Brown S L, Pope J F, Hunt A E, Tolman N M
School of Human Ecology, Louisiana Tech University, Ruston, Louisiana
Diabetes Educ. 1998 May-Jun;24(3):313-8. doi: 10.1177/014572179802400305.
The purposes of this study were to determine the use and perceived effectiveness of motivational strategies used by dietitians and to evaluate dietitians' perceptions of barriers to client compliance. A three-part questionnaire with 32 motivational strategies, 16 barriers to adherence, and demographic information was designed and mailed to 862 members of the American Dietetic Association's Diabetes Care and Education Dietetic Practice Group. Statistical analyses included frequency distributions, chi-square analysis, and factor analysis. Only 13 of the 32 motivational strategies were used frequently by 50% or more of the dietitians. The main strategy based on perceived effectiveness was "Tailor the diet to the client's lifestyle." Strategies perceived as effective also were used frequently by a majority of the dietitians. There were differences in use of strategies based on practice setting, CDE certification, and education level. The most significant barrier to adherence was "Complications with lifestyle/competing demands." Factor analysis revealed nine factors for motivational strategies and five factors for barriers to adherence.
本研究的目的是确定营养师所使用的激励策略的应用情况及感知到的有效性，并评估营养师对客户依从性障碍的看法。设计了一份包含32种激励策略、16种依从性障碍及人口统计学信息的三部分问卷，并邮寄给美国营养与饮食学会糖尿病护理与教育营养实践小组的862名成员。统计分析包括频率分布、卡方分析和因子分析。在32种激励策略中，只有13种被50%或更多的营养师频繁使用。基于感知有效性的主要策略是“根据客户的生活方式调整饮食”。大多数营养师也频繁使用被认为有效的策略。基于实践环境、CDE认证和教育水平的策略使用存在差异。依从性最显著的障碍是“生活方式并发症/相互冲突的需求”。因子分析揭示了激励策略的九个因子和依从性障碍的五个因子。
