CHILD PROBLEM-SOLVING COMPETENCE, BEHAVIORAL-ADJUSTMENT AND ADHERENCE TO LIPID-LOWERING DIET

被引:9
作者
HANNA, KJ
EWART, CK
KWITEROVICH, PO
机构
[1] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,CTR HLTH SERV RES & DEV,BALTIMORE,MD 21205
[2] JOHNS HOPKINS UNIV,SCH MED,DEPT MED,BALTIMORE,MD 21205
关键词
Cholesterol; Diet adherence; Family health; Parent training; Problem solving;
D O I
10.1016/0738-3991(90)90086-Z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Dietary problem solving competence, behavioral adjustment and low density lipoprotein cholesterol (LDLC) changes were evaluated in a cross-sectional study of 55 hyperlipidemic children and adolescents more than 12 months after they had been prescribed lipid-lowering diets. Adolescents who were able to generate multiple ways to cope with dietary temptations described in hypothetical vignettes evidenced better dietary adherence than adolescents who could produce fewer coping strategies. Observation of parent-child interaction during a standard menu planning task revealed that child satisfaction with the diet was positively associated with parental attempts to solicit and reinforce the child's involvement in meal planning. Findings raise the possibility that behavioral problem solving training might improve long term dietary adherence in adolescents and encourage further research on families' responses to nutritional counseling. © 1990.
引用
收藏
页码:119 / 131
页数:13
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