppl):206S-11S. doi: 10.1016/s0197-2456(00)00080-5.
This paper reviews issues regarding dietary adherence. Issues and barriers unique to dietary adherence, in contrast to adherence to physical activity or medication regimens, are discussed. These include decision making, social and cultural contexts, perceptions and preferences, and environmental barriers. We review factors known to increase adherence in dietary interventions, including education, motivation, behavioral skills, new and modified foods, and supportive interactions. We conclude with directions for future study, such as improved measurement of diet-related behavior and longitudinal, culturally sensitive interventions. Control Clin Trials 2000;21:206S-211S
本文综述了饮食依从性相关问题。文中讨论了饮食依从性所特有的问题和障碍，这与身体活动或药物治疗方案的依从性形成对比。这些问题包括决策制定、社会和文化背景、认知与偏好以及环境障碍。我们回顾了已知可提高饮食干预依从性的因素，包括教育、动机、行为技能、新型和改良食品以及支持性互动。我们最后提出了未来研究的方向，例如改进与饮食相关行为的测量方法以及开展具有文化敏感性的纵向干预研究。《对照临床试验》2000年；21:206S - 211S
