在营养不良研究中的饮食咨询干预:通过修改后的德尔菲过程,达成关于最佳实践的国际共识
C Elizabeth Weekes1, Marian A E de van der Schueren2,3, Heather Keller4
1Division of Medicine, University College London, London, UK.
概括
一个国际专家小组定义了营养咨询在营养不良研究的最低要求. 这些标准旨在提高营养干预措施和患者结果的一致性.
科学领域:
- 营养科学 营养科学
- 临床研究方法论 临床研究方法论
- 公共卫生 公共卫生
背景情况:
- 在营养不良管理中的饮食咨询方面存在不一致的证据.
- 这种不一致性阻碍了研究的比较,影响了研究,临床实践和政策.
研究的目的:
- 建立关于饮食咨询干预措施的最低要求的国际共识.
- 在临床研究中,专注于预防和管理成人营养不良.
主要方法:
- 一个国际专家小组 (7名成员) 进行了修改后的Delphi研究.
- 在两轮和两次在线会议上生成和完善了37份共识声明.
- 预先的外部验证涉及到2021年国际饮食学大会 (ICD) 的代表.
主要成果:
- 在四个主题的27个声明上达成共识:营养评估,干预内容,干预交付和监测/跟进.
- 最低要求包括8个评估陈述,7个内容陈述,5个交付陈述,7个监控陈述.
- 外部验证显示,ICD代表在评估和交付方面达成的共识低至中等.
结论:
- 国际专家在营养不良研究中定义了饮食咨询的基本因素.
- 需要进一步的外部验证来确认这些最低要求.
- 定义的要求可能会影响未来的研究,临床实践和政策制定.
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