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Factors associated with consulting a dietitian for diabetes management: A cross-sectional study

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dc.contributor.author Alameddine M.
dc.contributor.author Nasreddine L.
dc.contributor.author Hwalla N.
dc.contributor.author Mourad Y.
dc.contributor.author Shoaib H.
dc.contributor.author Mousa D.
dc.contributor.author Naja F.
dc.contributor.editor
dc.date 2013
dc.date.accessioned 2017-10-18T13:24:37Z
dc.date.available 2017-10-18T13:24:37Z
dc.date.issued 2013
dc.identifier 10.1186/1472-6963-13-504
dc.identifier.issn 14726963
dc.identifier.uri http://hdl.handle.net/10938/20312
dc.description.abstract Background: Type 2 Diabetes (T2D) has reached epidemic levels in the Middle East region. Despite evidence that it improves health outcomes and saves health costs, dietary counseling for T2D remains grossly under-investigated in this region. The aim of this study was to assess the frequency and determinants of use of dietary counseling services by T2D patients in Lebanon and recommend corrective measures that may guide the planning, organization and delivery of care for chronic diseases in general and diabetes care in particular. Methods. A non-experimental cross-sectional design was utilized to survey outpatients with T2D in two major health centers in Lebanon. Patients diagnosed with T2D were invited to complete a questionnaire consisting of five sections: socio-demographic characteristics, disease attributes, patients' perceptions regarding T2D management, practice of lifestyle modifications, and referral by a physician to a dietitian. The outcome of interest was the use of dietary counseling services by T2D patients at least once since their diagnosis. Descriptive statistics and logistic regression analyses were used to evaluate the frequency and determinants of dietary counseling services utilization. Results: A total of 332 T2D patients completed the questionnaire (response rate 94.6percent). Although 75percent of study participants believed that dietitians can assist them in changing their dietary habits, only 38percent had consulted with a dietitian. Among study participants, only 34percent were referred to a dietitian by their physician. The main determinants of the use of dietary counseling services were referral by a physician (OR: 112.25; 95percent CI = 42.74-294.84), the presence of outpatient social or private health insurance (OR: 5.86; 95percent CI = 2.40-14.25) and the belief that a dietitian can assist in changing dietary habits (OR: 3.74; 95percent CI = 1.33-10.54). Conclusions: The findings of this study show suboptimal use of dietary counseling services by T2D patients in Lebanon. Key determinants were physicians' referral, financial support for outpatient care, and patients' belief in the usefulness of dietary counseling. Suggested interventions entail enhancing the planning and organization of care through inter-professional collaboration between physicians and dietitians; promoting public financing for high quality outpatient care that includes dietary counseling; and promoting the value of dietary counseling and improving the public image of dietitians. © 2013Alameddine et al.; licensee BioMed Central Ltd.
dc.format.extent
dc.language English
dc.publisher LONDON
dc.relation.ispartof Publication Name: BMC Health Services Research; Publication Year: 2013; Volume: 13; no. 1;
dc.source Scopus
dc.title Factors associated with consulting a dietitian for diabetes management: A cross-sectional study
dc.type Article
dc.contributor.affiliation Alameddine, M., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Nasreddine, L., Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Hwalla, N., Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Mourad, Y., Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Shoaib, H., Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Mousa, D., Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Naja, F., Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon
dc.contributor.authorAddress Naja, F.; Faculty of Agricultural and Food Sciences, Department of Nutrition and Food Sciences, American University of Beirut, Riad El-Solh, Beirut 1107 2020, Lebanon; email: fn14@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Agricultural and Food Sciences; Department: Nutrition and Food Sciences;
dc.contributor.authorDepartment Nutrition and Food Sciences
dc.contributor.authorDivision
dc.contributor.authorEmail fn14@aub.edu.lb
dc.contributor.authorFaculty Faculty of Agricultural and Food Sciences
dc.contributor.authorInitials Alameddine, M
dc.contributor.authorInitials Nasreddine, L
dc.contributor.authorInitials Hwalla, N
dc.contributor.authorInitials Mourad, Y
dc.contributor.authorInitials Shoaib, H
dc.contributor.authorInitials Mousa, D
dc.contributor.authorInitials Naja, F
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Naja, F (reprint author), Amer Univ Beirut, Dept Nutr and Food Sci, Fac Agr and Food Sci, Beirut 11072020, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedCount
dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 1
dc.identifier.articleNo 504
dc.identifier.coden
dc.identifier.pubmedID 24305435
dc.identifier.scopusID 84889074650
dc.publisher.address 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
dc.relation.ispartOfISOAbbr BMC Health Serv. Res.
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle BMC Health Services Research
dc.relation.ispartofPubTitleAbbr BMC Health Serv. Res.
dc.relation.ispartOfVolume 13
dc.source.ID WOS:000329371700001
dc.type.publication Journal
dc.subject.otherAuthKeyword Diabetes management
dc.subject.otherAuthKeyword dietary counseling
dc.subject.otherAuthKeyword dietitian
dc.subject.otherAuthKeyword human resources
dc.subject.otherAuthKeyword lebanon
dc.subject.otherAuthKeyword planning and organizing care
dc.subject.otherAuthKeyword policy
dc.subject.otherIndex Article
dc.subject.otherIndex chronic disease
dc.subject.otherIndex cross-sectional study
dc.subject.otherIndex diet therapy
dc.subject.otherIndex dietitian
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex lebanon
dc.subject.otherIndex male
dc.subject.otherIndex middle aged
dc.subject.otherIndex non insulin dependent diabetes mellitus
dc.subject.otherIndex patient referral
dc.subject.otherIndex questionnaire
dc.subject.otherIndex utilization review
dc.subject.otherIndex chronic disease
dc.subject.otherIndex cross-sectional studies
dc.subject.otherIndex diabetes mellitus, type 2
dc.subject.otherIndex female
dc.subject.otherIndex humans
dc.subject.otherIndex lebanon
dc.subject.otherIndex male
dc.subject.otherIndex middle aged
dc.subject.otherIndex nutritionists
dc.subject.otherIndex questionnaires
dc.subject.otherIndex referral and consultation
dc.subject.otherKeywordPlus Medical nutrition therapy
dc.subject.otherKeywordPlus primary-care
dc.subject.otherKeywordPlus self-management
dc.subject.otherKeywordPlus general-practitioner
dc.subject.otherKeywordPlus barriers
dc.subject.otherKeywordPlus health
dc.subject.otherKeywordPlus education
dc.subject.otherKeywordPlus mellitus
dc.subject.otherKeywordPlus complications
dc.subject.otherKeywordPlus prevalence
dc.subject.otherWOS Health care sciences and services
dc.identifier.doi http://dx.doi.org/10.1186/1472-6963-13-504


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