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J Am Diet Assoc. 1995 Jan;95(1):34-9.

Moderators and determinants of satisfaction with diet counseling for patients consuming a therapeutic diet.

Author information

  • 1Nutrition Department, School of Medicine, University of Montreal, Quebec, Canada.

Abstract

OBJECTIVE:

To identify moderators and key determinants of patient satisfaction with diet counseling.

DESIGN:

Survey questionnaire.

SETTING:

A French-Canadian acute-care urban hospital.

SUBJECTS:

Population of eligible patients hospitalized for a minimum stay of 5 days. Patients excluded from the study were those with notable physical, cognitive, or emotional limitations; those receiving enteral and parenteral nutrition; and those from long-term-care units. Analyses were performed on 49 patients who consumed a therapeutic diet and who received diet counseling during their current hospital stay.

MAIN OUTCOME MEASURES:

Overall satisfaction with diet counseling, compliance intentions, and satisfaction with four components of diet counseling. Measures were taken on seven-point graphic scales and five-point semantic scales.

STATISTICAL ANALYSIS:

Reliability estimates with Cronbach's alpha correlation coefficient, stepwise multiple regression analyses, t tests, and one-way analyses of variance.

RESULTS:

Facilitation skills and knowledge components of diet counseling were the key determinants of patient satisfaction. Among the moderators of patient satisfaction with diet counseling, women and patients with a good appetite were more satisfied with the knowledge components and had stronger compliance intentions. Patients who spent more than 50% of the time at rest were less satisfied than more active patients.

APPLICATIONS:

Enhancing patient satisfaction implies having a good understanding of a patient's social and cultural context, developing problem-solving skills, and demonstrating greater flexibility and creativity about the means of providing diet counseling.

PMID:
7798578
DOI:
10.1016/S0002-8223(95)00010-0
[PubMed - indexed for MEDLINE]
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