Frontiers in Public Health · 7 authors, 4 centres
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This qualitative study used interviews with 30 NAFLD patients to identify barriers and facilitators to following lifestyle prescriptions. Key barriers were poor coping strategies and negative outcome expectations, while facilitators included specific action plans, coping strategies, and regular feedback.
This qualitative study conducted semi-structured interviews with 30 adult NAFLD patients to explore factors influencing adherence to lifestyle prescriptions, using the Health Action Process Approach (HAPA) model as a framework. Reflexive and framework analyses identified themes mapped to HAPA constructs. Key barriers to exercise adherence included conditional limits, lack of time, fatigue, poor physical fitness, and fear of sports injury. Dietary barriers were mainly diet environment, mental stress, and food cravings. Limitations include a homogeneous sample with severe disease and higher education than the general population, and the study identifies correlations but not causal behavior paths. Findings suggest future interventions should emphasize planning, self-efficacy, and action control to improve adherence.
