Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet

Katherine J. Hanna; Craig K. Ewart; Peter O. Kwiterovich

doi:10.1016/0738-3991(90)90086-Z

Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet

Katherine J. Hanna, Craig K. Ewart, Peter O. Kwiterovich

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	119-131
Number of pages	13
Journal	Patient Education and Counseling
Volume	16
Issue number	2
DOIs	https://doi.org/10.1016/0738-3991(90)90086-Z
State	Published - Oct 1990
Externally published	Yes

Keywords

Cholesterol
Diet adherence
Family health
Parent training
Problem solving

ASJC Scopus subject areas

General Medicine

Access to Document

10.1016/0738-3991(90)90086-Z

Cite this

@article{62ac16800c7343e58bb1d5dbdff15c64,

title = "Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet",

abstract = "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.",

keywords = "Cholesterol, Diet adherence, Family health, Parent training, Problem solving",

author = "Hanna, {Katherine J.} and Ewart, {Craig K.} and Kwiterovich, {Peter O.}",

note = "Funding Information: This article is based on a Masters thesis completed by Katherine J. Hanna under the supervision of Craig K. Ewart. The research was supported in part by grant ROl-HL36298 from the National Heart, Lung and Blood Institute to Craig K. Ewart and by the Lipid Clinic of the Division of Pediatric Medicine, Department of Medicine, Johns Hopkins Hospital. We thank Barbara Curbow, Margaret Ensminger and Alan Gittelsohn who served as thesis readers and contributed helpful suggestions. We also thank John Sonnega and Richard Davis for their assistance in coding the audio tapes, Thomas Webber for his support in scheduling patient interviews, Ginny Hartmuller for help in dietary evaluation and Beverly Siegel for her help in manuscript preparation.",

year = "1990",

month = oct,

doi = "10.1016/0738-3991(90)90086-Z",

language = "English (US)",

volume = "16",

pages = "119--131",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "2",

}

TY - JOUR

T1 - Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet

AU - Hanna, Katherine J.

AU - Ewart, Craig K.

AU - Kwiterovich, Peter O.

N1 - Funding Information: This article is based on a Masters thesis completed by Katherine J. Hanna under the supervision of Craig K. Ewart. The research was supported in part by grant ROl-HL36298 from the National Heart, Lung and Blood Institute to Craig K. Ewart and by the Lipid Clinic of the Division of Pediatric Medicine, Department of Medicine, Johns Hopkins Hospital. We thank Barbara Curbow, Margaret Ensminger and Alan Gittelsohn who served as thesis readers and contributed helpful suggestions. We also thank John Sonnega and Richard Davis for their assistance in coding the audio tapes, Thomas Webber for his support in scheduling patient interviews, Ginny Hartmuller for help in dietary evaluation and Beverly Siegel for her help in manuscript preparation.

PY - 1990/10

Y1 - 1990/10

N2 - 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.

AB - 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.

KW - Cholesterol

KW - Diet adherence

KW - Family health

KW - Parent training

KW - Problem solving

UR - http://www.scopus.com/inward/record.url?scp=0025089455&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025089455&partnerID=8YFLogxK

U2 - 10.1016/0738-3991(90)90086-Z

DO - 10.1016/0738-3991(90)90086-Z

M3 - Article

C2 - 2290766

AN - SCOPUS:0025089455

SN - 0738-3991

VL - 16

SP - 119

EP - 131

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 2

ER -

Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this