Dietary adherence: characteristics and interventions

Aurora M. Sherman
Deborah J. Bowen
Mara Z. Vitolins
Michael G. Perri
Milagros C. Rosal, University of Massachusetts Medical School
Mary Ann Sevick
Judith K. Ockene, University of Massachusetts Medical School

Abstract

This paper reviews issues regarding dietary adherence. Issues and barriers unique to dietary adherence, in contrast to adherence to physical activity or medication regimens, are discussed. These include decision making, social and cultural contexts, perceptions and preferences, and environmental barriers. We review factors known to increase adherence in dietary interventions, including education, motivation, behavioral skills, new and modified foods, and supportive interactions. We conclude with directions for future study, such as improved measurement of diet-related behavior and longitudinal, culturally sensitive interventions.