Objective: Healthy eating practices is an important key for glucose and weight management, especially among diabetic patients. However, it seems that adherence towards such recommendation is difficult. Therefore, this study explored the facilitators and barriers towards the healthy eating practices, among Diabetes Mellitus patients.
Methods: This qualitative study used in-depth semi structured interview, conducted by a research dietitian. Purposive sampling of overweight women diagnosed with Diabetes Mellitus with diet control or oral medication, and has at least met dietitian once for diet counselling was used to recruit participants. Data were recorded, transcribed and thematically analysed.
Results: A total of 22 middle aged (age 52.5 ± 4.7 years), diabetic women with BMI between 25-29.9 kg/m2 participated. Three categories of facilitators and four categories of barriers were identified. The major facilitators included 1) health status, 2) awareness and 3) culture. Meanwhile, the major barriers included 1) time constraint, 2) eating outside food, 3) preferences and 4) culture. In overall, both facilitators and barriers were much influenced by family, environment and education.
Conclusion: This study provides a deeper look into the cues for a diabetic patient to implement the nutritional advice. A relevant intervention, considering these cues could promote a better adherence.