Detail Cantuman

ABSTRACT
Introduction: Diabetes mellitus (DM) is a chronic disease with the characteristic of
treatment complexity. The toughest challenge for DM patients is dietary adherence.
On the other hand, the socio-culture is one of the factors that influences dietary
adherence. The aim of this study was to examine the dietary adherence of adults
with type 2 Diabetes mellitus (T2DM), particularly to dietary programs.
Methods: This study used a qualitative case study design with a positivist approach.
The total participants consisted of 14 T2DM patients obtained through snowball
sampling. The research phenomenon was the adherence of adults with type 2
Diabetes mellitus to dietary programs. The data collection was conducted through
in-depth interviews with question guidelines analyzed using qualitative thematic
analysis.
Results: This study obtained five themes regarding the dietary adherence of T2DM
patients such as activity, motivation, intention, behavior, and the benefits of dietary
adherence. The focus points were activity, motivation, and the intention to comply
with the dietary recommendations, including reducing the fatty and fried foods
consumed. The patients who felt the benefits of complying with the dietary program
found following the dietary adherence to be easier.
Conclusion: Activity, motivation, intention, behavior and the benefits of the dietary
adherence program all make it easier for the patient to comply with their diet. This
result suggests that health workers should provide education to the patients on the
importance, benefits and the way to comply with the T2DM dietary program.