Choose one of the main topics and then identify one study under that topic. Read the study chosen and answer one of the topic questions listed below. Create a 2-3 page summary which supports the topic question. Provide a current research article (less than 5 years). The 2-3 page limit does not include title and reference pages.
Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults
Desroches, S., Lapointe, A., Ratté, S., Gravel, K., Légaré, F., Turcotte, S. (2013). Cochrane Database of Systematic Reviews, 2013, Issue 2. Art. No.: CD008722.
The purpose of this review was to assess the effects of interventions for enhancing adherence to dietary advice for preventing and managing chronic diseases in adults. Randomized controlled trials that evaluated interventions enhancing adherence to dietary advice for preventing and managing chronic diseases in adults were included if the primary outcome was the patient’s adherence to dietary advice. Of the studies identified, 38 were included involving 9,445 participants. Among studies that measured diet adherence outcomes between an intervention group and a control/usual care group, 32 out of 123 diet adherence outcomes favored the intervention group. Four favored the control group, whereas 62 had no significant difference between groups. Interventions shown to improve at least one diet adherence outcome were telephone follow-up, video, contract, feedback, nutritional tools, and more complex interventions, including multiple interventions. However, these interventions also show no difference in some diet adherence outcomes compared to a control/usual care group, making inconclusive results about the most effective intervention to enhance dietary advice. There was no significant effect on long-term adherence or outcomes. Studies investigating interventions such as a group session, individual session, reminders, restriction, and behavior change techniques reported no diet adherence outcome showing a statistically significant difference favoring the intervention group. Overall, the studies were generally of short duration and low quality, and adherence measures varied widely.
The authors concluded that there is a need for long-term, good-quality studies using more standardized and validated measures of adherence to identify the interventions that should be used in practice to enhance adherence to dietary advice in the context of a variety of chronic diseases.
Main Topic: Interventions to improve nutritional status Articles for review: • Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults
Topic Question: What associations exist between nutritional status and health outcomes?
The Summary must include the following headings (see rubric for criteria under each heading): a. Introduction and Key Points (10 Points)
• Choose one of the assigned topics and identifies one of the questions
• Defines the topic and question
• States why it is a problem • Information presented in logical sequence
b. Article Search (25 Points)
• Current (less than 5 years) and credible resource
• Database search – terms and methods used
• Number of articles located
• Source outside of ATI module used
c. Article Findings (25 Points)
• How it addresses the topic
• Type of research conducted
• Findings of research
• Why this article was chosen
d. Evidence for Practice (25 Points)
• Summary of evidence
• How it will improve practice
• How this evidence will decrease a gap to practice
• Any concerns or weaknesses located in the evidence
e. Sharing of Evidence (25 Points)
• Who would you share the information with?
• How would you share this information?
• What resources would you need to accomplish this sharing of evidence? 3
•.Why would it be important to share this evidence with the nursing profession?
f. Conclusion (20 Points) • Summarizes the theme of the paper
• Information presented in logical sequence
• All key points addressed
• Conclusion shows depth of understanding of topic g. APA Style (10 Points)
• APA style used properly for citations