Adherence
Programmatic facilitators for SERD adherence include group counseling, emotionally supportive clinical staff, and social network support, while barriers include product unpalatability, unrealistic expectations, and externalized stigma.
To maximize adherence to a SERD, patients should seek programs that offer group counseling, emotionally supportive staff, and a non-judgmental physical environment. Addressing product unpalatability and setting realistic weight loss expectations are key to overcoming common barriers.
Five themes emerged from participants’ recounts that were perceived to facilitate dietary adherence: (1.1) SERD program group counselling and psychoeducation sessions, (1.2) emotionally supportive clinical staff and social networks that accommodated and championed change in dietary behaviours... There were five themes on factors perceived to be barriers to adherence, namely: (2.1) product unpalatability, (2.2) unrealistic weight loss expectations, (2.3) poor program accessibility, (2.4) unforeseeable circumstances and (2.5) externalised weight-related stigma.
Why this rating
Qualitative study with thematic analysis of 20 participants, validated by medical records.
Source
Dietary adherence and program attrition during a severely energy-restricted diet among people with complex class III obesity: A qualitative exploration
Gabrielle Maston et al. · PLoS ONE · 2021
DOI 10.1371/journal.pone.0253127
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