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Published on: April 23, 2018
Insights From the Diabetes in India Nutrition Guidelines Study: Adopting Innovations Using a Knowledge Transfer Model
Esther F Myers1, Naomi Trostler1, V Varsha1
1Academy of Nutrition and Dietetics, Chicago, Illinois (Dr Myers); Institute of Biochemistry, Nutrition and Food Science, The Robert Smith Faculty of Agriculture, Food and Environmental Sciences, Hebrew University of Jerusalem, Rehovot, Israel (Dr Trostler); Indian Institute of Nutritional Sciences, c/o M/S PK Japee & Co "Ankur Manor," Kilpauk, Chennai, Tamil Nadu, India (Dr Varsha); and Department of Environmental Economics and Management, Faculty of Agricultural, Food and Environmental Sciences, Hebrew University of Jerusalem, Rehovot, Israel (Dr Voet).
Abstract:
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.
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