Therapeutic alliance and adherence to a plant-based eating plan to treat chronic disease
Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary resear...
| VerfasserInnen: | ; |
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| Medienart: | Elektronisch Aufsatz |
| Sprache: | Englisch |
| Veröffentlicht: |
2017
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| In: |
Cogent social sciences
Jahr: 2017, Band: 3, Heft: 1 |
| Online-Zugang: |
Vermutlich kostenfreier Zugang Volltext (Resolving-System) |
| Journals Online & Print: | Lade...
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| Verfügbarkeit prüfen: | HBZ Gateway |
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| Zusammenfassung: | Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary research questions in this study were: Is therapeutic alliance correlated with adherence to the eating plan?; Does a change in therapeutic alliance result in a change in adherence?; and How do patients view the doctor-patient relationship and adherence? Methods: This multiple methods feasibility study combined cross-sectional pre-post and six-month follow-up survey, a focus group and case study methodology. Results: Patients rated their relationship with their PCP as high, and most patients (78.3%) strictly adhered to the eating plan. Strictness in following the plan was positively correlated with therapeutic alliance (r = 0.346, p = 0.025). Both the PCP and the support group members attributed the doctor-patient relationship as central to the change process. Patients also emphasized their ownership of the plan, a supportive community environment and a positive change in health as motivation for adherence. Conclusion: Adherence rates, ameliorated by the doctor-patient relationship, indicated that the diet is a feasible option for the treatment of chronic disease. |
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| ISSN: | 2331-1886 |
| DOI: | 10.1080/23311886.2017.1412004 |
