Impact of Diabetes Prevention Guideline Adoption on Health Outcomes: A Pragmatic Implementation Trial.

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Publisher: Elsevier Science Publishers
Document Type: Article
Length: 545 words

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Abstract :

Limited research exists to evaluate nutrition guideline impact on clinical practice and patient health outcomes. In this study we investigate (1) the impact of guideline training on the implementation of the diabetes prevention Evidence-Based Nutrition Practice Guideline (EBNPG), and (2) the relationship between EBNPG congruence and resulting health outcomes in patients with prediabetes. We conducted an implementation study in which registered dietitian nutritionists (RDNs) provided nutrition care with 3-month follow-up to 102 pre-diabetes patients before and after a professional training on the implementation of the Diabetes Prevention EBNPG. Using the RDNs' Nutrition Care Process (NCP) documentation, we measured percent guideline congruence and health outcomes (body weight, waist circumference, fasting glucose, glycosylated hemoglobin), and modeled health outcomes. Guideline congruence improved after training by 4.3% (P Author Affiliation: (1) Academy of Nutrition and Dietetics, Chicago, IL (2) Lumere Inc, a GHX Company, Chicago, IL (3) Department of Nutrition, Case Western Reserve University, Cleveland, OH (4) Dietetics Practice Based Research Network, Research International and Scientific Affairs with the Academy of Nutrition and Dietetics, Chicago, IL (5) Nutrition Research Network (former Dietetics Practice Based Research Network), Research International and Scientific Affairs with the Academy of Nutrition and Dietetics, Chicago, IL (6) Nutrition and Dietetics Data Science Center, Research International and Scientific Affairs with the Academy of Nutrition and Dietetics, Chicago, IL * Address correspondence to: Constantina Papoutsakis, PhD, RD, Academy of Nutrition and Dietetics, 120 S Riverside Plaza, Suite 2190, Chicago, IL 60606 Article History: Received 27 August 2020; Revised 29 October 2020; Accepted 2 November 2020 (footnote) Supplementary material: is available at www.jandonline.org(http://www.jandonline.org) (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST J. K. Abram, and C. Papoutsakis are employees of the Academy of Nutrition and Dietetics which has a financial interest in the ANDHII platform and the NCPT described here. (footnote) FUNDING/SUPPORT Financial and material support for the development of ANDHII has been provided by the Academy of Nutrition and Dietetics, and the Commission on Dietetic Registration. Funding for this study was provided by the Diabetes Dietetic Practice Group (DDPG). (footnote) AUTHOR CONTRIBUTIONS W. J. Murphy, R. K. Hand, and C. Papoutsakis wrote different components of the initial draft of the article. W. J. Murphy analyzed the data. W. J. Murphy and C. Papoutsakis interpreted data and conducted critical revision of the paper. W. J. Murphy, R. K. Hand, and J. K. Abram contributed to collection of the data. All authors reviewed and commented on subsequent drafts of the manuscript. All authors read and approved the final manuscript. Byline: William J. Murphy, MS, RDN (1,2), Rosa K. Hand, PhD, RDN, LD, FAND (3,4), Jenica K. Abram, MPH, RDN (5), Constantina Papoutsakis, PhD, RD [cpapoutsakis@eatright.org] (6,*)

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Gale Document Number: GALE|A676152123