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Implementation research for 'evidence-based' guideline development by dietitians: a pilot study to test an instrument
B M Wammes1, C A Blom, M Koelen
1Division of Human Nutrition and Epidemiology, Wageningen University, Wageningen, The Netherlands.
Summary
A new questionnaire effectively monitors the development of evidence-based dietetic guidelines. It identifies factors influencing guideline implementation, aiding dietitians in overcoming barriers to improve patient care.
Area of Science:
- Dietetics
- Implementation Science
- Healthcare Quality Improvement
Background:
- Dietitians are encouraged to develop evidence-based guidelines to enhance dietetic care quality.
- The University Medical Center Utrecht (UMCU) initiated a pilot study to address this need.
Purpose of the Study:
- To develop and validate a questionnaire for implementation research.
- To monitor the process of developing and implementing evidence-based guidelines by dietitians.
Main Methods:
- A questionnaire was developed and administered to 15 dietitians creating guidelines.
- The questionnaire assessed determinants of dietitian behavior and facilitating conditions.
- Internal consistency was analyzed using Cronbach's alpha (cut-off 0.7).
Main Results:
- High internal consistency (alpha > 0.7) was found for items related to behavioral determinants.
- The questionnaire provided a structured overview of factors influencing guideline development.
- Dietitians exhibited positive behavior but perceived barriers related to guideline development conditions.
Conclusions:
- The developed questionnaire is suitable for implementation research in dietetics.
- It offers a structured overview of factors impacting the development of dietetic guidelines.