Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model

This 12-month prospective randomized cluster trial of 20 dietitians in India compared usual care (UC) and evidence-based nutrition practice guideline (EBNPG) care for patients with type 2 diabetes mellitus. Baseline, 6-month, and 12-month data from 238 patients were analyzed. EBNPG implementation wa...

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Autores principales: Myers, Esther F., Trostler, Naomi, Varsha, V., Voet, Hillary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2017
Materias:
Clinical Practice Projects
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5302411/
https://www.ncbi.nlm.nih.gov/pubmed/28232773
http://dx.doi.org/10.1097/TIN.0000000000000089
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author Myers, Esther F.
Trostler, Naomi
Varsha, V.
Voet, Hillary
author_facet Myers, Esther F.
Trostler, Naomi
Varsha, V.
Voet, Hillary
author_sort Myers, Esther F.
collection PubMed
description This 12-month prospective randomized cluster trial of 20 dietitians in India compared usual care (UC) and evidence-based nutrition practice guideline (EBNPG) care for patients with type 2 diabetes mellitus. Baseline, 6-month, and 12-month data from 238 patients were analyzed. EBNPG implementation was evaluated using the Ottawa Model for Knowledge Transfer. EBNPG and UC groups achieved significant hemoglobin A(1C) improvements. EBNPG-treated participants were significantly more likely to meet low-density lipoprotein, high-density lipoprotein, and triglyceride goals at 6 or 12 months. Dietitian dropout, implementation barriers, and undetermined EBNPG intervention fidelity are limitations. Future research should assess barriers/supports and degree of EBNPG use.
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spelling pubmed-53024112017-02-21 Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model Myers, Esther F. Trostler, Naomi Varsha, V. Voet, Hillary Top Clin Nutr Clinical Practice Projects This 12-month prospective randomized cluster trial of 20 dietitians in India compared usual care (UC) and evidence-based nutrition practice guideline (EBNPG) care for patients with type 2 diabetes mellitus. Baseline, 6-month, and 12-month data from 238 patients were analyzed. EBNPG implementation was evaluated using the Ottawa Model for Knowledge Transfer. EBNPG and UC groups achieved significant hemoglobin A(1C) improvements. EBNPG-treated participants were significantly more likely to meet low-density lipoprotein, high-density lipoprotein, and triglyceride goals at 6 or 12 months. Dietitian dropout, implementation barriers, and undetermined EBNPG intervention fidelity are limitations. Future research should assess barriers/supports and degree of EBNPG use. Lippincott Williams & Wilkins 2017-01 2017-01-25 /pmc/articles/PMC5302411/ /pubmed/28232773 http://dx.doi.org/10.1097/TIN.0000000000000089 Text en © 2017 Wolters Kluwer Health, Inc. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Clinical Practice Projects
Myers, Esther F.
Trostler, Naomi
Varsha, V.
Voet, Hillary
Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title_full Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title_fullStr Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title_full_unstemmed Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title_short Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
title_sort insights from the diabetes in india nutrition guidelines study: adopting innovations using a knowledge transfer model
topic Clinical Practice Projects
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5302411/
https://www.ncbi.nlm.nih.gov/pubmed/28232773
http://dx.doi.org/10.1097/TIN.0000000000000089
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