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Pediatric hyperlipidemia: child and adolescent disease understandings and perceptions about dietary adherence
Susan Kools1, Christine Kennedy, Marguerite Engler
1Family Health Care Nursing, University of California, San Francisco, CA, USA. susan.kools@nursing.ucsf.edu
Purpose:
Pediatric hyperlipidemia increases cardiovascular disease risk. The cornerstone of treatment is a restrictive, lipid-lowering diet. Child disease understandings and perceptions of dietary adherence were explored, a secondary aim of the Endothelial Assessment of Risk from Lipids in Youth trial.
Design And Methods:
Focus groups and individual interviews were conducted with participants, ages 9-20 years (n = 50). Data were thematically analyzed.
Findings:
Adherence is influenced by individual characteristics (developmental level, knowledge), in the context of social interactions (family modeling, peer relationships, school).
Practical Implications:
Dietary practices are developed within social interactions. Interventions promoting adherence must consider children within their social contexts.
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