Evidence map›Paper›PMID 24523580›Full record

ArticlePatient preference and adherence2014

A qualitative study of adherence to nutritional treatment: perspectives of patients and dietitians.

Ronit Endevelt, Anat Gesser-Edelsburg

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Exploring stakeholder experiences of dietetic service and care delivery: A systematic qualitative review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
    Pooled it
  2. The therapeutic relationship between a client and dietitian: A systematic integrative review of empirical literature.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Pooled it
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  8. Beyond Taste and Nutrition Food Dimensions Addressed in Dietetic Consultations With Malnourished Home-Dwelling Older Adults: A Qualitative Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
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  10. Review
  11. Perspectives and Experiences of Adult Patients With Obesity in Dietetic Primary Health Care: A Qualitative Study in the Netherlands.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ronit EndeveltSchool of Public Health, University of Haifa, Mount Carmel, Haifa, Israel.
Anat Gesser-EdelsburgSchool of Public Health, University of Haifa, Mount Carmel, Haifa, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective interaction between care providers and patients is crucial for the success of most medical treatments; in nutritional medical treatment, it is of paramount importance. The aim of the present study was to ascertain the role of the dietitian-patient relationship and the counseling approach in influencing individual patient decisions to adhere to counseling by persisting with nutritional treatment.

methodsWe conducted focus groups with two types of patients, namely, those who had consulted dietitians only once and those who had attended at least three appointments. We divided these two groups into 12 focus groups. In addition, in-depth interviews were held with 17 clinical dietitians. Our qualitative research was based on the perceptions of patients and dietitians.

resultsWhen the encounter between the dietitian and the patient followed the standard educational and informative approach, both the short-term nature of the interaction and the absence of an individualized therapeutic program discouraged patients from persisting with treatment. In contrast, the counseling and therapeutic nutritional approach promoted nutritional guidance through broader behavioral and lifestyle therapies. This approach appears more appropriate for chronically ill patients. The dietitians and some of the patients understand that the profession is changing from the informative and educational approach to a therapeutic counseling approach, but it is difficult for them to adapt to the new model.

conclusionMost patients appear to want individualized, not standardized, treatment. In order to change patients' eating patterns, dietitians must adopt a more therapeutic approach and relate to patients' cultural needs and desires to achieve sustainable results.

Indexed as

nutritionalnutrition educational approachtherapeutic counseling approachtreatment

Identifiers

PMID24523580
PMCPMC3920924

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.