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.Faculty |
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 |
dc.description.cited |
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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 |