Child problem solving competence, behavioral adjustment and adherence to lipid-lowering diet

Katherine J. Hanna, Craig K. Ewart, Peter O. Kwiterovich

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Dietary problem solving competence, behavioral adjustment and low density lipoprotein cholesterol (LDLC) changes were evaluated in a cross-sectional study of 55 hyperlipidemic children and adolescents more than 12 months after they had been prescribed lipid-lowering diets. Adolescents who were able to generate multiple ways to cope with dietary temptations described in hypothetical vignettes evidenced better dietary adherence than adolescents who could produce fewer coping strategies. Observation of parent-child interaction during a standard menu planning task revealed that child satisfaction with the diet was positively associated with parental attempts to solicit and reinforce the child's involvement in meal planning. Findings raise the possibility that behavioral problem solving training might improve long term dietary adherence in adolescents and encourage further research on families' responses to nutritional counseling.

Original languageEnglish (US)
Pages (from-to)119-131
Number of pages13
JournalPatient Education and Counseling
Issue number2
StatePublished - Oct 1990
Externally publishedYes


  • Cholesterol
  • Diet adherence
  • Family health
  • Parent training
  • Problem solving

ASJC Scopus subject areas

  • General Medicine


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