(b).

Citation/level and Quality	Purpose	Sample/setting	Design	Results/conclusion	Recommendations
Ayele et al., [30] Johns Hopkins level: III Quality: high quality	To examine the barriers for dietary adherence among patients with type 2 diabetes	Patients with T2DM aged >18 years who visited the hospital for follow-up from August 1–October 30–2017 In Debre Tabor General Hospital, Northwest Ethiopia	Institutional-based cross-sectional study. The Perceived Dietary Adherence Questionnaire (PDAQ) tool was used for dietary adherence measurement	Nonadherence to recommended diet among T2DM is high. 74.3% of the patients reporting nonadherence. The barriers for the high rate of poor adherence were poor knowledge, lack of education on diet, and financial constraints on the recommended diet, low income, lack of previous exposure to dietary education and the presence of other chronic illness.	Health workers should become effective in addressing these barriers through guiding and teaching patients. Health care decision makers should follow effective dietary guidelines for people with T2DM.