Dietitians’ Perspectives on Interventions to Enhance Adherence to Dietary Advice for Chronic Diseases in Adults
Publication: Canadian Journal of Dietetic Practice and Research
21 May 2015
Abstract
Purpose: To assess dietitians’ perspectives on the importance and applicability of interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults in the Canadian context.
Methods: Based on a Cochrane systematic review, we identified 8 promising interventions for enhancing adherence to dietary advice: behavioural contracts, exchange lists, feedback based on self-monitoring, individualized menu suggestions, multiple interventions, portion size awareness, telephone follow-up, and videos. Thirty-two dietitians then completed a 3-round Delphi study by responding to an electronic questionnaire asking them to rate the importance and applicability in their practice of the 8 interventions on a 7-point Likert scale.
Results: Using a ≥75% level of agreement, 4 interventions showed strong consensus: multiple interventions, feedback based on self-monitoring, portion size awareness, and videos. Among these, the most significant were (means ± SD for importance and applicability, respectively) feedback based on self-monitoring (6.97 ± 0.18 and 6.72 ± 0.46), portion size awareness (6.69 ± 0.54 and 6.75 ± 0.51), and multiple interventions (6.94 ± 0.25 and 6.81 ± 0.40).
Conclusions: These findings can guide the development of educational training sessions for dietitians to help them provide practice-relevant interventions that will increase the likelihood that patients adhere to their advice regarding prevention and management of chronic diseases.
Résumé
Objectif. Évaluer les perspectives des diététistes quant à l'importance et à l'applicabilité des interventions destinées à améliorer l'adhésion aux conseils nutritionnels visant la prévention et la gestion des maladies chroniques chez les adultes en contexte canadien.
Méthodes. À l'aide d'une revue systématique Cochrane, nous avons identifié 8 interventions prometteuses pour améliorer l'adhésion aux conseils nutritionnels : contrats comportementaux, listes d’échanges, rétroaction basée sur l'autosurveillance, suggestions de menus personnalisés, interventions multiples, sensibilisation à la taille des portions, suivi téléphonique et vidéos. Trente-deux diététistes ont ensuite participé à une étude Delphi en 3 phases en répondant à un questionnaire électronique où ils devaient évaluer l'importance et l'applicabilité des 8 interventions dans leur pratique sur une échelle de Likert en 7 points.
Résultats. En fonction d'un niveau d'accord ≥ 75 %, 4 interventions ont montré un fort consensus : les interventions multiples, la rétroaction basée sur l'autosurveillance, la sensibilisation à la taille des portions et les vidéos. Les plus significatifs (moyennes ± écarts-types pour l'importance et l'applicabilité, respectivement) étaient la rétroaction basée sur l'autosurveillance (6,97 ± 0,18 et 6,72 ± 0,46), la sensibilisation à la taille des portions (6,69 ± 0,54 et 6,75 ± 0,51) et les interventions multiples (6,94 ± 0,25 et 6,81 ± 0,40).
Conclusions. Ces conclusions peuvent orienter le développement de séances de formation pour les diététistes en vue de les aider à faire des interventions pertinentes sur le plan de la pratique qui augmenteront la probabilité que les patients suivent leurs conseils sur la prévention et la gestion des maladies chroniques.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 76 • Number 3 • September 2015
Pages: 103 - 108
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Version of record online: 21 May 2015
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Sophie Desroches RD, PhD, Annie Lapointe RD, PhD, Sarah-Maude Deschênes RD, MSc, Véronique Bissonnette-Maheux RD, MSc, Karine Gravel RD, PhD, Jayne Thirsk RD, PhD, FDC, and France Légaré MD, PhD, CCFP, FCFP. 2015. Dietitians’ Perspectives on Interventions to Enhance Adherence to Dietary Advice for Chronic Diseases in Adults. Canadian Journal of Dietetic Practice and Research.
76(3): 103-108. https://doi.org/10.3148/cjdpr-2015-009
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