TY - JOUR
T1 - Insights from the Diabetes in India Nutrition Guidelines Study
T2 - Adopting Innovations Using a Knowledge Transfer Model
AU - Myers, Esther F.
AU - Trostler, Naomi
AU - Varsha, V.
AU - Voet, Hillary
N1 - Publisher Copyright:
© 2017 Wolters Kluwer Health, Inc.
PY - 2017
Y1 - 2017
N2 - 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 A1C 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.
AB - 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 A1C 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.
KW - clinical nutrition
KW - diabetes mellitus
KW - dietetics outcomes
KW - evidence-based guidelines
KW - nutrition
KW - nutrition care process
UR - http://www.scopus.com/inward/record.url?scp=85012054710&partnerID=8YFLogxK
U2 - 10.1097/TIN.0000000000000089
DO - 10.1097/TIN.0000000000000089
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AN - SCOPUS:85012054710
SN - 0883-5691
VL - 32
SP - 69
EP - 86
JO - Topics in Clinical Nutrition
JF - Topics in Clinical Nutrition
IS - 1
ER -
