Individual Dietary Consultation Utilization and Patient-Reported Experiences Among People with Type 2 Diabetes in Israel: A Cross-Sectional Study.
Objectives: To describe the utilization patterns and patient perceptions of individual dietary consultations among people with type 2 diabetes in Israel, and to examine the association between dietary consultation attendance and adherence to the Mediterranean diet. Methods: This cross-sectional stud...
| Publicado en: | Nutrients Vol. 18; no. 6; pp. 990 - 1003 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192592054&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192592054 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726643 B0TT jtl: Nutrients issn: 20726643 maglogo: N pubinfo: dt: Mar2026 vid: 18 iid: 6 pid: 97109 pub: MDPI artinfo: ui: 192592054 192592054 192592054 10.3390/nu18060990 192592054 ppf: 990 ppct: 13 formats: tig: atl: Individual Dietary Consultation Utilization and Patient-Reported Experiences Among People with Type 2 Diabetes in Israel: A Cross-Sectional Study. aug: au: Kasher Meron, Michal Givati, Adi Jomah, Mahmoud Dotan, Idit Diker Cohen, Talia Barzilay-Yoseph, Liat Shapira, Sofia Younis Zeidan, Nuha Kaufman-Shriqui, Vered Kalter-Leibovici, Ofra Rotman-Pikielny, Pnina affil: Institute of Endocrinology, Meir Medical Center, Kfar Saba 4428164, Israel sug: subj: Individualized Medicine Utilization Nutritional Counseling Utilization Referral and Consultation Utilization Health Resource Utilization Evaluation Diabetic Patients Psychosocial Factors Patient Attitudes Evaluation Diabetes Mellitus, Type 2 Israel Mediterranean Diet Patient Compliance Evaluation Human Cross Sectional Studies Male Female Middle Age Aged Aged, 80 and Over Israel Funding Source Association (Research) Structured Interview Information Resources Patient Satisfaction Record Review Structured Questionnaires Descriptive Statistics Random Sample Health Facilities Correlation Coefficient Self Report Cultural Competence Health Care Costs Patient Preference Satiation Taste Hypoglycemic Agents Therapeutic Use Dietary Patterns Diet, Ketogenic Vegetarianism Confidence Intervals Patient-Reported Outcomes Chi Square Test Unpaired T-Tests Kruskal-Wallis Test Multiple Logistic Regression Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objectives: To describe the utilization patterns and patient perceptions of individual dietary consultations among people with type 2 diabetes in Israel, and to examine the association between dietary consultation attendance and adherence to the Mediterranean diet. Methods: This cross-sectional study enrolled adults with type 2 diabetes from a specialty diabetes clinic in Israel between July 2022 and May 2023. Participants completed structured interviews in which they were asked to report their perceptions of various diabetes management components, their sources of dietary information, and—among those who had previously attended dietary consultations—their satisfaction with specific aspects of the consultation experience. Medical records were reviewed to determine attendance at dietary consultations. Adherence to the Mediterranean diet was measured using the validated I-MEDAS 17-item questionnaire. Multivariable logistic regression was used to examine the association between attendance at dietary consultation within the past 12 months and adherence to the Mediterranean diet, adjusting for age, sex, socioeconomic status, and obesity (BMI ≥ 30 kg/m2). Results: Overall, 134 patients were interviewed. Their mean age was 69.8 ± 10.7 years, mean diabetes duration was 19.1 ± 9.7 years, and 96.3% were Jewish. Only 29.1% attended a dietary consultation within the past 12 months, and 52.2% had at least one consultation over the preceding 5 years. While 79.9% of participants rated maintaining normal weight and 78.4% rated taking medications as "very helpful" for diabetes control, only 29.9% reported that regular dietitian visits would be "very helpful." Most participants (74.6%) were unable to name a specific dietary pattern they were following. Among those who recalled ever attending dietary consultations, most reported in interviews that recommendations were culturally aligned with their preferences. No association was found between recent attendance at dietary consultations and adherence to the Mediterranean diet (adjusted OR 1.03, 95% CI 0.39–2.74). Conclusions: Despite having accessible and affordable individual dietary consultations, the utilization of this service remains low, and patient-reported benefit limited. These exploratory findings point to perception-based barriers to engagement that warrant further investigation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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